Generation of Political Priority for Global Health Initiatives: A Framework and Case Study of Maternal Mortality
AbstractWhy do some global health initiatives receive priority from international and national political leaders while others receive minimal attention? We propose a framework for analyzing this question consisting of four categories of factors: the strength of the actors involved in the initiative, the power of the ideas they use to frame the issue, the nature of the political contexts in which they operate, and characteristics of the issue itself. We apply this framework to the case of a global initiative to reduce maternal mortality, launched in 1987. Using a process-tracing methodology commonly employed in qualitative research, we conducted archival research and interviewed actors involved in the initiative. We find that despite two decades of effort the initiative remains in an early phase of development, hampered by difficulties in all these categories. However, the initiative’s twentieth anniversary year, 2007, presents opportunities to build political momentum. To generate political priority advocates will need to address several challenges, including the creation of effective institutions to guide the initiative and the development of a public positioning of the issue that convinces political leaders to act. We draw on the framework and case study to suggest areas for future research on the determinants of political priority for global health initiatives, a subject that has attracted much speculation but little scholarship.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by Center for Global Development in its series Working Papers with number 129.
Length: 32 pages
Date of creation: Oct 2007
Date of revision:
Contact details of provider:
Web page: http://www.cgdev.org
global health; maternal mortality;
This paper has been announced in the following NEP Reports:
You can help add them by filling out this form.
CitEc Project, subscribe to its RSS feed for this item.
- Green, Andrew & Gerein, Nancy & Mirzoev, Tolib & Bird, Philippa & Pearson, Stephen & Anh, Le Vu & Martineau, Tim & Mukhopadhyay, Maitrayee & Qian, Xu & Ramani, K.V. & Soors, Werner, 2011. "Health policy processes in maternal health: A comparison of Vietnam, India and China," Health Policy, Elsevier, vol. 100(2), pages 167-173.
- Mark Tomlinson & Crick Lund, 2012. "Why Does Mental Health Not Get the Attention It Deserves? An Application of the Shiffman and Smith Framework," Working Papers id:4819, eSocialSciences.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (David Roodman).
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.