eprintid: 26065
rev_number: 18
eprint_status: archive
userid: 1589
dir: disk0/00/02/60/65
datestamp: 2019-04-01 07:52:34
lastmod: 2022-07-18 01:24:11
status_changed: 2019-04-01 07:52:34
type: article
metadata_visibility: show
creators_name: Mauti, Joy
creators_name: Gautier, Lara
creators_name: Neve, Jan-Walter
creators_name: Beiersmann, Claudia
creators_name: Tosun, Jale
creators_name: Jahn, Albrecht
title: Kenya’s Health in All Policies strategy: a policy analysis using Kingdon’s multiple streams
subjects: ddc-300
subjects: ddc-610
divisions: i-180500
divisions: i-912800
keywords: Health in all policies, intersectoral collaboration, agenda-setting, social determinants of health, Kenya
abstract: Background: Health in All Policies (HiAP) is an intersectoral approach that facilitates decision-making among policy-makers to maximise positive health impacts of other public policies. Kenya, as a member of WHO, has committed to adopting HiAP, which has been included in the Kenya Health Policy for the period 2014–2030. This study aims to assess the extent to which this commitment is being translated into the process of governmental policy-making and supported by international development partners as well as non-state actors.

Methods: To examine HiAP in Kenya, a qualitative case study was performed, including a review of relevant policy documents. Furthermore, 40 key informants with diverse backgrounds (government, UN agencies, development agencies, civil society) were interviewed. Analysis was carried out using the main dimensions of Kingdon’s Multiple Streams Approach (problems, policy, politics).

Results: Kenya is facing major health challenges that are influenced by various social determinants, but the implementation of intersectoral action focusing on health promotion is still arbitrary. On the policy level, little is known about HiAP in other government ministries. Many health-related collaborations exist under the concept of intersectoral collaboration, which is prominent in the country’s development framework – Vision 2030 – but with no specific reference to HiAP. Under the political stream, the study highlights that political commitment from the highest office would facilitate mainstreaming the HiAP strategy, e.g. by setting up a department under the President’s Office. The budgeting process and planning for the Sustainable Development Goals were found to be potential windows of opportunity.   

Conclusion: While HiAP is being adopted as policy in Kenya, it is still perceived by many stakeholders as the business of the health sector, rather than a policy for the whole government and beyond. Kenya’s Vision 2030 should use HiAP to foster progress in all sectors with health promotion as an explicit goal.
date: 2019
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1663841411
own_urn: urn:nbn:de:bsz:16-heidok-260654
language: eng
bibsort: MAUTIJOYKENYASHEAL2019
full_text_status: public
publication: Health Research Policy and Systems
volume: 17
number: 15
place_of_pub: London
pagerange: 1-12
issn: 1478-4505
citation:   Mauti, Joy ; Gautier, Lara ; Neve, Jan-Walter ; Beiersmann, Claudia ; Tosun, Jale ; Jahn, Albrecht  (2019) Kenya’s Health in All Policies strategy: a policy analysis using Kingdon’s multiple streams.  Health Research Policy and Systems, 17 (15).  pp. 1-12.  ISSN 1478-4505     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/26065/1/12961_2019_Article_416.pdf