State Actor Dynamics in Brunei’s Healthcare Policies
This study seeks to ascertain the state actor dynamics in Brunei’s healthcare policies from the perspectives of an Islamic system of governance, by first identifying the state actors, or institutions, involved in influencing, formulating and implementing Brunei’s healthcare policies. The ‘IGC Matrix’ is employed to establish the Islamic health ‘sets of expectations’ (SoEs), particularly in terms of prevention and treatment, and medical ethics, primarily derived from the Qur’ān and Prophet Muhammadﷺ’s Sunnah, in order to construct for this study a framework of reference. The SoEs are then compared against Brunei’s healthcare policies and activities to determine how much of the Islamic health SoEs are met. This study reveals that Brunei’s healthcare policies are largely motivated by non-Islamic inspirations, specifically by the World Health Organisation (WHO), but with numerous overlaps with Islamic demands. In other words, Brunei’s healthcare policies may be stemmed from a non-Islamic influence, but it does not necessarily mean that they are un-Islamic. And most, if not all, of Brunei’s healthcare policies demonstrate a top-down approach, where the state actors play a crucial role in shaping Brunei’s dynamical SoEs.