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Inside the Policy Process: Using Textual Analysis to Measure People-Centered Approach in Tuberculosis Policy-Making

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  • Sara Balestri

    (Università Cattolica del Sacro Cuore, Milano)

Abstract

Through a radical change of perspective, the current ‘‘End TB Strategy’’ of the World Health Organization recognizes the urgency of addressing the social determinants of tuberculosis to fight its diffusion. To achieve this result, it encourages the adoption of a people-centered approach and the engagement of multiple stakeholders, including local communities, in care services provision. This study, through a mixed-method of textual analysis applied to 25 semi-structured interviews, analyses to what extent actors involved in the elaboration of National Strategic Plans to fight tuberculosis in low/middle income countries perceive these new components and propose a consistent perspective during policy-making processes. Results suggest a clear perception of the strategic role of a national partnering approach to increase treatment adherence and strengthen health systems effectiveness at the local level. Further, the actual engagement of partners is associated to a marked people-centered approach, supporting a rights-enhancing process in public health policy-making

Suggested Citation

  • Sara Balestri, 2020. "Inside the Policy Process: Using Textual Analysis to Measure People-Centered Approach in Tuberculosis Policy-Making," Rivista Internazionale di Scienze Sociali, Vita e Pensiero, Pubblicazioni dell'Universita' Cattolica del Sacro Cuore, vol. 128(2), pages 147-172.
    • Handle: RePEc:vep:journl:y:2020:v:128:i:2:p:147-172
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    References listed on IDEAS

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    1. Lönnroth, Knut & Jaramillo, Ernesto & Williams, Brian G. & Dye, Christopher & Raviglione, Mario, 2009. "Drivers of tuberculosis epidemics: The role of risk factors and social determinants," Social Science & Medicine, Elsevier, vol. 68(12), pages 2240-2246, June.
    2. Escott, Sarah & Walley, John, 2005. "Listening to those on the frontline: Lessons for community-based tuberculosis programmes from a qualitative study in Swaziland," Social Science & Medicine, Elsevier, vol. 61(8), pages 1701-1710, October.
    3. Elliot Marseille & James Kahn & Christian Pitter & Rebecca Bunnell & William Epalatai & Emmanuel Jawe & Willy Were & Jonathan Mermin, 2009. "The cost effectiveness of home-based provision of antiretroviral therapy in rural Uganda," Applied Health Economics and Health Policy, Springer, vol. 7(4), pages 229-243, December.
    4. Hargreaves, J.R. & Boccia, D. & Evans, C.A. & Adato, M. & Petticrew, M. & Porter, J.D., 2011. "The social determinants of tuberculosis: from evidence to action," American Journal of Public Health, American Public Health Association, vol. 101(4), pages 654-662.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Tuberculosis; People-centered approach; Textual analysis; policy-making; Social determinants of health;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O19 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - International Linkages to Development; Role of International Organizations
    • O21 - Economic Development, Innovation, Technological Change, and Growth - - Development Planning and Policy - - - Planning Models; Planning Policy

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