From Monotherapy to Combination Therapies (CT): A Retrospective Review of the Process of Policy Transfer Among Four Sub-Saharan Countries (Uganda, Zambia, Sudan and Malawi)
Journal Title: Health Systems and Policy Research - Year 2017, Vol 4, Issue 4
Abstract
Policy change in a dynamic environment amidst an increasing infectious disease caseload remains a herculean task. While it is ideal to drive the process using evidence, emergencies in such situation makes policy transfer the best option. However, considering the difference in contextual health system issues which could affect the policy performance, how does a ‘wholesale’ transferred policy perform in a changing environment? Who do international actors drive the process of policy transfer? What is the motivation of national actors to adopt a policy without context-specific evidence? Using the Dolowitz and Marsh model of policy transfer, this paper reviews the processes of policy change of malaria regimen from monotherapies such as chloroquine to artemisinin combination therapies. It assesses the fundamental influencers of this transfer and the strategies employed in making this change. Also, the challenges encountered during this process are discussed within the spectrum of the model. Lessons from this transfer process are relevant in guiding future policy changes of infectious diseases in other resourceconstrained settings in Africa.
Authors and Affiliations
Emmanuel Nene Odjidja
Keywords
Related Articles
- EP ID EP302378
- DOI 10.21767/2254-9137.100080
- Views 59
- Downloads 0
The Influence of Supervisor Support on Nursesâ Turnover Intention
Maintaining adequate nursing staff is a real challenge that many healthcare organizations are facing. Many factors have been identified to positively influence the reduction of turnover intention among. A comprehensive s...
Experiences of Clinic Nurses Regarding Diabetes Education in Turkeyâ Health System
Background and aim: No study is available determining the occupational characteristics and profiles of nurses working in the internal medicine units, regarding the education of patients with type 2 diabetes in Turkey. Th...
A Systematic Review of Physician Retirement Planning
Background: This systematic review identified empirical studies to elaborate on the understudied aspect of retirement timing related to physician’s preparation and engagement with the retirement planning process. Four qu...
A Review of the Social Determinants of Health - Income Inequality and Education Inequality: Why Place Matters in U.S. Teenage Pregnancy Rates
The Social Determinants of Health (SDoH) frames health outcomes and health behaviors according to geography. In low income communities, safety is compromised, food deserts are prevalent and gaps in educational achievemen...
Setting the Scene for Post-Ebola Health System Recovery and Resilience in Liberia: Lessons Learned and the Way Forward
Following the devastation caused by the 2014 Ebola outbreak in Liberia there remains much to be done for the health system to fully recover and become resilient against any future public health threat. Liberia is a post-...