Enhancing the use of stakeholder analysis for policy implementation research: towards a novel framing and operationalised measures

作者：Marysol Astrea Liwanag Balane, Benjamin Palafox, Lia M. Palileo‐Villanueva, Martin McKee, Dina Balabanova · 发表于：BMJ Global Health · 年份：2020 · DOI：10.1136/bmjgh-2020-002661 · 被引用次数：105 · 研究领域：Health Policy Implementation Science、Global Maternal and Child Health、Community Health and Development

BACKGROUND: Policy is shaped and influenced by a diverse set of stakeholders at the global, national and local levels. While stakeholder analysis is a recognised practical tool to assess the positions and engagement of actors relevant to policy, few empirical studies provide details of how complex concepts such as power, interest and position are operationalised and assessed in these types of analyses. This study aims to address this gap by reviewing conceptual approaches underlying stakeholder analyses and by developing a framework that can be applied to policy implementation in low-and-middle income countries. METHODS: The framework was developed through a three-step process: a scoping review, peer review by health policy experts and the conduct of an analysis using key informant interviews and a consensus building exercise. Four characteristics were selected for inclusion: levels of knowledge, interest, power and position of stakeholders related to the policy. RESULT: The framework development process highlighted the need to revisit how we assess the power of actors, a key issue in stakeholder analyses, and differentiate an actor's potential power, based on resources, and whether they exercise it, based on the actions they take for or against a policy. Exploration of the intersections between characteristics of actors and their level of knowledge can determine interest, which in turn can affect stakeholder position on a policy, showing the importance of analysing these cha...