Irène Akua Agyepong|Sam Adjei
Public social policy development and implementation: a case study of the Ghana National Health Insurance scheme
Ghana Health Service|Ghana Health Service
public social policy programme decisions made lowincome countries critical effects human social development outcomes unfortunately would appear inadequate attention paid analysing understanding factoring attempts reshape change policy complex historical social cultural economic political organizational institutional context actor interests experiences positions agendas policy development processes influence policy programme choices yet critical availability research evidence influencing decision making policies accompanying programmes resulting degree success failure achieving original objectives ghana lowincome developing country subsaharan africa embarked national policy process replacing outofpocket fees point service use national health insurance 2001 paper uses case study approach describe reflect complex interactions context actors processes including political power play effects agenda setting decision making policy programme content case study supports observations literature although availability evidence critical major public social policy programme content heavily influenced factors availability nonavailability evidence inform content decision making lowincome developing country context imbalances policy decisionmaking power related strong dominant political actors combined weak civil society engagement accountability systems technical analyst power position efforts major reform need consider address issues alongside efforts provide evidence content decisionmaking without analysis understanding politics reform work within researchers technical actors may find information support reform applied effectively similarly without appreciation need critical technical analysis support decision making rather indiscriminate use political approaches political actors may find even best intentions desired policy objectives may attained