Child survival in England: Strengthening governance for health

Ingrid Wolfe; Kate Mandeville; Katherine Harrison; Raghu Lingam

doi:10.1016/j.healthpol.2017.09.004

Child survival in England: Strengthening governance for health

Ingrid Wolfe^*, Kate Mandeville, Katherine Harrison, Raghu Lingam

^*Corresponding author for this work

Population Health Sciences

Research output: Contribution to journal › Article › peer-review

14 Citations (Scopus)

195 Downloads (Pure)

Abstract

The United Kingdom, like all European countries, is struggling to strengthen health systems and improve conditions for child health and survival. Child mortality in the UK has failed to improve in line with other countries. Securing optimal conditions for child health requires a healthy society, strong health system, and effective health care. We examine inter-sectoral and intra-sectoral policy and governance for child health and survival in England.Literature reviews and universally applicable clinical scenarios were used to examine child health problems and English policy and governance responses for improving child health through integrating care and strengthening health systems, over the past 15 years. We applied the TAPIC framework for analysing policy governance: transparency, accountability, participation, integrity, and capacity.We identified strengths and weaknesses in child health governance in all the five domains. However there remain policy failures that are not fully explained by the TAPIC framework. Other problems with successfully translating policy to improved health that we identified include policy flux; policies insufficiently supported by delivery mechanisms, measurable targets, and sufficient budgets; and policies with unintended or contradictory aspects.We make recommendations for inter-sectoral and intra-sectoral child health governance, policy, and action to improve child health in England with relevant lessons for other countries.

Original language	English
Journal	HEALTH POLICY
Early online date	17 Sept 2017
DOIs	https://doi.org/10.1016/j.healthpol.2017.09.004
Publication status	E-pub ahead of print - 17 Sept 2017

Keywords

Child health
Child survival
Governance
Health systems

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.healthpol.2017.09.004Licence: CC BY-NC-ND

Child survival in England_WOLFE_Publishedonline17September2017_GOLD VoR (CC BY-NC-ND)Proof, 818 KBLicence: CC BY-NC-ND

Cite this

@article{742a1e4ef0644c11a6f8aea149d3436d,

title = "Child survival in England: Strengthening governance for health",

abstract = "The United Kingdom, like all European countries, is struggling to strengthen health systems and improve conditions for child health and survival. Child mortality in the UK has failed to improve in line with other countries. Securing optimal conditions for child health requires a healthy society, strong health system, and effective health care. We examine inter-sectoral and intra-sectoral policy and governance for child health and survival in England.Literature reviews and universally applicable clinical scenarios were used to examine child health problems and English policy and governance responses for improving child health through integrating care and strengthening health systems, over the past 15 years. We applied the TAPIC framework for analysing policy governance: transparency, accountability, participation, integrity, and capacity.We identified strengths and weaknesses in child health governance in all the five domains. However there remain policy failures that are not fully explained by the TAPIC framework. Other problems with successfully translating policy to improved health that we identified include policy flux; policies insufficiently supported by delivery mechanisms, measurable targets, and sufficient budgets; and policies with unintended or contradictory aspects.We make recommendations for inter-sectoral and intra-sectoral child health governance, policy, and action to improve child health in England with relevant lessons for other countries.",

keywords = "Child health, Child survival, Governance, Health systems",

author = "Ingrid Wolfe and Kate Mandeville and Katherine Harrison and Raghu Lingam",

year = "2017",

month = sep,

day = "17",

doi = "10.1016/j.healthpol.2017.09.004",

language = "English",

journal = "HEALTH POLICY",

issn = "0168-8510",

publisher = "Elsevier",

}

TY - JOUR

T1 - Child survival in England

T2 - Strengthening governance for health

AU - Wolfe, Ingrid

AU - Mandeville, Kate

AU - Harrison, Katherine

AU - Lingam, Raghu

PY - 2017/9/17

Y1 - 2017/9/17

N2 - The United Kingdom, like all European countries, is struggling to strengthen health systems and improve conditions for child health and survival. Child mortality in the UK has failed to improve in line with other countries. Securing optimal conditions for child health requires a healthy society, strong health system, and effective health care. We examine inter-sectoral and intra-sectoral policy and governance for child health and survival in England.Literature reviews and universally applicable clinical scenarios were used to examine child health problems and English policy and governance responses for improving child health through integrating care and strengthening health systems, over the past 15 years. We applied the TAPIC framework for analysing policy governance: transparency, accountability, participation, integrity, and capacity.We identified strengths and weaknesses in child health governance in all the five domains. However there remain policy failures that are not fully explained by the TAPIC framework. Other problems with successfully translating policy to improved health that we identified include policy flux; policies insufficiently supported by delivery mechanisms, measurable targets, and sufficient budgets; and policies with unintended or contradictory aspects.We make recommendations for inter-sectoral and intra-sectoral child health governance, policy, and action to improve child health in England with relevant lessons for other countries.

AB - The United Kingdom, like all European countries, is struggling to strengthen health systems and improve conditions for child health and survival. Child mortality in the UK has failed to improve in line with other countries. Securing optimal conditions for child health requires a healthy society, strong health system, and effective health care. We examine inter-sectoral and intra-sectoral policy and governance for child health and survival in England.Literature reviews and universally applicable clinical scenarios were used to examine child health problems and English policy and governance responses for improving child health through integrating care and strengthening health systems, over the past 15 years. We applied the TAPIC framework for analysing policy governance: transparency, accountability, participation, integrity, and capacity.We identified strengths and weaknesses in child health governance in all the five domains. However there remain policy failures that are not fully explained by the TAPIC framework. Other problems with successfully translating policy to improved health that we identified include policy flux; policies insufficiently supported by delivery mechanisms, measurable targets, and sufficient budgets; and policies with unintended or contradictory aspects.We make recommendations for inter-sectoral and intra-sectoral child health governance, policy, and action to improve child health in England with relevant lessons for other countries.

KW - Child health

KW - Child survival

KW - Governance

KW - Health systems

UR - http://www.scopus.com/inward/record.url?scp=85030774972&partnerID=8YFLogxK

U2 - 10.1016/j.healthpol.2017.09.004

DO - 10.1016/j.healthpol.2017.09.004

M3 - Article

AN - SCOPUS:85030774972

SN - 0168-8510

JO - HEALTH POLICY

JF - HEALTH POLICY

ER -

Child survival in England: Strengthening governance for health

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this