Kenya's Health in All Policies strategy: a policy analysis using Kingdon's multiple streams.
Health in all policies
Kenya
agenda-setting
intersectoral collaboration
social determinants of health
Journal
Health research policy and systems
ISSN: 1478-4505
Titre abrégé: Health Res Policy Syst
Pays: England
ID NLM: 101170481
Informations de publication
Date de publication:
06 Feb 2019
06 Feb 2019
Historique:
received:
22
07
2018
accepted:
10
01
2019
entrez:
8
2
2019
pubmed:
8
2
2019
medline:
6
6
2019
Statut:
epublish
Résumé
Health in All Policies (HiAP) is an intersectoral approach that facilitates decision-making among policy-makers to maximise positive health impacts of other public policies. Kenya, as a member of WHO, has committed to adopting HiAP, which has been included in the Kenya Health Policy for the period 2014-2030. This study aims to assess the extent to which this commitment is being translated into the process of governmental policy-making and supported by international development partners as well as non-state actors. To examine HiAP in Kenya, a qualitative case study was performed, including a review of relevant policy documents. Furthermore, 40 key informants with diverse backgrounds (government, UN agencies, development agencies, civil society) were interviewed. Analysis was carried out using the main dimensions of Kingdon's Multiple Streams Approach (problems, policy, politics). Kenya is facing major health challenges that are influenced by various social determinants, but the implementation of intersectoral action focusing on health promotion is still arbitrary. On the policy level, little is known about HiAP in other government ministries. Many health-related collaborations exist under the concept of intersectoral collaboration, which is prominent in the country's development framework - Vision 2030 - but with no specific reference to HiAP. Under the political stream, the study highlights that political commitment from the highest office would facilitate mainstreaming the HiAP strategy, e.g. by setting up a department under the President's Office. The budgeting process and planning for the Sustainable Development Goals were found to be potential windows of opportunity. While HiAP is being adopted as policy in Kenya, it is still perceived by many stakeholders as the business of the health sector, rather than a policy for the whole government and beyond. Kenya's Vision 2030 should use HiAP to foster progress in all sectors with health promotion as an explicit goal.
Sections du résumé
BACKGROUND
BACKGROUND
Health in All Policies (HiAP) is an intersectoral approach that facilitates decision-making among policy-makers to maximise positive health impacts of other public policies. Kenya, as a member of WHO, has committed to adopting HiAP, which has been included in the Kenya Health Policy for the period 2014-2030. This study aims to assess the extent to which this commitment is being translated into the process of governmental policy-making and supported by international development partners as well as non-state actors.
METHODS
METHODS
To examine HiAP in Kenya, a qualitative case study was performed, including a review of relevant policy documents. Furthermore, 40 key informants with diverse backgrounds (government, UN agencies, development agencies, civil society) were interviewed. Analysis was carried out using the main dimensions of Kingdon's Multiple Streams Approach (problems, policy, politics).
RESULTS
RESULTS
Kenya is facing major health challenges that are influenced by various social determinants, but the implementation of intersectoral action focusing on health promotion is still arbitrary. On the policy level, little is known about HiAP in other government ministries. Many health-related collaborations exist under the concept of intersectoral collaboration, which is prominent in the country's development framework - Vision 2030 - but with no specific reference to HiAP. Under the political stream, the study highlights that political commitment from the highest office would facilitate mainstreaming the HiAP strategy, e.g. by setting up a department under the President's Office. The budgeting process and planning for the Sustainable Development Goals were found to be potential windows of opportunity.
CONCLUSION
CONCLUSIONS
While HiAP is being adopted as policy in Kenya, it is still perceived by many stakeholders as the business of the health sector, rather than a policy for the whole government and beyond. Kenya's Vision 2030 should use HiAP to foster progress in all sectors with health promotion as an explicit goal.
Identifiants
pubmed: 30728042
doi: 10.1186/s12961-019-0416-3
pii: 10.1186/s12961-019-0416-3
pmc: PMC6366019
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
15Subventions
Organisme : Medizinischen Fakultät Heidelberg, Universität Heidelberg
ID : IN-1150438
Organisme : health systems global
ID : TC01613308
Références
Int J Ment Health Syst. 2016 Mar 09;10:21
pubmed: 26962328
Health Policy Plan. 2015 Dec;30 Suppl 2:ii46-ii53
pubmed: 26516150
Glob Chall. 2017 Nov 13;1(9):1700036
pubmed: 31565295
Health Policy Plan. 2002 Mar;17(1):14-31
pubmed: 11861583
Health Promot Int. 2014 Jun;29 Suppl 1:i130-42
pubmed: 25217350
Int J Equity Health. 2017 Sep 15;16(1):169
pubmed: 28911328
AIDS Anal Afr. 2000 Feb-Mar;10(5):10
pubmed: 12322482
Can J Public Health. 2011 Nov-Dec;102(6):407-9
pubmed: 22164546
Glob Health Res Policy. 2017 Aug 08;2:23
pubmed: 29202091
Health Promot Int. 2016 Dec;31(4):769-781
pubmed: 26092852
PLoS One. 2015 Dec 22;10(12):e0144768
pubmed: 26696096
BMC Med Res Methodol. 2013 Sep 18;13:117
pubmed: 24047204
BMJ Glob Health. 2017 Dec 1;3(Suppl 1):e000603
pubmed: 29379648
Health Policy Plan. 2008 Sep;23(5):294-307
pubmed: 18650209