An Analysis of the Extent of Social Inclusion and Equity Consideration in Malawi’s National HIV and AIDS Policy Review Process
Background Equity and social inclusion for vulnerable groups in policy development processes and resulting documents remain a challenge globally. Most often, the marginalization of vulnerable groups is overlooked in both the planning and practice of health service delivery. Such marginalization may...
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doaj-95f48c2e2c304d8da2c58a1508dc70802020-11-24T20:42:53ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392018-04-01070429730710.15171/IJHPM.2017.87An Analysis of the Extent of Social Inclusion and Equity Consideration in Malawi’s National HIV and AIDS Policy Review ProcessMathews Junior Chinyama0Malcolm MacLachlan1Joanne McVeigh2Tessy Huss3Sylvester Gawamadzi4Centre for Global Health, Trinity College Dublin, Dublin, IrelandCentre for Global Health & School of Psychology, Trinity College Dublin, Dublin, IrelandCentre for Global Health & School of Psychology, Trinity College Dublin, Dublin, IrelandCentre for Global Health & School of Psychology, Trinity College Dublin, Dublin, IrelandDepartment of Nutrition, HIV and AIDS, Lilongwe, MalawiBackground Equity and social inclusion for vulnerable groups in policy development processes and resulting documents remain a challenge globally. Most often, the marginalization of vulnerable groups is overlooked in both the planning and practice of health service delivery. Such marginalization may occur because authorities deem the targeting of those who already have better access to healthcare a cheaper and easier way to achieve short-term health gains. The Government of Malawi wishes to achieve an equitable and inclusive HIV and AIDS Policy. The aim of this study is to assess the extent to which the Malawi Policy review process addressed regional and international health priorities of equity and social inclusion for vulnerable groups in the policy content and policy revision process. Methods This research design comprised two phases. First, the content of the Malawi HIV and AIDS Policy was assessed using EquiFrame regarding its coverage of 21 Core Concepts of human rights and inclusion of 12 Vulnerable Groups. Second, the engagement of vulnerable groups in the policy process was assessed using the EquIPP matrix. For the latter, 10 interviews were conducted with a purposive sample of representatives of public sector, civil society organizations and development partners who participated in the policy revision process. Data was also collected from documented information of the policy processes. Results Our analyses indicated that the Malawi HIV and AIDS Policy had a relatively high coverage of Core Concepts of human rights and Vulnerable Groups; although with some notable omissions. The analyses also found that reasonable steps were taken to engage and promote participation of vulnerable groups in the planning, development,implementation, monitoring and evaluation processes of the HIV and AIDS Policy, although again, with some notable exceptions. This is the first study to use both EquiFrame and EquIPP as complimentary tools to assess the content and process of policy. Conclusion While the findings indicate inclusive processes, commitment to Core Concepts of human rights and inclusion of Vulnerable Groups in relation to the Malawi HIV and AIDS Policy, the results also point to areas in which social inclusion and equity could be further strengthened.http://www.ijhpm.com/article_3395_655803a6370fe6a5ac6aeab965d86ee0.pdfEquiFrameEquIPPEquitySocial InclusionVulnerable GroupsHuman Rights Core Concepts |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mathews Junior Chinyama Malcolm MacLachlan Joanne McVeigh Tessy Huss Sylvester Gawamadzi |
spellingShingle |
Mathews Junior Chinyama Malcolm MacLachlan Joanne McVeigh Tessy Huss Sylvester Gawamadzi An Analysis of the Extent of Social Inclusion and Equity Consideration in Malawi’s National HIV and AIDS Policy Review Process International Journal of Health Policy and Management EquiFrame EquIPP Equity Social Inclusion Vulnerable Groups Human Rights Core Concepts |
author_facet |
Mathews Junior Chinyama Malcolm MacLachlan Joanne McVeigh Tessy Huss Sylvester Gawamadzi |
author_sort |
Mathews Junior Chinyama |
title |
An Analysis of the Extent of Social Inclusion and Equity Consideration in Malawi’s National HIV and AIDS Policy Review Process |
title_short |
An Analysis of the Extent of Social Inclusion and Equity Consideration in Malawi’s National HIV and AIDS Policy Review Process |
title_full |
An Analysis of the Extent of Social Inclusion and Equity Consideration in Malawi’s National HIV and AIDS Policy Review Process |
title_fullStr |
An Analysis of the Extent of Social Inclusion and Equity Consideration in Malawi’s National HIV and AIDS Policy Review Process |
title_full_unstemmed |
An Analysis of the Extent of Social Inclusion and Equity Consideration in Malawi’s National HIV and AIDS Policy Review Process |
title_sort |
analysis of the extent of social inclusion and equity consideration in malawi’s national hiv and aids policy review process |
publisher |
Kerman University of Medical Sciences |
series |
International Journal of Health Policy and Management |
issn |
2322-5939 2322-5939 |
publishDate |
2018-04-01 |
description |
Background
Equity and social inclusion for vulnerable groups in policy development processes and resulting documents remain a challenge globally. Most often, the marginalization of vulnerable groups is overlooked in both the planning and practice of health service delivery. Such marginalization may occur because authorities deem the targeting of those who already have better access to healthcare a cheaper and easier way to achieve short-term health gains. The Government of Malawi wishes to achieve an equitable and inclusive HIV and AIDS Policy. The aim of this study is to assess the extent to which the Malawi Policy review process addressed regional and international health priorities of equity and social inclusion for vulnerable groups in the policy content and policy revision process.
Methods
This research design comprised two phases. First, the content of the Malawi HIV and AIDS Policy was assessed using EquiFrame regarding its coverage of 21 Core Concepts of human rights and inclusion of 12 Vulnerable Groups. Second, the engagement of vulnerable groups in the policy process was assessed using the EquIPP matrix. For the latter, 10 interviews were conducted with a purposive sample of representatives of public sector, civil society organizations and development partners who participated in the policy revision process. Data was also collected from documented information of the policy processes.
Results
Our analyses indicated that the Malawi HIV and AIDS Policy had a relatively high coverage of Core Concepts of human rights and Vulnerable Groups; although with some notable omissions. The analyses also found that reasonable
steps were taken to engage and promote participation of vulnerable groups in the planning, development,implementation,
monitoring and evaluation processes of the HIV and AIDS Policy, although again, with some notable exceptions. This is the first study to use both EquiFrame and EquIPP as complimentary tools to assess the content and process of policy.
Conclusion
While the findings indicate inclusive processes, commitment to Core Concepts of human rights and inclusion of Vulnerable Groups in relation to the Malawi HIV and AIDS Policy, the results also point to areas in which social inclusion and equity could be further strengthened. |
topic |
EquiFrame EquIPP Equity Social Inclusion Vulnerable Groups Human Rights Core Concepts |
url |
http://www.ijhpm.com/article_3395_655803a6370fe6a5ac6aeab965d86ee0.pdf |
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