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Annual Meeting of the CARMEN Observatory on Chronic Non-Communicable Disease Policy: “Mobilizing for Action” May 12-13, 2008 Hilton Montreal Bonaventure Hotel

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Annual Meeting of the CARMEN Observatory onChronic Non-Communicable Disease Policy: “Mobilizing for Action”May 12-13, 2008Hilton Montreal Bonaventure Hotel

Report on the Workshop on Policy Analysis and Decision-Making with Emphasis on Chronic Non-Communicable Diseases, Bridgetown, Barbados, October 15-17, 2007.

Cristina Puentes-Markides

Public Policy, Regulation and Health Financing

Area of Strengthening Health Systems and Services

PAHO/WHO

why capacity building in these areas
Why Capacity Building in these Areas?
  • Policy increasingly complex and important
  • Policy perspective as problem-oriented research, client-oriented advice informed by social values, “speaking truth to power”
  • Limitation of rational perspectives on policy
  • Advisory capacity to influence/persuade stakeholders and relevant clients is uneven.
  • MOH and PAHO staff may lack formal training in the social sciences, including public policy and policy analysis.
  • Understanding the role of policy and politics in health system development may be weak.
  • Need to improve skills to use policy tools for argumentation, decision—making, planning and assessment of progress and performance

CPM/SHD/HP/2007

participating countries

Workshop on Policy Analysis and Decision-Making with Emphasis on Chronic Non-communicable DiseasesBridgetown, BarbadosOctober 15-17, 2007

Participating Countries
  • Eastern Caribbean and Barbados
  • United Kingdom Territories
    • Anguilla, British Virgin Islands , Montserrat
  • Antigua and Barbuda
  • Barbados
  • Dominica
  • Grenada
  • Saint Vincent and the Grenadines
  • Saint Kitts Nevis
  • Saint Lucia

CPM/SHD/HP/2007

workshop policy analysis and decision making with emphasis on chronic non communicable diseases
WorkshopPolicy Analysis and Decision-Making with Emphasis on Chronic Non-communicable Diseases

Goal

  • To enhance skills and competencies of the participants in the fields of knowledge and practice as analysts and advisors

Learning Objectives

  • Familiarity with general concepts of design, implementation and evaluation of public policy, including the roles played by politics, evidence and rationality in the decision-making process.
  • Enhance abilities to critically conceptualize policy problems, generate policy alternatives and provide effective advise to decision-makers.
  • Be acquainted with economic evaluation (cost-effectiveness analysis, cost benefit analysis and impact evaluation) as a critical tool for policy analysis.
  • Recognize the relevance of strategic thinking, foresight and better peripheral vision to optimize analysis, design and implementation.
  • Understand the applicability of policy tools for the prevention and control of chronic non-communicable diseases.

CPM/SHD/HP/2007

workshop continued
(Workshop, continued)

DAY 1

Opening Remarks

  • Introduction of Participants and Expectations
  • Objectives of the Workshop

The Health Agenda

Chronic Non-Communicable Diseases in the English-Speaking Caribbean: An Update

Public Policy Perspectives

  • The policy capacity of governments.
  • Explanatory models: technical and political rationalities..

The Analysis of Public Problems

  • Overview of policy analysis: features, phases, contents.
  • Health policy example.

Products of the Analysis

  • The “ issue paper”, the policy memorandum, the policy brief
  • Evidentiary bases of public policy: opportunities and risks.
  • The craft of policy advice

CPM/SHD/HP/2007

workshop continued7
Workshop (Continued)

DAY 3

Policy Adoption and Implementation

  • Approaches, models and strategies to translate decisions into policies.
  • Pitfalls of policy design in implementation.

Policy Monitoring and Evaluation

  • Instruments of public accountability (also performance measurement)
  • Role of advocacy and organized groups.

Strategic Thinking and Anticipatory Approaches

  • Understanding and creating the future.
  • Foresight , strategic thinking and the advantages of peripheral vision
  • Relevance of futures approaches to health policy analysis.

Plenary Discussion: How Countries can Lead to Better Health Policy Outcomes for All.

Evaluation of the Workshop and Closing

DAY 2

Agenda-setting

  • The “political” in public policy: actors and windows of opportunity.
  • The social construction of target populations: political and policy implications.
  • Case Study and Discussion: The Framework Convention for Tobacco Control

Policy Options

  • Generating policy options
  • Evaluation criteria: types, methods, matrices.

Assessing Policy

  • Economic evaluation: An Introduction
  • Economic impact of obesity.
  • Cost Effectiveness, Cost Benefit and Impact Evaluation

Special Evening Session: Moving Forward the NCD Policy Agenda: A Dialogue

CPM/SHD/HP/2007

according to eec staff
According to EEC Staff
  • Timely
  • Captured interest
  • Demystified policy process
  • Addressed the relevance/impact of policy to the health agendas
  • Prepared participants to move from policy to action
  • Examined the role of health care practitioners in the policy process
  • Policy application to expanded agenda of CNCD ( advocacy, planning , financing and evaluation )
  • Identified skills and competencies required to design, implement and evaluate the performance of policies
  • Open policy debate
  • Helpful to build and sustain capacity to use policy development and policy analysis to strengthen health system

CPM/SHD/HP/2007

methodology
Methodology
  • Team approach
    • Policy/decision-makers
    • Planners
    • Managers
    • Practitioners
  • Multidisciplinary (skill mix)
  • Presentations included theory and practice
  • Analysis of the policy environment in country reference to CNCD
  • Group discussions: blend of country experiences with theory, practice and methods
  • Resources:
    • Documentation folder, CD-Rom
    • Websites and databases
    • Software packages

CPM/SHD/HP/2007

highlights
Highlights
  • Recognize role of professional experience in the policy process and benefit from it to discuss workshop topics.
  • Discuss the importance of policy and politics
  • Review tools of policy analysis
  • Debate the policy environment, share experiences and solutions
  • Expanded emphasis on monitoring and evaluation, including economic evaluation methods and model building.
  • Direct interactive approach
  • Limited time frame
  • Inability to actually manipulate the tools in simulation exercises

CPM/SHD/HP/2007

future steps
Future Steps
  • Sustain Response
  • View policy analysis as interactive and participatory
    • Involve planers, managers, practitioners, researchers
  • Integrating/institutionalising policy into health system strengthening
  • Capacity building at the country level using champions
  • Support systems and structures

CPM/SHD/HP/2007