10 best resources on power in health policy and systems in low-and middle-income countries

Sriram, Veena, Topp, Stephanie M., Schaaf, Marta, Mishra, Arima, Flores, Walter, Rajasulochana, Subramania Raju, and Scott, Kerry (2018) 10 best resources on power in health policy and systems in low-and middle-income countries. Health Policy and Planning, 33 (4). pp. 611-621.

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Abstract

Power is a critical concept to understand and transform health policy and systems. Power manifests implicitly or explicitly at multiple levels—local, national and global—and is present at each actor interface, therefore shaping all actions, processes and outcomes. Analysing and engaging with power has important potential for improving our understanding of the underlying causes of inequity, and our ability to promote transparency, accountability and fairness. However, the study and analysis of the role of power in health policy and systems, particularly in the context of low- and middle-income countries, has been lacking. In order to facilitate greater engagement with the concept of power among researchers and practitioners in the health systems and policy realm, we share a broad overview of the concept of power, and list 10 excellent resources on power in health policy and systems in low- and middle-income countries, covering exemplary frameworks, commentaries and empirical work. We undertook a two-stage process to identify these resources. First, we conducted a collaborative exercise involving crowdsourcing and participatory validation, resulting in 24 proposed articles. Second, we conducted a structured literature review in four phases, resulting in 38 articles reviewed. We present the 10 selected resources in the following categories to bring out key facets of the literature on power and health policy and systems—(1) Resources that provide an overarching conceptual exploration into how power shapes health policy and systems, and how to investigate it; and (2) examples of strong empirical work on power and health policy and systems research representing various levels of analyses, geographic regions and conceptual understandings of power. We conclude with a brief discussion of key gaps in the literature, and suggestions for additional methodological approaches to study power.

Item ID: 52612
Item Type: Article (Refereed Research - C1)
Keywords: power; health systems; social sciences; low- and middle-income countries
ISSN: 1460-2237
Funders: Agency for Healthcare Research and Quality (AHRQ)
Projects and Grants: AHRQ grant award T32 HS000087
Date Deposited: 23 Feb 2018 04:20
FoR Codes: 16 STUDIES IN HUMAN SOCIETY > 1608 Sociology > 160807 Sociological Methodology and Research Methods @ 40%
16 STUDIES IN HUMAN SOCIETY > 1605 Policy and Administration > 160508 Health Policy @ 40%
16 STUDIES IN HUMAN SOCIETY > 1606 Political Science > 160699 Political Science not elsewhere classified @ 20%
SEO Codes: 94 LAW, POLITICS AND COMMUNITY SERVICES > 9402 Government and Politics > 940204 Public Services Policy Advice and Analysis @ 50%
92 HEALTH > 9202 Health and Support Services > 920207 Health Policy Evaluation @ 50%
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