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The emergence of maternal health as a political priority in Madhya Pradesh, India: a qualitative study
BACKGROUND: Politics plays a critical role in agenda setting in health affairs; therefore, understanding the priorities of the political agenda in health is very important. The political priority for safe motherhood has been investigated at the national level in different countries. The objective of...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3849759/ https://www.ncbi.nlm.nih.gov/pubmed/24079699 http://dx.doi.org/10.1186/1471-2393-13-181 |
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author | Jat, Tej Ram Deo, Prakash Ramchandra Goicolea, Isabel Hurtig, Anna-Karin San Sebastian, Miguel |
author_facet | Jat, Tej Ram Deo, Prakash Ramchandra Goicolea, Isabel Hurtig, Anna-Karin San Sebastian, Miguel |
author_sort | Jat, Tej Ram |
collection | PubMed |
description | BACKGROUND: Politics plays a critical role in agenda setting in health affairs; therefore, understanding the priorities of the political agenda in health is very important. The political priority for safe motherhood has been investigated at the national level in different countries. The objective of this study was to explore why and how maternal health became a political priority at sub-national level in the state of Madhya Pradesh in India. METHODS: This study followed a qualitative design. Data were collected by carrying out interviews and review of documents. Semi-structured interviews were carried out with twenty respondents from four stakeholder groups: government officials, development partners, civil society and academics. Data analysis was performed using thematic analysis. The analysis was guided by Kingdon’s multiple streams model. RESULTS: The emergence of maternal health as a political priority in Madhya Pradesh was the result of convergence in the developments in different streams: the development of problem definition, policy generation and political change. The factors which influenced this process were: emerging evidence of the high magnitude of maternal mortality, civil society’s positioning of maternal mortality as a human rights violation, increasing media coverage, supportive policy environment and launch of the National Rural Health Mission (NRHM), the availability of effective policy solutions, India’s aspiration of global leadership, international influence, maternal mortality becoming a hot debate topic and political transition at the national and state levels. Most of these factors first became important at national level which then cascaded to the state level. Currently, there is a supportive policy environment in the state for maternal health backed by greater political will and increased resources. However, malnutrition and population stabilization are the competing priorities which may push maternal health off the agenda. CONCLUSIONS: The influence of the events and factors evolving from international and national levels significantly contributed to the development of maternal health as a priority in Madhya Pradesh. This led to several opportunities in terms of policies, guidelines and programmes for improving maternal health. These efforts were successful to some extent in improving maternal health in the state but several implementation challenges still require special attention. |
format | Online Article Text |
id | pubmed-3849759 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-38497592013-12-05 The emergence of maternal health as a political priority in Madhya Pradesh, India: a qualitative study Jat, Tej Ram Deo, Prakash Ramchandra Goicolea, Isabel Hurtig, Anna-Karin San Sebastian, Miguel BMC Pregnancy Childbirth Research Article BACKGROUND: Politics plays a critical role in agenda setting in health affairs; therefore, understanding the priorities of the political agenda in health is very important. The political priority for safe motherhood has been investigated at the national level in different countries. The objective of this study was to explore why and how maternal health became a political priority at sub-national level in the state of Madhya Pradesh in India. METHODS: This study followed a qualitative design. Data were collected by carrying out interviews and review of documents. Semi-structured interviews were carried out with twenty respondents from four stakeholder groups: government officials, development partners, civil society and academics. Data analysis was performed using thematic analysis. The analysis was guided by Kingdon’s multiple streams model. RESULTS: The emergence of maternal health as a political priority in Madhya Pradesh was the result of convergence in the developments in different streams: the development of problem definition, policy generation and political change. The factors which influenced this process were: emerging evidence of the high magnitude of maternal mortality, civil society’s positioning of maternal mortality as a human rights violation, increasing media coverage, supportive policy environment and launch of the National Rural Health Mission (NRHM), the availability of effective policy solutions, India’s aspiration of global leadership, international influence, maternal mortality becoming a hot debate topic and political transition at the national and state levels. Most of these factors first became important at national level which then cascaded to the state level. Currently, there is a supportive policy environment in the state for maternal health backed by greater political will and increased resources. However, malnutrition and population stabilization are the competing priorities which may push maternal health off the agenda. CONCLUSIONS: The influence of the events and factors evolving from international and national levels significantly contributed to the development of maternal health as a priority in Madhya Pradesh. This led to several opportunities in terms of policies, guidelines and programmes for improving maternal health. These efforts were successful to some extent in improving maternal health in the state but several implementation challenges still require special attention. BioMed Central 2013-09-30 /pmc/articles/PMC3849759/ /pubmed/24079699 http://dx.doi.org/10.1186/1471-2393-13-181 Text en Copyright © 2013 Jat et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Jat, Tej Ram Deo, Prakash Ramchandra Goicolea, Isabel Hurtig, Anna-Karin San Sebastian, Miguel The emergence of maternal health as a political priority in Madhya Pradesh, India: a qualitative study |
title | The emergence of maternal health as a political priority in Madhya Pradesh, India: a qualitative study |
title_full | The emergence of maternal health as a political priority in Madhya Pradesh, India: a qualitative study |
title_fullStr | The emergence of maternal health as a political priority in Madhya Pradesh, India: a qualitative study |
title_full_unstemmed | The emergence of maternal health as a political priority in Madhya Pradesh, India: a qualitative study |
title_short | The emergence of maternal health as a political priority in Madhya Pradesh, India: a qualitative study |
title_sort | emergence of maternal health as a political priority in madhya pradesh, india: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3849759/ https://www.ncbi.nlm.nih.gov/pubmed/24079699 http://dx.doi.org/10.1186/1471-2393-13-181 |
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