Talk about Maternity Care as global Health Policy. look at the Systems Model on the policy process,
Figure 1.3 (Problem Identification, Policy Formulation, Policy Implementation, Policy Evaluation) on page 36 in your textbook.
Write a paper with the purpose of overcoming the problems described by the four Rs (Reaction, Repetition, Results, and Raising Funds) on page 57.
Overcoming the Four Rs: Recommendations Overcoming problems of reaction, repetition, results, and raising funds requires the following. The first is strong leadership to articulate a short-and medium-term vision, galvanizing support for such a vision both inside and outside an institution, and diversifying the funding base of that organization. Such diversification of funding cannot, however, contradict the strategic vision of the institution or the leadership. Strong leadership requires the building of coalitions within the broad and expansive global health community and relying less on donors to outline policy objectives. Hence those articulating global health policy must be separate to those who fund health policy. This is not easily achieved, as donor soften want to know where their money is going, and private philanthropists seek to invest in those causes they deem to be the most worthwhile. Actors should play to their strengths and assert their experience, expertise, and legitimacy. Global policy-making needs to be less driven by global finance for health. Money is intrinsic for the delivery of drugs, education campaigns, medical supplies, construction of health centers, health worker training, and a whole host of issues. However, the need to generate, maintain, and increase funds should exist separately to policy-making, otherwise policy-making is more reactionary and less visionary and strategic. Second, key principles of public health the right to health, distributive justice, questions of equality in access to healthcare, and how different people experience good or bad healthmust be re-engaged with as a matter of policy practice (seeChapters4,10,12,25, and 28). Results-based frameworks and the need for a return on investment should not exclude such commitments and principles. One way of reintroducing these themes is to bring the public back into discussions on global health and making the private including philanthropic organizations subject to the same accountability and transparency structures as public bodies, whether governmental or intergovernmental. Whilst private actors may not be spending taxpayers money, they have considerable influence on the health of the worlds population. The plurality of actors and ideas is a unique and positive component of global health, yet such plurality needs to translate to decision- and policy-making and be held to account.
Third, global health policy must be designed in-country, by the government, as the elected government through public engagement and discussion sees fit. Global institutions such as the World Bank and the Global Fund should provide support through finance and as such can make recommendations, but such recommendations should not form the basis of conditional lending. Country-based agendas will make health strategies more context specific, will reduce the burden on state-based health agencies that often have to juggle competing donor demands, and will avoid repetition in the formation of health policy. Focusing on country-based strategies will invert current structures of policy-making so that implementers of policy at the local level become the policy formulators and those who currently make policy at the global level concentrate on working with countries on effective implementation.
Assume the role of the leader who will be building a coalition by creating a policy vision for the internal and external stakeholders of your geographical area or country. First, begin by identifying the deficiencies in a global policy that you have researched so that you can establish a policy vision by determining the needed funding for the services you feel must be provided and including that in the policy. Explain how your policy would benefit your target population. Include the following headings/sections in your submission:
· IntroductionDescribe the population affected by the policy
· Deficiencies ofName of Global Policy
· Vision of ChangesNeeded what needs to change to make the policy better
· Gaining Support for the VisionInternal and external
· Needed FundingWhere will funding come from for services discussed in the policy
· Conclusions
· References
Your paper should meet the following requirements:
· Be 4 pages in length, not including the cover or reference pages.
· Provide support for your statements with in-text citations from a minimum of 8 scholarly articles.
· Be formatted according to APA writing guidelines.
· Remember to utilize headings to organize the content in your work
Use the following references:
Bruen, C., & Brugha, R. (2014). A ghost in the machine? Politics in global health policy. International journal of health policy and management, 3(1), 1.
Ishola, F., Owolabi, O., & Filippi, V. (2017). Disrespect and abuse of women during childbirth in Nigeria: A systematic review. PloS one, 12(3), e0174084.
Freedman, L. P., & Kruk, M. E. (2014). Disrespect and abuse of women in childbirth: challenging the global quality and accountability agendas. The Lancet, 384(9948), e42-e44.
Pyone, T., Smith, H., & van den Broek, N. (2017). Implementation of the free maternity services policy and its implications for health system governance in Kenya. BMJ global health, 2(4), e000249.
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