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Research article
Kassa Mohammed Abbe
University of South Africa
Corresponding Author
ORCiD: https://orcid.org/0000-0002-5505-5645
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This work is licensed under a CC BY 4.0 License. Read Full License
Background : Ethiopia generally provides a story of progress in child health, but unevenly distributed. The attitude, knowledge, political drives, interest groups and institutional dynamics in health equity policy setting and execution has not been explored in Ethiopia. Without addressing these issues, the right kind of policy choice and implementation cannot be attained.
Methods : This study was conducted between 2015 and 2017 in Ethiopia. The study utilized a qualitative framework, grounded in social determinants for health and health policy. Semi-structured interviews; executed policy analysis; and reviewed the literature. In-depth interviews were conducted among twenty-one policymakers and reviewed 23 policy documents and over 350 literatures, Transcribed data, policy extracts and articles were synthesised and analysed by ATLAS.ti 7.1.4.
Results: Ethiopia is in an early state of recognizing and intervening against health inequalities. The quality and level of knowledge is mixed and gets reduced as one goes to the rural areas. Consensus is slowly developing on the major underlying causes of inequality. The contents of health policy documents are neither comprehensive nor strongly supported by evidence. There are multiple interest groups with varying level of knowledge and power. Complex political and institutional relations affect policy making process negatively. Participants demonstrated denialism; blaming of victims; misconceptions; and one size fits all attitudes.
Conclusions : Any future work for improving health equity needs to be build more on evidence and embrace more participatory processes to address all types of interest groups.
Keywords
Child health, Ethiopia, Health inequality, health policy research, policy
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Kassa Mohammed Abbe
University of South Africa
Corresponding Author
ORCiD: https://orcid.org/0000-0002-5505-5645
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 25 Apr, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background : Ethiopia generally provides a story of progress in child health, but unevenly distributed. The attitude, knowledge, political drives, interest groups and institutional dynamics in health equity policy setting and execution has not been explored in Ethiopia. Without addressing these issues, the right kind of policy choice and implementation cannot be attained.
Methods : This study was conducted between 2015 and 2017 in Ethiopia. The study utilized a qualitative framework, grounded in social determinants for health and health policy. Semi-structured interviews; executed policy analysis; and reviewed the literature. In-depth interviews were conducted among twenty-one policymakers and reviewed 23 policy documents and over 350 literatures, Transcribed data, policy extracts and articles were synthesised and analysed by ATLAS.ti 7.1.4.
Results: Ethiopia is in an early state of recognizing and intervening against health inequalities. The quality and level of knowledge is mixed and gets reduced as one goes to the rural areas. Consensus is slowly developing on the major underlying causes of inequality. The contents of health policy documents are neither comprehensive nor strongly supported by evidence. There are multiple interest groups with varying level of knowledge and power. Complex political and institutional relations affect policy making process negatively. Participants demonstrated denialism; blaming of victims; misconceptions; and one size fits all attitudes.
Conclusions : Any future work for improving health equity needs to be build more on evidence and embrace more participatory processes to address all types of interest groups.
The full text of this article is available to read as a PDF.
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