263288 Evolution and Impact of the Global Partnership to Stop TB

Tuesday, October 30, 2012 : 9:00 AM - 9:15 AM

Kathryn Quissell, MPH, MSc, PhD Candidate , School of Public Affairs, Department of Public Administration and Policy, American University, Washington, DC
Gill Walt, PhD , Global Health and Development Department, The London School of Hygiene and Tropical Medicine, London, United Kingdom
In this study, we examine the evolution of the global TB (tuberculosis) policy network, with the Stop TB Partnership and the World Health Organization TB Department at its core, and the influence it has had on policy adoption, implementation, and scale-up in low-income countries. In particular, we examine the appropriateness of governance arrangements as well as how the structure of this network shapes both what strategies are used and the effectiveness of these strategies on the ground. We use a process-tracing methodology with data from interviews of approximately two-dozen key informants within the global TB policy network as well as several hundred reports and published documents. Findings indicate that the governance structure has changed little over the past decade, to the frustration of many in the activist community. While the Partnership has welcomed the participation of an ever-increasing number of organizations, many do not see it as a partnership of equals, but as a coalition dominated by the WHO. The governance arrangements have emphasized information sharing between the Partnership, WHO, and Ministries of Health, facilitating the development of clear norms and policies. However, they have not been as strong in engaging civil society organizations and creating national-level partnerships to increase grassroots pressure on governments. Moving forward, the Partnership must balance the tension between efficiency and inclusiveness, paying particular attention to the management of disagreement, the creation of trust, the facilitation of cooperative behavior, and the strengthening of grassroots-level advocacy in order to make continued progress in mortality reduction.

Learning Areas:
Administration, management, leadership
Advocacy for health and health education
Public health or related public policy

Learning Objectives:
Assess how global health policy networks influence policy adoption, implementation, and scale-up in low-income countries. Describe how the structure of a global health policy network influences the strategies used, and the effectiveness of these strategies, on the ground. Evaluate the governance arrangements of global health policy networks for their ability to foster collaborative behavior.

Keywords: Tuberculosis, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the lead researcher on this particular case study of the global tuberculosis policy network. It is one of six case studies of a larger three-year project funded by the Bill & Melinda Gates Foundation. I am currently a doctoral student; Department of Public Administration and Policy School of Public Affairs, American University. Co-authored a published paper on family planning March 2012.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.