Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings

Background The institutionalization of evidence-informed health policy-making (EIHP) is complex and complicated. It is complex because it has many players and is complicated because its institutionalization will require many changes that will be challenging to make. Like many other issues, strengthening EIHP needs a road map, which should consider challenges and address them through effective, harmonized and contextualized strategies. This study aims to develop a road map for enhancing EIHP in Iran based on steps of planning. Methods This study consisted of three phases: (1) identifying barriers to EIHP, (2) recognizing interventions and (3) measuring the use of evidence in Iran's health policy-making. A set of activities was established for conducting these, including foresight, systematic review and policy dialogue, to identify the current and potential barriers for the first phase. For the second phase, an evidence synthesis was performed through a scoping review, by searching the websites of benchmark institutions which had good examples of EIHP practices in order to extract and identify interventions, and through eight policy dialogues and two broad opinion polls to contextualize the list of interventions. Simultaneously, two qualitative-quantitative studies were conducted to design and use a tool for assessing EIHP in the third phase. Results We identified 97 barriers to EIHP and categorized them into three groups, including 35 barriers on the “generation of evidence” (push side), 41 on the “use of evidence” (pull side) and 21 on the “interaction between these two” (exchange side). The list of 41 interventions identified through evidence synthesis and eight policy dialogues was reduced to 32 interventions after two expert opinion polling rounds. These interventions were classified into four main strategies for strengthening (1) the education and training system (6 interventions), (2) the incentives programmes (7 interventions), (3) the structure of policy support organizations (4 interventions) and (4) the enabling processes to support EIHP (15 interventions). Conclusion The policy options developed in the study provide a comprehensive framework to chart a path for strengthening the country’s EIHP considering both global practices and the context of Iran. It is recommended that operational plans be prepared for road map interventions, and the necessary resources provided for their implementation. The implementation of the road map will require attention to the principles of good governance, with a focus on transparency and accountability.

Show Me the Numbers: Bureaucratic Use of Data in the Policy Making Process

Bureaucracies often provide information to legislatures in an effort to influence the agenda. This paper assesses whether data affects this influence, arguing quantitative support can increase the likelihood of legislative discussion and passage of bills related to a given topic. I also assess the impact of centralization on an agency’s ability to provide information and shape legislative agendas. I find including data in bureaucratic reports can significantly increase an agency’s influence on the legislature, but this effect is only present in a centralized setting. These results suggest centralized agencies are better equipped to marshal quantitative support for arguments to legislatures.

Travel Bubbles in Air Transportation: Myth or Reality?

Aviation has been hit hard by COVID-19, with passengers stranded in remote destinations, airlines filing for bankruptcy, and uncertain demand scenarios for the future. Travel bubbles are discussed as one possible solution, meaning countries which have successfully constrained the spread of COVID-19 gradually increase their mutual international flights, returning to a degree of normality. This study aims to answer the question of whether travel bubbles are indeed observable in flight data for the year 2020. We take the year 2019 as reference and then search for anomalies in countries’ flight bans and recoveries, which could possibly be explained by having successfully implemented a travel bubble. To the best of our knowledge, this study is the first to try to address the identification of COVID-19 travel bubbles in real data. Our methodology and findings lead to several important insights regarding policy making, problems associated with the concept of travel bubbles, and raise interesting avenues for future research.

The Public Economics of Changing Longevity

Our societies are witnessing a steady increase in longevity. This demographic evolution is accompanied by some convergence across countries, but at the same time substantial longevity inequalities persist within nations across income classes. This Element aims to survey some crucial implications of changing longevity on the design of optimal public policy. For that purpose, it first focuses on some difficulties raised by risky and varying lifetime for the representation of individual and social preferences. Then, it explore some central implications of changing longevity for optimal policy making, regarding prevention against premature death, pension policies, education, health care and long-term care. The author distinguishes between the case when longevity is partially the responsibility of individuals and the case when longevity is plainly exogenous.

Network resilience and EU fisheries policy engagement in third countries: Lessons for post-Brexit governance

This article examines the ways in which third countries can engage with, and respond to, European Union policy-making processes. A novel analytical framework based on the concept of network resilience which consists of an institutional, political and policy dimension is operationalised to understand third country access to European Union policy-making. Empirically, the article examines the experiences of three non-European Union countries, Iceland, the Faroe Islands and Norway in the context of the European Union’s Common Fisheries Policy. The article concludes by presenting a research agenda based on an in-depth analysis of network resilience and reflects on what the findings mean for future research, particularly within the context of understanding the development of UK–EU post-Brexit relations.

Integrated drought risk assessment to support adaptive policy making in the Netherlands

Adaptive policy-making to prepare for current and future drought risks requires an integrated assessment of policy actions and combinations of those under changing conditions. This entails quantification of drought risks, integrating drought probability and socio-economic consequences for all relevant sectors that are potentially impacted by drought. The investment costs of proposed policy actions and strategies (various actions combined) can then be compared with the expected risk reduction to determine the cost-effectiveness. This paper presents a method to quantify drought risk in the Netherlands under changing future conditions and in response to policy actions. It illustrates how to use this information as part of a societal cost-benefit analysis and in building an adaptive long-term strategy. The method has been successfully applied to support decision making on the Netherlands’ national drought risk management strategy as part of the National Delta Program for climate change adaptation.

Linking the effects of plant protection products on biodiversity and ecological processes to potential impairment of ecosystem functions and services—A multidisciplinary conceptual framework.

There is growing interest in using the ecosystem services framework for environmental risk assessments of plant protection products (PPP). However, there is still a broad gap between most of the ecotoxicological endpoints used in PPP risk assessment and the evaluation of the risks and effects of PPP on ecosystem services. Here we propose a conceptual framework to link current and future knowledge on the ecotoxicological effects of PPP on biodiversity and ecological processes to their consequences on ecosystem functions and services. We first describe the main processes governing the relationships between biodiversity, ecological processes and ecosystem functions in response to effects of PPP. We define 12 main categories of ecosystem functions that could be directly linked with the ecological processes used as functional endpoints in investigations on the ecotoxicology of PPP. An exploration of perceptions on the possible links between these categories of ecosystem functions and groups of ecosystem services (by a panel scientific experts in various fields of environmental sciences) then finds that these direct and indirect linkages still need clarification. We illustrate how the proposed framework could be used on terrestrial microalgae and cyanobacteria to assess the potential effects of herbicides on ecosystem services. The framework proposed here uses a set of clearly-defined core categories of ecosystem functions and services, which should help identify which of them are effectively or potentially threatened by PPP. We argue that this framework could help harmonize and extend the scientific knowledge that informs decision-making and policy-making.

Re-thinking the coronavirus pandemic as a policy punctuation: COVID-19 as a path-clearing policy accelerator

This article joins with others in this special issue to examine the evolution of our understanding of how the coronavirus disease (COVID)-19 pandemic impacted policy ideas and routines across a wide variety of sectors of government activity. Did policy ideas and routines transform as a result of the pandemic or were they merely a continuation of the status quo ante? If they did transform, are the transformations temporary in nature or likely to lead to significant, deep and permanent reform to existing policy paths and trajectories? As this article sets out, the literature on policy punctuations has evolved and helps us understand the impact of COVID-19 on policy-making but tends to conflate several distinct aspects of path trajectories and deviations under the general concept of “critical junctures” which muddy reflections and findings. Once the different possible types of punctuations have been clarified, however, the result is a set of concepts related to path creation and disruption—especially that of “path clearing”—which are better able to provide an explanation of the kinds of policy change to be expected to result from the impact of events such as the 2019 coronavirus pandemic.