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Transcalar networks for policy transfer and implementation: the case of global health policies for malaria and HIV/AIDS in Cameroon

Ngoasong, Michael Zisuh (2011). Transcalar networks for policy transfer and implementation: the case of global health policies for malaria and HIV/AIDS in Cameroon. Health Policy and Planning, 26(1) pp. 63–72.

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This paper explores the nature and type of policy transfer promoted by global health partnerships to facilitate access to medication in Cameroon and the associated implementation challenges. Using concepts from policy transfer, multi-level governance and the politics of scale, the paper conceptualizes the social spaces (global-national-local linkages) through which global health policies are negotiated as transcalar networks. The framework is used to analyse policy documents, technical and media reports and journal articles focusing on two global health partnerships (GHPs)—Roll Back Malaria and the Accelerating Access Initiative—in Cameroon. Both GHPs helped to create the national Malaria and HIV/AIDS programmes in Cameroon, respectively. Global policies are negotiated through dialogue processes involving global, national and local partners who constitute the national HIV/AIDS and malaria committees. Successful policy transfer is evident from the consensual nature of decision-making. Analysis of policy implementation reveals that GHPs offer a ‘technical fix’ based on specific medical intervention programmes with a relatively limited focus on disease prevention. The GHP approach imposes new governance challenges due to policy resistance strategies (strategic interests of international agencies and country-specific challenges). Evidence of this is seen in the existence of several overlapping programmes and initiatives that distort accountability and governance mechanisms defined by the national committees. Finally, the implications of these challenges for achieving access to medication are discussed.

Item Type: Journal Item
Copyright Holders: 2010 The Author
ISSN: 1460-2237
Keywords: global health partnerships; health policy; transcalar networks; malaria; HIV/AIDS; Cameroon
Academic Unit/School: Faculty of Business and Law (FBL) > Business > Department for Public Leadership and Social Enterprise
Faculty of Business and Law (FBL) > Business
Faculty of Business and Law (FBL)
Research Group: Innovation, Knowledge & Development research centre (IKD)
Institute for Innovation Generation in the Life Sciences (Innogen)
Item ID: 37926
Depositing User: Michael Ngoasong
Date Deposited: 09 Jul 2013 08:36
Last Modified: 07 Dec 2018 22:06
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