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Improving policy-making process through bottom-up planning: what are the key to success?
Transcript of Improving policy-making process through bottom-up planning: what are the key to success?
through bottom-up planning:
What are the key to success? Policy cycle Bottom-up approaches in development Some bottom-up approaches in health Are we all ready to that (challenging) paradigm shift? Neither that linear nor sequential in reality [Dujardin, 2003; Kerouedan, 2004, Balique, 2011] Need for more coherence
between changes in rhetoric... mindset...
and practices!! On-going gap between discourses...
...and practices Simple consultations Policy-making process(es) Thank you for your attention ! For more information: Jessica.Martini@ulb.ac.be The approach to policy-making remains a top-down one !!
Risk of an overused / overdone concept !! Bottom-up planning approaches Utilitarian viewpoint A successful approach
a paradigm shift Jessica Martini, E Paul, A Fromont, N Ribesse,
V Zinnen,D Van der Roost, J Macq, B Dujardin Policy course of actions (or inactions) that affect the (health) sytems Many levels international
organization ... Many actors... Policy makers
Evaluators ... ...and interests / values Political viewpoint More effective interventions when stakeholders are involved Democratic processes (pluralism of people and values) Mechanisms limited to agenda setting/formulation Mechanisms limited to implementation processes Weak empowerment Little influence over decision-making Little influence over prior decisions What elements can
contribute to improving
bottom-up planning ? [Buse,Mays, Walt, 2005] [Dumas, 1983; Chaveau, 1999; Hadjai-Castro, 2008] How best to promote it ? 0 School of public health, Université Libre de Bruxelles
Research centre on health policy and systems
- International health: www.ulb.ac.be/esp
GRAP-PA Santé Project: www.grap-pa.be Logical framework
/ linear planning Development / health as complex adaptive systems
Multifactor: individual, organizational, system capacities Top-down Bottom-up Top-down Main focus on beneficiaries representatives Top-down Consultation mechanism Bottom-up Top-Down Technical implementation (Self-)Learning mechanisms
Possibilities of changes
/ failures Bottom-up Top-Down Focus on specific issues
Short / mid-term quantitative results Systemic approach
Long term results and focus on stakeholders' behavior change
=> empowerment as an outcome Bottom-up Top-down Multiplication of impact M&E M&E: joint /inclusive and focused on implementation processes
Accountability Large inclusivity: beneficiaries, policy makers, service providers, evaluators..and their values Bottom-up Evidence-informed policies
taking stock of stakeholders' (past) experiences
knowledge translation Bottom-up Development / health as complex adaptive systems
Multifactor: individual, organizational, system capacities Bottom-up