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 |