263711 A Second Wind? A Comparison of the TB and Pneumonia Policy Networks

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

David Berlan, MPA, PhD Candidate , Maxwell School, Department of Public Administration, Syracuse University, Syracuse, NY
Kathryn Quissell, MPH, MSc, PhD Candidate , School of Public Affairs, Department of Public Administration and Policy, American University, Washington, DC
Jeremy Shiffman, PhD , 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
TB and pneumonia are the two leading causes of death globally among communicable diseases of the respiratory system. Despite pneumonia killing more people per year, TB has received greater funding and policy attention. In the 1980's, pneumonia appeared to occupy a similar position to TB, with dedicated programs at the global and national levels; however, the formation of a coherent policy network stalled while the institutionalization of a partnership to stop TB gained momentum. In this case study we take an historical, comparative approach to consider the characteristics of the diseases, the policy networks, and the environment that have shaped these diverging results. We use a process-tracing methodology with data from interviews of approximately fifty key informants in the global TB and pneumonia policy communities, as well as several hundred reports and published documents. Findings on the policy networks indicate that the TB community successfully grafted their issue to AIDS, while the pneumonia community stood still as the issue was absorbed by an integrated approach to childhood illness. Additionally, the TB community institutionalized the policy network in the Global Partnership to Stop TB and created an organizing, consensus-based framework in its Global Plan, almost a decade before similar development of a plan for pneumonia. Comparison of the strategies, structure and environment of the two issue networks not only explains some of the divergent outcomes, but also provides lessons for other global health issues.

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

Learning Objectives:
Describe the characteristics of a global health policy network that contribute to policy attention. Compare these network characteristics across different policy communities. Identify lessons to be used for other global health issues.

Keywords: Communicable Disease, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the lead author of this paper comparing TB and pneumonia. Boston University (2002) BA -Business Administration. Syracuse University (2008) Master of Public Administration. David's research was to study the factors that would lead to making the nonprofit sector more effective as an actor for international development. He works with Jeremy Shiffman in the Alan K. Campbell Institute for Public Affairs.
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.