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Table 2 Comprehensive Framework for Multi-Sectoral Approach to Health Policy Analysis

From: Assessment of the multi-sectoral approach to tobacco control policies in South Africa and Togo

狈掳

Categories

Elements

Indicators

1

Context

Political context

鈥 Political changes or critical events at the national level that have influenced policy development,

鈥 Health sector reforms, fiscal policies among others

鈥 Organizational changes (e.g. government structure)

Timing, Historical/Social factors

鈥 Timeline of policy development

鈥 Historical origins of the policy, including what issues it meant to address, and how issue identification has evolved over time.

鈥 Other global factors that have influenced policy development and how they influenced it.

鈥 Any social factors (e.g. increase in prevalence of NCD)

Economic context

鈥 Country economic growth

鈥 Global and local financial situation and conflicting development agendas

Technological factors

鈥 Technological factors that have influenced policy development

2

Content

Policy interventions

鈥 Specific NCD prevention policies developed

鈥 Which WHO best buy interventions were included

鈥 Rationale for developing the policy

鈥 Type of interventions (upstream, midstream, or downstream)

鈥 Population level coverage of the interventions (universal or targeted)

鈥 Implicit or explicit equity goals (improve health of vulnerable groups, reduce health gaps, flatten social gradient)

3

Stakeholders

Institutions (including rules, laws, norms and customs) and interests that led the process of developing health policies

鈥 Government sector/department that led the process

鈥 Other sectors that were involved

鈥 Levels of government involved (national, local)

鈥 Existence of governance structures for multi-sectoral action at different levels (central government, parliament and civil service), their participation in and experiences with these structures.

鈥 Civil Society Organisations and private entities involved

鈥 Role of sectors involved in formulation (Funding meetings, provision of technical assistance)

Formulation

鈥 Extent of participation in policy formulation,

鈥 Experiences in policy formulation (what went well, and what could have been done differently)

鈥 Interests and concerns with the policy process, how these may have influenced their participation and how these were addressed.

鈥 Relevant institutions not involved in implementation

Implementation

鈥 Key sectors/actors involved in the implementation,

鈥 Their role in the implementation

鈥 Relevant institutions not involved in implementation

鈥 Benefits of involving many actors in implementation

鈥 Challenges of involving many actors in implementation

4

Strategies

Formulation

鈥 Extent to which the visions held by the health sector, by other sectors and by the ruling party are complementary, comprehensive and coherent

鈥 Means of engagement of other sectors, such as consultations, workshops, or meetings.

鈥 Patterns of interaction between health and other sectors:

鈥 Factors that contributed to successful engagement of other sectors

鈥 Benefits of involving different sectors in formulation process

鈥 Challenges encountered in the process

Implementation

鈥 Extent of implementation of the best buys and how implementation is proceeding

鈥 Government management styles:

- Horizontal integration

- Vertical integration

- Mix of horizontal and vertical

鈥 Any gaps in implementation, the constraints and enabling factors to the implementation process,

鈥 Future plans for implementation of the best buys

鈥 Mechanisms for monitoring and evaluation

Funding

鈥 Funding available for implementation of each policy

鈥 Sources of funding

鈥 Amounts

鈥 Funding arrangements such as joint budgeting and delegated financing aimed at addressing supply or demand

Facilitating factors

鈥 Factors facilitating working together of different sectors

Hindering factors

鈥 Factors that have hindered working together of different sectors

Recommendations

鈥 Recommendations and suggestions on how to make multi-sectorality better in the future,

鈥 Mechanisms and structures through which multi-sectoral can be enhanced