The factors affecting the institutionalisation of two policy units in Burkina Faso’s health system: a case study
Abstract Background This paper is one of three linked studies that attempts to understand the process of institutionalisation of policy units within Burkina Faso’s health system. It examines the relationships between the existence of an institutional framework, data production capacity and other res...
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| Format: | Article |
| Language: | English |
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BMC
2017-07-01
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| Series: | Health Research Policy and Systems |
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| Online Access: | http://link.springer.com/article/10.1186/s12961-017-0228-2 |
| _version_ | 1818525225758752768 |
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| author | Andre Zida John N. Lavis Nelson K. Sewankambo Bocar Kouyate Kaelan Moat |
| author_facet | Andre Zida John N. Lavis Nelson K. Sewankambo Bocar Kouyate Kaelan Moat |
| author_sort | Andre Zida |
| collection | DOAJ |
| description | Abstract Background This paper is one of three linked studies that attempts to understand the process of institutionalisation of policy units within Burkina Faso’s health system. It examines the relationships between the existence of an institutional framework, data production capacity and other resource availability in the institutionalisation of policy units in health systems. It therefore contributes to our understanding of the dynamics linking the key drivers and indicators of institutionalisation. Additionally, it examines how factors within the managerial setting, including workplace environment, and budgetary and human resource availability, may influence the institutionalisation process. Methods The study used an explanatory qualitative case study approach, examining two policy units in Burkina Faso’s Ministry of Health, the first of which had been institutionalised successfully and the other less so. Data were collected from key policymakers, including 13 connected with the first policy unit and 10 with the second, plus two funders. We also conducted a documentary analysis of the National Program for Health Development, two mid-term strategic plans, 230 action plans, eight Ministry of Health state budgets, eight Ministry of Health annual statistics reports, 16 policy unit budgets and published literature. Results The framework within which the government gave the policy unit its mandate and policy focus had the strongest effect on the institutionalisation process. Institutionalisation depended on political will, in both the host government and any donors, and the priority given to the policy unit’s focus. It was also affected by the leadership of the policy unit managers. These factors were influenced by human resource capacity, and our findings suggest that, for successful institutionalisation in Burkina Faso’s health system, policy units need to be given sufficient human resources to achieve their objectives. Conclusion Policy units’ institutionalisation in Burkina Faso’s health system depend on the leadership of the unit managers to implement relevant activities, mobilise funding, and recruit and maintain enough human resources, as well as the mandate given by the government. |
| first_indexed | 2024-12-11T06:06:42Z |
| format | Article |
| id | doaj.art-33289f61476144f1813de4d733c877b6 |
| institution | Directory Open Access Journal |
| issn | 1478-4505 |
| language | English |
| last_indexed | 2024-12-11T06:06:42Z |
| publishDate | 2017-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Health Research Policy and Systems |
| spelling | doaj.art-33289f61476144f1813de4d733c877b62022-12-22T01:18:16ZengBMCHealth Research Policy and Systems1478-45052017-07-0115111510.1186/s12961-017-0228-2The factors affecting the institutionalisation of two policy units in Burkina Faso’s health system: a case studyAndre Zida0John N. Lavis1Nelson K. Sewankambo2Bocar Kouyate3Kaelan Moat4Clinical Epidemiology and Biostatistics Unit, Makerere University College of Health SciencesMcMaster Health Forum, Centre for Health Economics and Policy Analysis, Department of Clinical Epidemiology and Biostatistics, McMaster UniversityClinical Epidemiology and Biostatistics Unit, Makerere University College of Health SciencesMinistry of HealthMcMaster Health Forum, Centre for Health Economics and Policy Analysis, Department of Clinical Epidemiology and Biostatistics, McMaster UniversityAbstract Background This paper is one of three linked studies that attempts to understand the process of institutionalisation of policy units within Burkina Faso’s health system. It examines the relationships between the existence of an institutional framework, data production capacity and other resource availability in the institutionalisation of policy units in health systems. It therefore contributes to our understanding of the dynamics linking the key drivers and indicators of institutionalisation. Additionally, it examines how factors within the managerial setting, including workplace environment, and budgetary and human resource availability, may influence the institutionalisation process. Methods The study used an explanatory qualitative case study approach, examining two policy units in Burkina Faso’s Ministry of Health, the first of which had been institutionalised successfully and the other less so. Data were collected from key policymakers, including 13 connected with the first policy unit and 10 with the second, plus two funders. We also conducted a documentary analysis of the National Program for Health Development, two mid-term strategic plans, 230 action plans, eight Ministry of Health state budgets, eight Ministry of Health annual statistics reports, 16 policy unit budgets and published literature. Results The framework within which the government gave the policy unit its mandate and policy focus had the strongest effect on the institutionalisation process. Institutionalisation depended on political will, in both the host government and any donors, and the priority given to the policy unit’s focus. It was also affected by the leadership of the policy unit managers. These factors were influenced by human resource capacity, and our findings suggest that, for successful institutionalisation in Burkina Faso’s health system, policy units need to be given sufficient human resources to achieve their objectives. Conclusion Policy units’ institutionalisation in Burkina Faso’s health system depend on the leadership of the unit managers to implement relevant activities, mobilise funding, and recruit and maintain enough human resources, as well as the mandate given by the government.http://link.springer.com/article/10.1186/s12961-017-0228-2InstitutionalisationInstitutional frameworkData productionResource availabilityBurkina FasoPolicy |
| spellingShingle | Andre Zida John N. Lavis Nelson K. Sewankambo Bocar Kouyate Kaelan Moat The factors affecting the institutionalisation of two policy units in Burkina Faso’s health system: a case study Health Research Policy and Systems Institutionalisation Institutional framework Data production Resource availability Burkina Faso Policy |
| title | The factors affecting the institutionalisation of two policy units in Burkina Faso’s health system: a case study |
| title_full | The factors affecting the institutionalisation of two policy units in Burkina Faso’s health system: a case study |
| title_fullStr | The factors affecting the institutionalisation of two policy units in Burkina Faso’s health system: a case study |
| title_full_unstemmed | The factors affecting the institutionalisation of two policy units in Burkina Faso’s health system: a case study |
| title_short | The factors affecting the institutionalisation of two policy units in Burkina Faso’s health system: a case study |
| title_sort | factors affecting the institutionalisation of two policy units in burkina faso s health system a case study |
| topic | Institutionalisation Institutional framework Data production Resource availability Burkina Faso Policy |
| url | http://link.springer.com/article/10.1186/s12961-017-0228-2 |
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