From: Assessment of the multi-sectoral approach to tobacco control policies in South Africa and Togo
N° | Categories | Elements | Indicators |
---|---|---|---|
1 | Context | Political context | • Political changes or critical events at the national level that have influenced policy development, • Health sector reforms, fiscal policies among others • Organizational changes (e.g. government structure) |
Timing, Historical/Social factors | • Timeline of policy development • Historical origins of the policy, including what issues it meant to address, and how issue identification has evolved over time. • Other global factors that have influenced policy development and how they influenced it. • Any social factors (e.g. increase in prevalence of NCD) | ||
Economic context | • Country economic growth • Global and local financial situation and conflicting development agendas | ||
Technological factors | • Technological factors that have influenced policy development | ||
2 | Content | Policy interventions | • Specific NCD prevention policies developed • Which WHO best buy interventions were included • Rationale for developing the policy • Type of interventions (upstream, midstream, or downstream) • Population level coverage of the interventions (universal or targeted) • 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 | • Government sector/department that led the process • Other sectors that were involved • Levels of government involved (national, local) • 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. • Civil Society Organisations and private entities involved • Role of sectors involved in formulation (Funding meetings, provision of technical assistance) |
Formulation | • Extent of participation in policy formulation, • Experiences in policy formulation (what went well, and what could have been done differently) • Interests and concerns with the policy process, how these may have influenced their participation and how these were addressed. • Relevant institutions not involved in implementation | ||
Implementation | • Key sectors/actors involved in the implementation, • Their role in the implementation • Relevant institutions not involved in implementation • Benefits of involving many actors in implementation • Challenges of involving many actors in implementation | ||
4 | Strategies | Formulation | • Extent to which the visions held by the health sector, by other sectors and by the ruling party are complementary, comprehensive and coherent • Means of engagement of other sectors, such as consultations, workshops, or meetings. • Patterns of interaction between health and other sectors: • Factors that contributed to successful engagement of other sectors • Benefits of involving different sectors in formulation process • Challenges encountered in the process |
Implementation | • Extent of implementation of the best buys and how implementation is proceeding • Government management styles: - Horizontal integration - Vertical integration - Mix of horizontal and vertical • Any gaps in implementation, the constraints and enabling factors to the implementation process, • Future plans for implementation of the best buys • Mechanisms for monitoring and evaluation | ||
Funding | • Funding available for implementation of each policy • Sources of funding • Amounts • Funding arrangements such as joint budgeting and delegated financing aimed at addressing supply or demand | ||
Facilitating factors | • Factors facilitating working together of different sectors | ||
Hindering factors | • Factors that have hindered working together of different sectors | ||
Recommendations | • Recommendations and suggestions on how to make multi-sectorality better in the future, • Mechanisms and structures through which multi-sectoral can be enhanced |