International Journal of Health Policy and Management

International Journal of Health Policy and Management

Evidence, Power and Implementation in Global Health Policy

Document Type : Viewpoint

Author
1 Sustainability Team, The Joint United Nations Programme on HIV/AIDS (UNAIDS), Nairobi, Kenya
2 The UCL Centre for Global Health Economics, University College London, London, UK
Keywords

Background

 

The familiar evidence-to-policy story is attractive because it offers a clear division of labour. Researchers generate knowledge, decision-makers select the best option, and administrators implement it. Health policy scholarship has challenged this linear account for decades. ...(Read more...)

1.     Walt G, Gilson L. Reforming the health sector in developing countries: the central role of policy analysis. Health Policy Plan. 1994;9(4):353-370. doi:10.1093/heapol/9.4.353
2.     Walt G, Shiffman J, Schneider H, Murray SF, Brugha R, Gilson L. 'Doing' health policy analysis: methodological and conceptual reflections and challenges. Health Policy Plan. 2008;23(5):308-317. doi:10.1093/heapol/czn024
3.     Gilson L, Walt G. Doing health policy analysis: the enduring relevance of simple models: Comment on 'Modelling the health policy process: one size fits all or horses for courses.' Int J Health Policy Manag. 2023;12:8223. doi:10.34172/ijhpm.2023.8223
4.     Koplan JP, Bond TC, Merson MH, et al. Towards a common definition of global health. Lancet. 2009;373(9679):1993-1995. doi:10.1016/S0140-6736(09)60332-9
5.     Kingdon JW. Agendas, Alternatives, and Public Policies. Updated 2nd ed. Longman; 2011.
6.     Zahariadis N. Delphic oracles: ambiguity, institutions, and multiple streams. Policy Sci. 2016;49(1):3-12. doi:10.1007/s11077-016-9243-3
7.     Shiffman J, Smith S. Generation of political priority for global health initiatives: a framework and case study of maternal mortality. Lancet. 2007;370(9595):1370-1379. doi:10.1016/S0140-6736(07)61579-7
8.     Cairney P. The Politics of Evidence-Based Policy Making. Palgrave Macmillan; 2016. doi:10.1057/978-1-137-51781-4
9.     Topp SM, Schaaf M, Sriram V, et al. Power analysis in health policy and systems research: a guide to research conceptualisation. BMJ Glob Health. 2021;6(11):e007268. doi:10.1136/bmjgh-2021-007268
10. Stone DA. Causal stories and the formation of policy agendas. Polit Sci Q. 1989;104(2):281-300. doi:10.2307/2151585
11. Pressman JL, Wildavsky AB. Implementation: How Great Expectations in Washington Are Dashed in Oakland. University of California Press; 1973.
12. Lipsky M. Street-Level Bureaucracy: Dilemmas of the Individual in Public Services. Russell Sage Foundation; 1980.
13. Gore R, Parker R. Analysing power and politics in health policies and systems. Glob Public Health. 2019;14(4):481-488. doi:10.1080/17441692.2019.1575446
14. Peters DH, Tran NT, Adam T. Implementation Research in Health: A Practical Guide. Alliance for Health Policy and Systems Research, World Health Organization; 2013.
15. McConnell A. Policy success, policy failure and grey areas in-between. J Public Policy. 2010;30(3):345-362. doi:10.1017/S0143814X10000152
16. Murphy LM, Stenoien DV, Love E, et al. Supporting local ownership of transition processes: a key pathway to sustaining the HIV response. BMJ Glob Health. 2025;10(6):e018190. doi:10.1136/bmjgh-2024-018190
17. UNAIDS. Botswana extends free HIV treatment to non-citizens. https://www.unaids.org/en/resources/presscentre/featurestories/2019/september/20190924_Botswana_treatment_non-nationals. Published September 24, 2019. Accessed July 10, 2026.
18. Global Preparedness Monitoring Board. A World at Risk: Annual Report on Global Preparedness for Health Emergencies. World Health Organization and World Bank; 2019.
19. Elliott LM, Dalglish SL, Topp SM. Health taxes on tobacco, alcohol, food and drinks in low- and middle-income countries: a scoping review of policy content, actors, process and context. Int J Health Policy Manag. 2022;11(4):414-428. doi:10.34172/ijhpm.2020.170
20. Lwin KS, Koon AD, Rasanathan K, Ahsan A, Erku D, Mialon M, et al. Framing health taxes: learning from low- and middle-income countries. BMJ Glob Health. 2023;8:e012955. doi:10.1136/bmjgh-2023-012955 

Articles in Press, Accepted Manuscript
Available Online from 11 October 2026

  • Received Date 18 April 2026
  • Revised Date 30 July 2026
  • Accepted Date 11 October 2026
  • First Published Date 11 October 2026
  • Published Date 11 October 2026