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Health policy evolution in Lao People’s Democratic Republic: Context, processes and agency

Jönsson, Kristina LU ; Phoummalaysith, Bounfeng; Wahlström, Rolf and Tomson, Göran (2015) In Health Policy and Planning 30(4). p.518-527
Abstract (Swedish)
Abstract in Undetermined

During the last 20 years Lao People's Democratic Republic has successfully developed and adopted some 30 health policies, strategies, decrees and laws in the field of health. Still, the implementation process remains arduous. This article aims at discussing challenges of health policy development and effective implementation by contextualizing the policy evolution over time and by focusing particularly on the National Drug Policy and the Health Care Law. Special attention is given to the role of research in policymaking. The analysis was guided by the conceptual framework of policy context, process, content and actors, combined with an institutional perspective, and showed that effective... (More)
Abstract in Undetermined

During the last 20 years Lao People's Democratic Republic has successfully developed and adopted some 30 health policies, strategies, decrees and laws in the field of health. Still, the implementation process remains arduous. This article aims at discussing challenges of health policy development and effective implementation by contextualizing the policy evolution over time and by focusing particularly on the National Drug Policy and the Health Care Law. Special attention is given to the role of research in policymaking. The analysis was guided by the conceptual framework of policy context, process, content and actors, combined with an institutional perspective, and showed that effective implementation of a health policy is highly dependent on both structures and agency of those involved in the policy process. The National Drug Policy was formulated and adopted in a short period of time in a resource-scarce setting, but with dedicated policy entrepreneurs and support of concerned international collaborators. Timely introduction of operational health systems research played a crucial role to support the implementation, as well as the subsequent revision of the policy. The development of the Health Care Law took several years and once adopted, the implementation was delayed by institutional legacies and issues concerning the choice of institutional design and financing, despite strong support of the law among the policymakers. Among many factors, timing of the implementation appeared to be of crucial importance, in combination with strong leadership. These two examples show that more research, that problematizes the complex policy environment in combination with improved communication between researchers and policymakers, is necessary to inform about measures for effective implementation. A way forward can be to strengthen the domestic research capacity and the international research collaboration regionally as well as globally. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
policy process, policy implementation, research to policy, National Drug Policy, Health Care Law
in
Health Policy and Planning
volume
30
issue
4
pages
518 - 527
publisher
Oxford University Press
external identifiers
  • pmid:24740710
  • wos:000359929200011
  • scopus:84928939408
ISSN
0268-1080
DOI
10.1093/heapol/czu017
language
English
LU publication?
yes
id
4c7aec65-8196-4be4-8c5c-a25488058438 (old id 4378141)
date added to LUP
2014-03-28 14:03:02
date last changed
2017-01-01 04:09:20
@article{4c7aec65-8196-4be4-8c5c-a25488058438,
  abstract     = {<b>Abstract in Undetermined</b><br/><br>
During the last 20 years Lao People's Democratic Republic has successfully developed and adopted some 30 health policies, strategies, decrees and laws in the field of health. Still, the implementation process remains arduous. This article aims at discussing challenges of health policy development and effective implementation by contextualizing the policy evolution over time and by focusing particularly on the National Drug Policy and the Health Care Law. Special attention is given to the role of research in policymaking. The analysis was guided by the conceptual framework of policy context, process, content and actors, combined with an institutional perspective, and showed that effective implementation of a health policy is highly dependent on both structures and agency of those involved in the policy process. The National Drug Policy was formulated and adopted in a short period of time in a resource-scarce setting, but with dedicated policy entrepreneurs and support of concerned international collaborators. Timely introduction of operational health systems research played a crucial role to support the implementation, as well as the subsequent revision of the policy. The development of the Health Care Law took several years and once adopted, the implementation was delayed by institutional legacies and issues concerning the choice of institutional design and financing, despite strong support of the law among the policymakers. Among many factors, timing of the implementation appeared to be of crucial importance, in combination with strong leadership. These two examples show that more research, that problematizes the complex policy environment in combination with improved communication between researchers and policymakers, is necessary to inform about measures for effective implementation. A way forward can be to strengthen the domestic research capacity and the international research collaboration regionally as well as globally.},
  author       = {Jönsson, Kristina and Phoummalaysith, Bounfeng and Wahlström, Rolf and Tomson, Göran},
  issn         = {0268-1080},
  keyword      = {policy process,policy implementation,research to policy,National Drug Policy,Health Care Law},
  language     = {eng},
  number       = {4},
  pages        = {518--527},
  publisher    = {Oxford University Press},
  series       = {Health Policy and Planning},
  title        = {Health policy evolution in Lao People’s Democratic Republic: Context, processes and agency},
  url          = {http://dx.doi.org/10.1093/heapol/czu017},
  volume       = {30},
  year         = {2015},
}