Analysing power and politics in health policies and systems

  title={Analysing power and politics in health policies and systems},
  author={Radhika Gore and Richard G Parker},
  journal={Global Public Health},
  pages={481 - 488}
ABSTRACT This special issue of Global Public Health presents a collection of articles that analyse power and its mechanisms in health systems and health policy processes. Researchers have long noted that the influence of power is implicated throughout the global health field, yet theories and methods for examining power—its sources, workings, and effects—are rarely applied in health policy and systems research. By engaging with the social sciences and humanities, contributors to this collection… 
Power analysis in health policy and systems research: a guide to research conceptualisation
A synthesis of theoretical and conceptual understandings of power is presented; methodologies and approaches for conducting power analyses are described; how they might be appropriately combined are discussed; and the importance of engaging with positionality through reflexive praxis is reflected.
Integration or Fragmentation of Health Care? Examining Policies and Politics in a Belgian Case Study.
How IC policies in Belgium were developed over the last decade and how stakeholders have played a role in these policies are examined to find out how public health policy competences and reform durability of IC policies will evolve.
Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process.
Professional monopoly theories help illustrate how medical professionals occupy and maintain an elite position in the health system of Nigeria while limiting the opportunities for other health occupations' rise up the social status ladder.
The politics of universal health coverage
A summative content analysis of how programmes to improve the right to sexual and reproductive health address power
Introduction Power shapes all aspects of global health. The concept of power is not only useful in understanding the current situation, but it is also regularly mobilised in programmatic efforts that
Power in global governance: an expanded typology from global health
  • S. Moon
  • Political Science
    Globalization and Health
  • 2019
It is argued that global governance processes exhibit features of complex adaptive systems, the analysis of which requires taking into account multiple types of power, and offers an expanded typology of eight kinds of power: physical, economic, structural, institutional, moral, discursive, expert, and network.
The influence of corporate market power on health: exploring the structure-conduct-performance model from a public health perspective
It is argued that the SCP model is well-placed to broaden public health research into the ways in which corporations influence health and help the public health community to better engage with a set of policy and regulatory tools that have the potential to curb the concentration of corporate power for the betterment of population health.
What is considered as global health scholarship? A meta-knowledge analysis of global health journals and definitions
The analysis suggests that global health has not truly moved beyond its predecessor, international health, and there is a need to define the parameters of the discipline and investigate the disconnect between what is published in global health versus how the field is defined.
A scoping review of theories and conceptual frameworks used to analyse health financing policy processes in sub-Saharan Africa.
A scoping review of literature published in English and French between 2000 and 2017 finds that Kingdon's multiple streams theory, Grindle and Thomas' arenas of conflict and Walt and Gilson's policy triangle were the most used theories and frameworks.


Politics and health outcomes
Politics and practices of global health: Critical ethnographies of health systems
This special issue aims to demonstrate the potential of ethnographic enquiry to reinvigorate a political – rather than technical – debate about ‘health systems’.
The emergence of global attention to health systems strengthening.
A qualitative methodology, process-tracing, was used to construct a case history and analyse the factors shaping and inhibiting global political attention for health systems strengthening, finding that the critical factors behind the recent burst of attention include fears among global health actors that health systems problems threaten the achievement of the health-related Millennium Development Goals and concern about the adverse effects of global health initiatives on national health systems.
Ethnography of health for social change: impact on public perception and policy.
Practice and power: a review and interpretive synthesis focused on the exercise of discretionary power in policy implementation by front-line providers and managers.
Tackling the implementation gap is a health policy concern in low- and middle-income countries (LMICs). Limited attention has so far been paid to the influence of power relations over this gap. This
The terrain of health policy analysis in low and middle income countries: a review of published literature 1994–2007
Five key actions needed to strengthen the field of health policy analysis within LMICs are outlined, including capacity development and efforts to generate systematic and coherent bodies of work underpinned by both the intent to undertake rigorous analytical work and concern to support policy change.
The silencing of political context in health research in Ethiopia: why it should be a concern
It is argued that the current political situation increases the probability of social desirability bias and research that takes the political context into account is much needed in order to balance the overarching positive literature on Ethiopia's health system.
The political and administrative context of primary health care in the Third World.
How do we move forward on the social determinants of health: the global governance challenges
  • Kelley Lee
  • Political Science, Medicine
    Critical public health
  • 2010
The final report of the WHO Commission on the Social Determinants of Health is the culmination of a huge analytical effort to review the evidence and produce clear policy measures for achieving