The effects of polio eradication efforts on health systems: A cross-country analysis using the Develop–Distort Dilemma

This article was published in Health Policy and Planning by Oxford Academic [© The Author(s) 2021. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.] and the definite version is available at: https://doi.org/10.1093/heapol/czab044 The Journa...

ver descrição completa

Detalhes bibliográficos
Main Authors:	Rodriguez, Daniela C, Neel, Abigail H, Mahendradhata, Yodi, Deressa, Wakgari, Owoaje, Eme, Akinyemi, Oluwaseun, Sarker, Malabika, Mafuta, Eric, Gupta, Shiv D, Salehi, Ahmad Shah, Jain, Anika, Alonge, Olakunle
Outros Autores:	Brac James P. Grant School of Public Health
Formato:	Thesis
Idioma:	en_US
Publicado em:	Oxford Academic 2022
Assuntos:	Polio Health systems Political economy Context
Acesso em linha:	http://hdl.handle.net/10361/17029 https://doi.org/10.1093/heapol/czab044

id	10361-17029
record_format	dspace
spelling	10361-170292022-07-24T21:01:35Z The effects of polio eradication efforts on health systems: A cross-country analysis using the Develop–Distort Dilemma Rodriguez, Daniela C Neel, Abigail H Mahendradhata, Yodi Deressa, Wakgari Owoaje, Eme Akinyemi, Oluwaseun Sarker, Malabika Mafuta, Eric Gupta, Shiv D Salehi, Ahmad Shah Jain, Anika Alonge, Olakunle Brac James P. Grant School of Public Health Polio Health systems Political economy Context This article was published in Health Policy and Planning by Oxford Academic [© The Author(s) 2021. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.] and the definite version is available at: https://doi.org/10.1093/heapol/czab044 The Journal's website is at: https://academic.oup.com/heapol/article/36/5/707/6244781 Vertical disease control programmes have enormous potential to benefit or weaken health systems, and it is critical to understand how programmes’ design and implementation impact the health systems and communities in which they operate. We use the Develop–Distort Dilemma (DDD) framework to understand how the Global Polio Eradication Initiative (GPEI) distorted or developed local health systems. We include document review and 176 interviews with respondents at the global level and across seven focus countries (Afghanistan, Bangladesh, Democratic Republic of Congo, Ethiopia, India, Indonesia and Nigeria). We use DDD domains, contextual factors and transition planning to analyse interactions between the broader context, local health systems and the GPEI to identify changes. Our analysis confirms earlier research including improved health worker, laboratory and surveillance capacity, monitoring and accountability, and efforts to reach vulnerable populations, whereas distortions include shifting attention from routine health services and distorting local payment and incentives structures. New findings highlight how global-level governance structures evolved and affected national actors; issues of country ownership, including for data systems, where the polio programme is not indigenously financed; how expectations of success have affected implementation at programme and community level; and unresolved tensions around transition planning. The decoupling of polio eradication from routine immunization, in particular, plays an outsize role in these issues as it removed attention from system strengthening. In addition to drawing lessons from the GPEI experience for other efforts, we also reflect on the use of the DDD framework for assessing programmes and their system-level impacts. Future eradication efforts should be approached carefully, and new initiatives of any kind should leverage the existing health system while considering equity, inclusion and transition from the start. Published 2022-07-24T08:21:36Z 2022-07-24T08:21:36Z 2021 2021-04-21 Thesis Rodriguez, D. C., Neel, A. H., Mahendradhata, Y., Deressa, W., Owoaje, E., Akinyemi, O., . . . Alonge, O. (2021). The effects of polio eradication efforts on health systems: A cross-country analysis using the develop-distort dilemma. Health Policy and Planning, 36(5), 707-719. doi:10.1093/heapol/czab044 http://hdl.handle.net/10361/17029 https://doi.org/10.1093/heapol/czab044 en_US https://academic.oup.com/heapol/article/36/5/707/6244781 Health Policy and Planning application/pdf Oxford Academic
institution	Brac University
collection	Institutional Repository
language	en_US
topic	Polio Health systems Political economy Context
spellingShingle	Polio Health systems Political economy Context Rodriguez, Daniela C Neel, Abigail H Mahendradhata, Yodi Deressa, Wakgari Owoaje, Eme Akinyemi, Oluwaseun Sarker, Malabika Mafuta, Eric Gupta, Shiv D Salehi, Ahmad Shah Jain, Anika Alonge, Olakunle The effects of polio eradication efforts on health systems: A cross-country analysis using the Develop–Distort Dilemma
description	This article was published in Health Policy and Planning by Oxford Academic [© The Author(s) 2021. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.] and the definite version is available at: https://doi.org/10.1093/heapol/czab044 The Journal's website is at: https://academic.oup.com/heapol/article/36/5/707/6244781
author2	Brac James P. Grant School of Public Health
author_facet	Brac James P. Grant School of Public Health Rodriguez, Daniela C Neel, Abigail H Mahendradhata, Yodi Deressa, Wakgari Owoaje, Eme Akinyemi, Oluwaseun Sarker, Malabika Mafuta, Eric Gupta, Shiv D Salehi, Ahmad Shah Jain, Anika Alonge, Olakunle
format	Thesis
author	Rodriguez, Daniela C Neel, Abigail H Mahendradhata, Yodi Deressa, Wakgari Owoaje, Eme Akinyemi, Oluwaseun Sarker, Malabika Mafuta, Eric Gupta, Shiv D Salehi, Ahmad Shah Jain, Anika Alonge, Olakunle
author_sort	Rodriguez, Daniela C
title	The effects of polio eradication efforts on health systems: A cross-country analysis using the Develop–Distort Dilemma
title_short	The effects of polio eradication efforts on health systems: A cross-country analysis using the Develop–Distort Dilemma
title_full	The effects of polio eradication efforts on health systems: A cross-country analysis using the Develop–Distort Dilemma
title_fullStr	The effects of polio eradication efforts on health systems: A cross-country analysis using the Develop–Distort Dilemma
title_full_unstemmed	The effects of polio eradication efforts on health systems: A cross-country analysis using the Develop–Distort Dilemma
title_sort	effects of polio eradication efforts on health systems: a cross-country analysis using the develop–distort dilemma
publisher	Oxford Academic
publishDate	2022
url	http://hdl.handle.net/10361/17029 https://doi.org/10.1093/heapol/czab044
work_keys_str_mv	AT rodriguezdanielac theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT neelabigailh theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT mahendradhatayodi theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT deressawakgari theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT owoajeeme theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT akinyemioluwaseun theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT sarkermalabika theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT mafutaeric theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT guptashivd theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT salehiahmadshah theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT jainanika theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT alongeolakunle theeffectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT rodriguezdanielac effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT neelabigailh effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT mahendradhatayodi effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT deressawakgari effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT owoajeeme effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT akinyemioluwaseun effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT sarkermalabika effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT mafutaeric effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT guptashivd effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT salehiahmadshah effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT jainanika effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma AT alongeolakunle effectsofpolioeradicationeffortsonhealthsystemsacrosscountryanalysisusingthedevelopdistortdilemma
_version_	1814308475004518400

The effects of polio eradication efforts on health systems: A cross-country analysis using the Develop–Distort Dilemma

Registos relacionados