Policy process for health sector reforms: a case study of Punjab Province (Pakistan).

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Abstract
The health sector in the Punjab (Pakistan) faces many problems, and, the government introduced reforms during 1993-2000. This paper explores the policy process for the reforms. A case study method was used and, to assist this, a conceptual framework was developed. Analysis of four initiatives indicated that there were deviations from the government guidelines and that the policy processes used were weak. The progress of different reforms was affected by a variety of factors: the immaturity of the political process and civil society, which together with innate conservatism and resistance to change on the part of the bureaucracy resulted in weak strategic sectoral leadership and a lack of clear purpose underpinning the reforms. It also resulted in weaknesses in preparation of the detail of reforms leading to poor implementation. The study suggests a need for broadening the stakeholders' base, building the capacity of policy-makers in policy analysis and strengthening the institutional basis of policymaking bodies.
Reference Key
tarinpolicythe Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Tarin, Ehsanullah;Green, Andrew;Omar, Maye;Shaw, Jane;
Journal the international journal of health planning and management
Year Year not found
DOI
10.1002/hpm.1010
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Keywords
capacity building nursing education curriculum development egypt institutes and academies

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