scholarly journals Decision-making process for introduction of maternal vaccines in Kenya, 2017–2018

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Nancy A. Otieno ◽  
Fauzia A. Malik ◽  
Stacy W. Nganga ◽  
Winnie N. Wairimu ◽  
Dominic O. Ouma ◽  
...  
Keyword(s):  
Decision Making ◽  
Policy Development ◽  
Implementation Process ◽  
Policy Formulation ◽  
Advisory Group ◽  
Decision Making Process ◽  
Middle Income ◽  
Maternal Immunization ◽  
Negative Impacts ◽  
High Level

Abstract Background Maternal immunization is a key strategy for reducing morbidity and mortality associated with infectious diseases in mothers and their newborns. Recent developments in the science and safety of maternal vaccinations have made possible development of new maternal vaccines ready for introduction in low- and middle-income countries. Decisions at the policy level remain the entry point for maternal immunization programs. We describe the policy and decision-making process in Kenya for the introduction of new vaccines, with particular emphasis on maternal vaccines, and identify opportunities to improve vaccine policy formulation and implementation process. Methods We conducted 29 formal interviews with government officials and policy makers, including high-level officials at the Kenya National Immunization Technical Advisory Group, and Ministry of Health officials at national and county levels. All interviews were recorded and transcribed. We analyzed the qualitative data using NVivo 11.0 software. Results All key informants understood the vaccine policy formulation and implementation processes, although national officials appeared more informed compared to county officials. County officials reported feeling left out of policy development. The recent health system decentralization had both positive and negative impacts on the policy process; however, the negative impacts outweighed the positive impacts. Other factors outside vaccine policy environment such as rumours, sociocultural practices, and anti-vaccine campaigns influenced the policy development and implementation process. Conclusions Public policy development process is complex and multifaceted by its nature. As Kenya prepares for introduction of other maternal vaccines, it is important that the identified policy gaps and challenges are addressed.

What Are Working Groups and Why Should Scientists Be Involved

1996 ◽  
Vol 10 (2) ◽  
pp. 451-454 ◽  
Author(s):  
Tony J. Svejcar
Keyword(s):  
Decision Making ◽  
Natural Resource ◽  
Policy Development ◽  
Policy Formulation ◽  
Public Image ◽  
The Public ◽  
Time Period ◽  
Working Groups ◽  
High Level ◽  
Effective Use

The conflicts over management of natural resources, especially on public lands, have resulted in a high level of frustration among many of the interested parties. There are many underlying causes of the conflicts, but I think several major societal trends must be considered. During the past several decades, there has been increased emphasis on participatory democracy, with the public seeking more involvement in decision making and policy formulation. A related trend is the decline in the public image of science and lack of trust in state and federal agencies. Individual members of society desire to be included in decision making, and may not necessarily view scientists as capable of providing the answers to natural resource issues. One response to natural resource conflicts is to form a group of interested individuals from diverse backgrounds to develop solutions. These groups may also work toward policy development. Coalitions or working groups may take many forms. There are two basic types of groups I will mention: 1) those formed to address a specific issue over a set time period, and 2) those formed to foster communication, interaction, and education. Many working groups have been formed over controversies, but effective use of the groups might also keep controversies from arising. In my opinion, scientists should be active participants in natural resource working groups. Participation provides the opportunity to incorporate science in decision-making and may also guide research efforts insuring that the results are of value to a wider cross-section of society.

Queensland Digital Health Clinical Charter: a clinical consensus statement on priorities for digital health in hospitals

2020 ◽  
Vol 44 (5) ◽  
pp. 661
Author(s):  
Clair Sullivan ◽  
Andrew Staib ◽  
Keith McNeil ◽  
David Rosengren ◽  
Ian Johnson
Keyword(s):  
Decision Making ◽  
Digital Health ◽  
Digital Technologies ◽  
Executive Leadership ◽  
Digital Transformation ◽  
Decision Making Process ◽  
Health Technologies ◽  
Clinical Community ◽  
Expected Benefits ◽  
High Level

Digital transformation of Australian hospitals is occurring rapidly. Although the clinical community has had limited ability to influence high-level decision making and investments into digital health technologies, as these technologies increasingly transform the way patients are cared for, the clinical community must influence the digital health agenda and be an integral part of the decision-making process. This case study details the process and lessons learnt during the development of the state-wide consensus statement detailing the clinical requirements for digital health initiatives to form the Queensland Digital Health Clinical Charter. To the best of our knowledge, Queensland is the first Australian jurisdiction to create a Digital Clinical Charter to be specifically referenced in the investment in and governance of digital health in hospitals. By developing this clinical charter for digital health, and in articulating the needs of clinicians, a clinical framework will be added to both the decision-making process around the investments in digital health and the definition and realisation of the expected benefits from these sizable investments. What is known about the topic? Digital transformation of healthcare is occurring rapidly. The clinical community has had limited ability to influence high-level decision making and investments into these digital health technologies. Tension currently exists between the clinical community who must use the new digital technologies and the technical groups that govern the introduction of the new technologies. This tension can be manifest as clinicians refusing to adopt new systems, safety concerns and an inability to reach consensus on direction. There are few peer reviewed publications addressing this tension between the clinical community and technical providers. What does this paper add? This paper is the first attempt to create a list of clinical requirements for digital transformation that crosses professional streams and is endorsed by the state-wide executive leadership team to inform the acquisition and governance of digital health technologies. What are the implications for practitioners? Clinicians can feel excluded and marginalised during the decision-making process for new digital technologies, despite the fact that they are often using these technologies to deliver hands-on care to patients. This charter clearly articulates the requirements of clinicians for digital transformation and has been endorsed by the executive leadership team of Queensland Health. The charter adds a clinical framework to be referenced during the decision-making process around the investments in digital health, and the definition and realisation of the expected benefits from these sizable investments. As the digital landscape in public hospitals evolves, clinicians are becoming increasingly reliant upon digital technologies. It is critical that clinicians have a strong effect on technology acquisition and governance to maximise the quality and efficiency of the care they provide.

Ripensare gli indicatori per le politiche per l’innovazione attraverso il Design-thinking

2021 ◽  
pp. 149-161
Author(s):  
Mauro Lombardi
Keyword(s):  
Decision Making ◽  
Design Thinking ◽  
Implementation Process ◽  
Decision Making Process ◽  
Global Order ◽  
Multi Level ◽  
Multi Stakeholder ◽  
Different Levels ◽  
Systemic View

The final chapter contains the proposal to rethink the policies for innovation based on the approach defined Design thinking. Particularly important is the introduction of concepts such as global order parameters, referring to a systemic view of the techno-economic dynamics, and of a complementary methodology, called Agile. Based on the proposed framework, the decision-making space of different actors (private, public) in pursuing objectives at different levels is then analyzed. In this way a multi-level and multi-stakeholder decision making process can be enriched through a multiplicity of indicators in order to timely verify the efficiency of implementation process.

A moderated mediation analysis of the effect of lettering case and color temperature on trustworthiness perceptions and investment decisions

2020 ◽  
Vol 38 (4) ◽  
pp. 987-1005 ◽  
Author(s):  
Yao Song ◽  
Yan Luximon ◽  
Jing Luo
Keyword(s):  
Decision Making ◽  
Color Temperature ◽  
Decision Making Process ◽  
Content Type ◽  
Color Design ◽  
Complex Information ◽  
Financial Decision ◽  
Behavioral Research Method ◽  
High Level ◽  
Investment Intentions

PurposeThe purpose of this study is to test the theoretical framework of lettering case, color temperature, perceived trustworthiness and investment intentions. First, it aims to test whether the effect of lettering case on investment intentions is mediated by trustworthiness. Second, the study will examine if this process is moderated by color temperature.Design/methodology/approachFollowing the behavioral research method, this study employed a 2 (the fully-lowercase slogan vs the initial-uppercase slogan) by 2 (warm-color design vs cool-color design) full factorial between-subject design. Two hundred participants were recruited for the experiment to test the hypotheses.FindingsFor the lowercase slogans (vs uppercase slogans), we found that people tended to have a high level of perceived trustworthiness, which led to a high level of investment intentions. In addition, the indirect effect of the lettering case on investment intentions through the perceived trustworthiness was moderated by color temperature. Specifically, the visually warm advertisement (vs visually cool design) would strengthen the effect of lowercase slogans on customers' investment intentions.Originality/valueWhen people make a financial decision with limited, incomplete or overly complex information, simplified visual heuristics, rather than rational algorithmic processing, play a significant role in their decision-making process. However, only a limited amount of research has addressed the effect of the lettering case on customers' perceptions and the consequent decision-making process from a financial advertising perspective. This study tries to supplement and extend the visual heuristics theory, highlighting the role of simplified heuristics, rather than rational algorithmic processing, in financial customers' decision-making process.

scholarly journals Nevyriausybinių organizacijų ir savivaldybių sąveika Lietuvoje: teoriniai sprendimų priėmimo ir įgyvendinimo proceso aspektai

2015 ◽  
Vol 14 (2) ◽  
pp. 221
Author(s):  
Aušra Šilinskytė
Keyword(s):  
Decision Making ◽  
Interest Groups ◽  
Local Governance ◽  
Implementation Process ◽  
Decision Making Process ◽  
The Public ◽  
Implementation Processes ◽  
Governmental Organizations ◽  
Non Governmental Organizations

The paper is focused on the discussion about the role of non-governmental organizations during the decision-making process in local governance and what factors influence it. To achieve this, the following steps have been made: first, the concept of non-governmental organizations and their relationship with civil society was analyzed, then possible variations of relationship between non-governmental organizations and their impact to the public sector was described. In the last part of the paper, the stages of the decision–making and implementation process in the municipality were analyzed and theoretical aspects of enabling NGOs were discussed. The analyses showed that the decision-making and implementation processes depend on the understanding of the need to cooperate, the ability of both subjects to work together, their relationship with citizens and other interest groups.

scholarly journals Processo Decisório e Política Externa nos Pequenos Estados da Periferia: Cabo Verde e Guiné-Bissau | Decision-Making Process and Foreign Policy in Small Peripheral States: Cape Verde and Guinea-Bissau

2017 ◽  
Vol 7 (2) ◽  
pp. 167-185
Author(s):  
Timóteo Saba M'bunde
Keyword(s):  
Decision Making ◽  
Foreign Policy ◽  
Policy Analysis ◽  
International System ◽  
Policy Formulation ◽  
Cape Verde ◽  
Decision Making Process ◽  
Foreign Policy Analysis ◽  
Cabo Verde ◽  
Guinea Bissau

O texto questiona as perspectivas mais conservadoras do campo de Análise de Política Externa (APE), as quais se subsidiam de pressupostos teóricos do realismo para refutar a validade do uso de APE e processo decisório, como ferramentas cabíveis a estudar a política externa dos Estados da periferia do sistema internacional. O texto busca identificar o processo decisório de política externa em Cabo Verde e Guiné-Bissau e apresentar pistas pelas quais é possível lançar mão de APE para estudar a política externa desses dois países luso-africanos. O trabalho também apresenta alguns aspectos dos modelos políticos e constitucionais de Cabo Verde e Guiné-Bissau e a influência que os respectivos contextos políticos exercem sobre a formulação de política externa, caracterizando o tipo de processo decisório que tende a se predominar em cada um dos dois contextos.ABSTRACTThe paper question the most conservatives outlook of Foreign Policy Analysis (FPA) field, that subsidize from theoretical realism assumptions to refute the validity of the use of FPA and decision-making process as appropriate tools to study the foreign policy of international system peripheral states. The paper seeks to identify the decision-making process of foreign policy in Cape Verde and Guinea-Bissau and provides clues by which it’s possible to make use of FPA to study and understand the foreign policy of both luso-africans countries. The work also presents some aspects of Guinea-Bissau and Cape Verde political and constitutional models and the influence that the respective political contexts have on foreign policy formulation, characterizing the kind of decision-making that tends to predominate in each of the two contexts.Palavras-chave: processo decisório; política externa; Estados da periferia.Keywords: decision-making; foreign policy; peripheral States.Recebido em 14 de Agosto de 2017 | Aceito em 29 de Novembro de 2017.Received on August 14, 2017 | Accepted on November 29, 2017. DOI: 10.12957/rmi.2016.29990

scholarly journals “Is the Health System Ready?” – a Qualitative Exploration of Stakeholders’ Opinion About the Feasibility of Preconception Care Services in the Nigerian Health System

2021 ◽  
Author(s):  
Oludoyinmola Omobolade Ojifinni ◽  
Latifat Ibisomi
Keyword(s):  
Health System ◽  
Policy Development ◽  
Planning Process ◽  
Preconception Care ◽  
Health Workers ◽  
Implementation Process ◽  
Policy Formulation ◽  
Cross Sectional ◽  
Implementation Challenges ◽  
Service Deployment

Abstract Background Preconception care (PCC) services aim to improve reproductive health outcomes through the provision of biomedical, behavioural and social health interventions to women and couples before conception occurs. Countries that have deployed PCC services have policies that guide the services provided. In Nigeria, PCC is poorly developed and is often provided in an opportunistic manner with no guidelines in place to direct the provision. This study explored the opinions of policymakers and health workers about the feasibility of deploying PCC services in the country. Methods This study was a cross-sectional exploration of opinions about PCC service deployment within the Nigerian health system in which 39 in-depth interviews were conducted with policymakers at the federal and state tiers of government as well as health workers at the tertiary, secondary and primary levels of health care. The transcripts were analysed thematically using a hybrid of deductive and inductive coding on MAXQDA 2018 qualitative data analysis software. Results Four main themes emerged from the data – issues around policy for PCC, service integration and collaboration, health system readiness and challenges to PCC service deployment. While noting that the country has no PCC policy, participants identified existing policies into which PCC can be integrated. The participants also described the importance of policy to PCC provision and provided information on existing collaborations that can help the policy development and implementation process. Although many of the participants believed the health system is prepared for PCC deployment, they identified challenges related to policy formulation and implementation, including financial challenges that could hinder the process. Conclusion Deployment of PCC services in the Nigerian health system is achievable as there are existing health-related policies into which the guidelines can be integrated. However, there is a need to consider the possible implementation challenges and address them as part of the planning process.

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