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Guidance for evidence-informed policies about health systems: Linking guidance development to policy development.
PLoS Medicine. 2012 Mar; 9(3):e1001186.Contextual factors are extremely important in shaping decisions about health systems, and policy makers need to work through all the pros and cons of different options before adopting specific health systems guidance. A division of labour between global guidance developers, global policy developers, national guidance developers, and national policy developers is needed to support evidence-informed policy-making about health systems. A panel charged with developing health systems guidance at the global level could best add value by ensuring that its output can be used for policy development at the global and national level, and for guidance development at the national level. Rigorous health systems analyses and political systems analyses are needed at the global and national level to support guideline and policy development. Further research is needed into the division of labour in guideline development and policy development and on frameworks for supporting system and political analyses. This is the second paper in a three-part series in PLoS Medicine on health systems guidance.
Rio Political Declaration on Social Determinants of Health, Rio de Janeiro, Brazil, 21 October 2011.
Rio de Janeiro, Brazil, World Conference on Social Determinants of Health, 2011.  p.The Rio Political Declaration on Social Determinants of Health expresses global political commitment for the implementation of a social determinants of health approach to reduce health inequities and to achieve other global priorities. It will help to build momentum within WHO Member States for the development of dedicated national action plans and strategies. On 15 August 2011, the text was circulated to Geneva-based Permanent Missions of Member States. The first meeting of Member States, convened by the Government of Brazil, was held at WHO headquarters on 7 September, 2011. This was followed by a series of informal consultations attended by representatives of Permanent Missions. The text of the declaration was finalized during the conference in Rio de Janeiro on 19-21 October, 2011.
Geneva, Switzerland, UNICEF, Regional Office for CEE / CIS, 2008 Jan.  p. (Evaluation Working Papers Issue No. 12)This collection of articles by UNICEF brings together the vision and lessons learned from different stakeholders on the strategic role of monitoring and evaluation in evidence-based policymaking. These stakeholders are policymakers (as users of evidence) and researchers and evaluators (as suppliers of evidence). The use of strong evidence can achieve recognition of a policy issue, inform the design and choice of policy, forecast the future, monitor policy implementation, and evaluate policy impact.
In: The global family planning revolution: three decades of population policies and programs, edited by Warren C. Robinson and John A. Ross. Washington, D.C., World Bank, 2007. 155-174.In Jamaica, as in many countries, the pioneers of family planning were men and women who sought to improve the well-being of their impoverished women compatriots, and who perhaps were also conscious of the social threats of rapid population growth. When, eventually, population control became national policy, the relationship between the initial private programs and the national effort did not always evolve smoothly, as the Jamaican experience shows (see box 10.1 for a timeline of the main events in relation to family planning in Jamaica). A related question was whether the family planning program should be a vertical one, that is, with a staff directed toward a sole objective, or whether it should be integrated within the public health service. These issues were not unique to Jamaica, but in one respect Jamaica was distinctive: it was the setting for the World Bank's first loan for family planning activities. Family planning programs entailed public expenditures that were quite different from the infrastructure investments for which almost all Bank loans had been made, and the design and appraisal of a loan for family planning that did not violate the principles that governed Bank lending at the time required a series of decisions at the highest levels of the Bank. These decisions shaped World Bank population lending for several years and subjected the Bank to a good deal of external criticism. For that reason, this chapter focuses on the process of making this loan. (excerpt)
Population Research and Policy Review. 2005 Jan; 24(1):85-106.Our case studies of the evolution of population policies in Kenya and Malawi offer insights into the interaction between the global population movement and national governments. The comparison is useful because it permits identifying the common strategies of a global movement, strategies that are likely to be evident elsewhere; it also permits identifying differences in national responses related to particular domestic contexts. We find a common repertory of movement strategies to influence the governments of Kenya and Malawi to adopt a neo-Malthusian population policy and to implement a family planning program. However, these strategies were promoted more or less aggressively depending on the national response and the chronological period. National responses were related to differences in the governments' approaches to nation-building, their willingness to accept foreign influence and the importance they placed on preserving cultural traditions, and to their assessment of benefits they would gain from responding favorably to movement proposals. The data come from written accounts and from interviews with international actors and Kenyan and Malawian elites who participated in the policy development process. (author's)
Habitat Debate. 2002 Dec; 8(4): p..Initiated by the Huairou Commission, the local-to-local dialogues represent an innovative global strategy which is grounded in local action. It is a method by which organizations engage in an on-going dialogue with local authorities to forge sustainable development. The Huairou Commission publicized the project through its global networks, GROOTS International, HIC Women and Shelter, International Council of Women (ICW), Women and Peace, Women Environment and Development Organization (WEDO), International women and Cities Network. This was the means by which organizations interested in moving in this direction decided to combine their local efforts with this global initiative. (excerpt)
Habitat Debate. 2002 Dec; 8(4): p..Since 1997, the International Union of Local Authorities (IULA) has actively promoted gender equality through its international task force on Women in Local Government. The task force has been addressing the political and professional under representation of women in decision making positions, and has developed both gender mainstreaming, and positive action in local government policy development and service provision. The IULA policy paper and the Worldwide Declaration on Women in Local Government is a result of broad consultations with IULA’s inter governmental and UN partners. In the coming years the Global Programme should result in IULA becoming the worldwide source of key information regarding women in local decision making. The overall programme objective is to promote equal representation of women in local government decision-making and the mainstreaming of gender in local government policy-making and service-provision through awareness raising, training programmes for women officials and production of materials to support the advancement of women. (excerpt)
Geneva, Switzerland, UNAIDS, .  p.UNAIDS in collaboration with the Office of the High Commissioner for Human Rights (OHCHR) and other partners has developed guidelines advancing human rights in the context of HIV/AIDS. In February 1998, UNAIDS and OHCHR jointly published the International Guidelines on HIV/AIDS and Human Rights. These guidelines set the standards for upholding HIV/AIDS related human rights at the national, regional, and international levels. These Guidelines are a useful resource in the necessary scaling up of the response to HIV/AIDS by all actors concerned - governments and non-governmental organizations, the United Nations system and other international and regional organizations. Through UNAIDS funding and technical support, the International Council of AIDS Service Organizations (ICASO) published the NGO Summary and Advocates Guide as a more user-friendly form of the International Guidelines to enhance the document's accessibility. The NGO Summary and Advocates Guide has been distributed widely at national, regional, and international levels. It has been translated into Spanish and French. In July 2002, the OHCHR and UNAIDS convened a group of experts to update Guideline 6 of the International Guidelines on HIV/AIDS and Human Rights. The Revised Guideline 6: Access to prevention, treatment, care and support provides an up-to-date policy guidance that is based on current scientific progress, international law and best practice at country level. (excerpt)