{"id":987496229,"date":"2022-12-26T10:03:47","date_gmt":"2022-12-26T09:03:47","guid":{"rendered":"https:\/\/p4h.world\/resources-tools\/political-economy\/"},"modified":"2024-09-23T17:17:20","modified_gmt":"2024-09-23T16:17:20","slug":"political-economy-tool","status":"publish","type":"page","link":"https:\/\/p4h.world\/en\/resources-tools\/political-economy-tool\/","title":{"rendered":"Political Economy Tool"},"content":{"rendered":"

[et_pb_section fb_built=”1″ admin_label=”Section” _builder_version=”4.19.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_row admin_label=”Entretoise” _builder_version=”4.21.0″ _module_preset=”default” display_conditions=”W10=” custom_padding=”0px|0px|30px|0px|false|false” global_module=”987504603″ saved_tabs=”all” collapsed=”on” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.19.2″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][et_pb_row make_equal=”on” _builder_version=”4.20.4″ _module_preset=”default” custom_padding=”0px|15px|0px|15px|false|true” custom_css_main_element=”align-items: center;” collapsed=”off” global_colors_info=”{}”][et_pb_column type=”4_4″ admin_label=”Column” _builder_version=”4.20.4″ _module_preset=”default” custom_padding=”||||false|true” global_colors_info=”{}”][ba_gradient_heading title=”A tool to structure our approach to understanding political economy” html_tag=”h2″ primary_color=”#EA3A32″ secondary_color=”#EA3A32″ admin_label=”Section Red Title” _builder_version=”4.21.0″ _module_preset=”default” title_font=”||||||||” title_font_size=”40px” custom_margin=”0px|0px|0px|0px|false|false” custom_padding=”0px|0px|10px|0px|false|false” custom_css_main_element=”margin-bottom: 0 !important;” global_colors_info=”{}”][\/ba_gradient_heading][et_pb_text _builder_version=”4.21.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

Achieving Universal Health Coverage (UHC) through social health protection and health financing systems reforms across the countries in which P4H works is more than a technical challenge.<\/p>\n

Many technical issues such as user fee removal, health taxes, introduction of social health insurance, or the subsidization of vulnerable people, are politically sensitive. Understanding why the removal of user fees was successful in Sierra Leone, why performance based financing led to improved health outcomes in Rwanda or why capitation payment became a nationwide reform in some countries, but not in other, requires an analysis of the political economy of the countries in which the reforms take place.<\/p>\n

[\/et_pb_text][et_pb_text quote_border_color=”#EA3A32″ admin_label=”PULLQUOTE” _builder_version=”4.19.5″ _module_preset=”default” quote_font=”Oswald|||on|||||” quote_text_color=”#5EAABC” quote_font_size=”26px” quote_line_height=”1.3em” global_colors_info=”{}”]<\/p>\n

\n

Country experiences suggests that the success of national social health protection and health financing reforms will be difficult without political support and commitment.\u00a0<\/p>\n<\/blockquote>\n

[\/et_pb_text][et_pb_text _builder_version=”4.21.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

\n

It is also evident that partnership collaboration works if it builds on political economy variables dealing with ideology, idea, interest and institution. Therefore, understanding of the political economy (i.e. the social, economic and political conditions within which a technical reform sits) is essential to be able to navigate reforms. This need was recognized during many P4H organized meetings and events. The main target is the P4H country focal persons (P4H-CFPs)<\/a> who are deployed or appointed in countries directly engage with the complex political economy dynamics of their countries and support them to systematically integrate a structured political economy lens into their technical work.<\/p>\n<\/div>\n

[\/et_pb_text][et_pb_text _builder_version=”4.21.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

The P4H Network has taken initiative to develop a Political Economy Tool (PET)<\/a> aimed at supporting a structured political economy approach to understanding their country specific political situations and windows of opportunities for enhanced partnerships. The PET outlines how to identify the ideologies behind stakeholders\u2018 policy positions, how to understand where their ideas come from, what the interests of each stakeholder are, and where the institutions (formal and informal) sit in relation to a particular reform.<\/p>\n

[\/et_pb_text][et_pb_text _builder_version=”4.21.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

The PET takes a four-step approach. First, understanding of the problem that P4H-CFPs are grappling with (what specific reform is meeting blockages or requires coalition building). Second, review of existing evidence and discussions to map out each stakeholder\u2019s power and interest. Third, development of an action plan to foster collaboration, and finally, timely review and mapping as political economy conditions are dynamic and require regular monitoring.<\/div>\n

[\/et_pb_text][et_pb_text _builder_version=”4.21.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

The PET was piloted in two countries (Cameroon<\/a> and Cambodia<\/a>) to test its pertinence and practical usefulness for P4H-CFP engaged with country specific reforms and political economy processes. These countries were selected following a set of agreed criteria (interest of P4H-CFPs, accessibility, ongoing reform process). The piloting was undertaken by P4H-CFPs in Cameroon and Cambodia from January to June 2023 under the guidance of an international political economy consultant.<\/p>\n

[\/et_pb_text][et_pb_button button_url=”https:\/\/p4h.world\/app\/uploads\/2022\/02\/P4H_Political-Economy-Tool.x23411.pdf” button_text=”Download the Political Economy Tool” button_alignment=”center” _builder_version=”4.21.0″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”Entretoise” _builder_version=”4.21.0″ _module_preset=”default” display_conditions=”W10=” custom_padding=”0px|0px|30px|0px|false|false” global_module=”987504603″ saved_tabs=”all” collapsed=”on” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.19.2″ _module_preset=”default” global_colors_info=”{}”][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”PILOTS” _builder_version=”4.21.0″ _module_preset=”default” background_enable_color=”off” custom_padding=”10px|0px||0px|false|false” collapsed=”on” global_colors_info=”{}”][et_pb_row make_equal=”on” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”0px|15px|0px|15px|false|true” custom_css_main_element=”align-items: center;” global_colors_info=”{}”][et_pb_column type=”4_4″ admin_label=”Column” _builder_version=”4.20.4″ _module_preset=”default” custom_padding=”||||false|true” global_colors_info=”{}”][et_pb_code _builder_version=”4.21.0″ _module_preset=”default” custom_margin=”0px|0px|10px|0px|false|false” custom_padding=”0px|0px|0px|0px|false|false” locked=”off” global_colors_info=”{}”]<\/p>\n

<\/p>\n

Pilots<\/h3>\n

<\/div>\n

[\/et_pb_code][et_pb_text _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||0px||false|false” global_colors_info=”{}”]<\/p>\n