Policy Implementation Barriers Analysis: Conceptual Framework and Pilot Test in Three Countries
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In response to the AIDS pandemic, many countries have introduced policies and programs intended to stem the spread of the epidemic and mitigate its impacts. Unfortunately, too often these policies or program directives are not being implemented. To gain an understanding of the underlying factors that influence the implementation process, the USAID | Health Policy Initiative, Task Order 1 designed and conducted a Policy Implementation Barriers Analysis (PIBA) to create and field test a methodology that seeks to systematically answer the following questions: 1) If a policy has been written and approved and includes up-to-date guidelines, why is it not being implemented? 2) What are the barriers to implementing the policy? 3) Which approaches and interventions can be recommended to improve policy implementation?
This paper describes the project's pilot of the PIBA methodology in China, Indonesia, and Vietnam. The report includes a brief review of the policy implementation framework; the methodology used to field test the framework for addressing policy implementation barriers; and the findings from the field-tests. The paper concludes with lessons learned related to key findings and the methodology and includes ideas for moving the methodology forward in other countries.
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|Document Type:||Technical Reports: Global|
|No. of Pages:||48|