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Factors in health initiative success: Learning from Nepal's newborn survival initiative

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  • Smith, Stephanie L.
  • Neupane, Shailes

Abstract

What shapes the level of political priority for alleviation of significant health problems in low-income countries? We investigate this question in the context of the significantly increasing political priority for newborn survival in Nepal since 2000. We use a process-tracing methodology to investigate causes of this shift, drawing on twenty-nine interviews with individuals close to newborn health policymaking in Nepal and extensive document analysis. Shifts in the political context (commitments to the child health MDG), the strength of concerned actors (emergence of collective action, leadership, resources) and the power of ideas (problem status, existence of contextually relevant solutions, agreement on these points) surrounding the issue have been instrumental in elevating priority for newborn survival, if not institutionalizing that priority to ensure long-term support. The findings highlight the significance of political fragmentation in war-torn areas for impeding priority generation. Additionally, theories of social construction provide important insights to the roles of ideas in shaping health initiative success.

Suggested Citation

  • Smith, Stephanie L. & Neupane, Shailes, 2011. "Factors in health initiative success: Learning from Nepal's newborn survival initiative," Social Science & Medicine, Elsevier, vol. 72(4), pages 568-575, February.
  • Handle: RePEc:eee:socmed:v:72:y:2011:i:4:p:568-575
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    References listed on IDEAS

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    1. Klomp, Jeroen & de Haan, Jakob, 2009. "Is the political system really related to health?," Social Science & Medicine, Elsevier, vol. 69(1), pages 36-46, July.
    2. Jeremy Shiffman & Stephanie Smith, 2007. "Generation of Political Priority for Global Health Initiatives: A Framework and Case Study of Maternal Mortality," Working Papers 129, Center for Global Development.
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    Cited by:

    1. Avanish Kumar & Meerambika Mahapatro, 2018. "Community based qualitative health research: negotiating ethics in India," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(3), pages 1437-1446, May.
    2. Rafael Cortez & Seemeen Saadat & Sadia Chowdhury & Intissar Sarker, 2014. "Maternal and Child Survival: Findings from five countries experience in addressing maternal and child health challenges," Health, Nutrition and Population (HNP) Discussion Paper Series 91294, The World Bank.
    3. M. Niaz Asadullah & Antonio Savoia & Kunal Sen, 2020. "Will South Asia Achieve the Sustainable Development Goals by 2030? Learning from the MDGs Experience," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 152(1), pages 165-189, November.
    4. Smith, Stephanie L. & Shiffman, Jeremy, 2016. "Setting the global health agenda: The influence of advocates and ideas on political priority for maternal and newborn survival," Social Science & Medicine, Elsevier, vol. 166(C), pages 86-93.

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