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KEYSTONE / Module 6 / Slideshow 4 / Groupwork


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KEYSTONE HPSR Initiative // Module 6: Policy Analysis // Slideshow 4: Groupwork
This is the fourth slideshow of Module 6: Policy Analysis, of the KEYSTONE Teaching and Learning Resources for Health Policy and Systems Research

To access video sessions and slides for all modules copy and past the following link in your browser:

Module 6: Policy analysis
This module focuses on the policy analysis approach to understand who makes policy decisions (power) and how and why these decisions are made (process). As a field primarily preoccupied with understanding decision-making, contemporary policy analysis approaches place actors at the heart of systems, problematize policy content, are attentive to context, and can see implementation as a series of social relationships rather than as an obvious consequence of policymaking.

There are 5 slideshows in this module.

Module 6: Policy analysis
-Module 6 Slideshow 1: Introducing Health Policy
-Module 6 Slideshow 2: Policy Approach & Frameworks
-Module 6 Slideshow 3: Researching Health Policy
-Module 6 Slideshow 4: Group work
-Module 6 Slideshow 5: Group work

The other modules in this series are:
Module 1: Introducing Health Systems & Health Policy
Module 2: Social justice, equity & gender
Module 3: System complexity
Module 4: Health Policy and Systems Research frameworks
Module 5: Economic analysis
Module 7: Realist evaluation
Module 8: Systems thinking
Module 9: Ethnography
Module 10: Implementation research
Module 11: Participatory action research
Module 12: Knowledge translation
Module 13: Research Plan Writing

KEYSTONE is a collective initiative of several Indian health policy and systems research (HPSR) organizations to strengthen national capacity in HPSR towards addressing critical needs of health systems and policy development. KEYSTONE is convened by the Public Health Foundation of India in its role as Nodal Institute of the Alliance for Health Policy and Systems Research (AHPSR).

The inaugural KEYSTONE short course was conducted in New Delhi from 23 February – 5 March 2015. In the process of delivering the inaugural course, a suite of teaching and learning materials were developed under Creative Commons license, and are being made available as open access resources. The KEYSTONE teaching and learning resources include 38 videos and 32 slide presentations organized into 13 modules. These materials cover foundational concepts, common approaches used in HPSR, and guidance for preparing a research plan.

These resources were created and are made available through support and funding from the Alliance for Health Policy & Systems Research (AHPSR), WHO for the KEYSTONE initiative

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KEYSTONE / Module 6 / Slideshow 4 / Groupwork

  1. 1. Building the HPSR CommunityBuilding HPSR Capacity KEYSTONE Inaugural KEYSTONE Course on Health Policy and Systems Research 2015 Groupwork (POL)
  2. 2. KEYSTONE Groupwork (POL) Kabir Sheikh 26 Feb 2015
  3. 3. KEYSTONE Health System Problems 1. The non-implementation of standard public health guidelines and protocols is a widely witnessed phenomenon and problem in India and other low and middle income countries, in both public and private health care services. This is widely seen to be of concern since users of services may be denied standardized and evidence- based modes of care and treatment. 2. Health workers who are deployed in health care facilities are frequently irregular in reporting for their duties, and are sometimes entirely absent from their posts. 3. Routine health-related data collected through existing health information systems is often viewed to be unreliable, either overestimating or underestimating the actual quantum of the event or disease being measured. This causes problems in priority setting, responding and allocating resources.
  4. 4. KEYSTONE 4. Professional self regulation is a globally accepted approach in which health care professions are expected to establish and maintain standards of conduct and ethics, within the confines of the profession, by setting up relevant boards or councils. However it is widely observed that professional self regulatory bodies (such as medical, nursing and pharmacy councils) do not play an optimal role in regulating the standards as laid out in their constitutions. 5. In spite of widespread evidence and numerous policy pronouncements and expert statements on the primacy of primary health care in order to achieve health goals, current financial allocations tend to favour tertiary institutions in urban areas. 6. Globally, there is a widespread deficiency in resource allocation and innovation for development of new medicinces, vaccines and medical products for diseases that disproportionately affect developing countries and the poor.
  5. 5. KEYSTONE Instructions for groupwork • Each of you are assigned a health system problem • Choose one aspect of the policy process – agenda setting and policymaking OR implementation • Write a research question that relates to the policy process you have chosen (15 min) • Apply the Walt and Gilson conceptual framework broadly • Conduct a study on that question (45 min) (tip: divide labour!) – Document review – Interviews • Synthesize your findings and write up as ppt slides (30 min) – Topic (1 slide) – Main research question (1 slide) – Framework (1 slide) – Methods (1 slide) – Findings (max 5 slides) – Conclusions (1 slide) • Present your slides (10 min per group)
  6. 6. KEYSTONE Instructions for critical reflection and marking • Critical reflection and marking by another group (5 min per group) (40% of mark) – Framing of question (2) – Framing and application of methods (2) – Depth and credibility of findings (5) – Depth and credibility of conclusion (1) – Bonus: Theoretical reflections on your findings (1) • Grading by faculty – Of presentation (40% of mark) – Of critical reflection (20% of mark)
  7. 7. Open Access Policy KEYSTONE commits itself to the principle of open access to knowledge. In keeping with this, we strongly support open access and use of materials that we created for the course. While some of the material is in fact original, we have drawn from the large body of knowledge already available under open licenses that promote sharing and dissemination. In keeping with this spirit, we hereby provide all our materials (wherever they are already not copyrighted elsewhere as indicated) under Creative Commons Attribution-NonCommercial 4.0 International License. To view a copy of this license visit This work is ‘Open Access,’ published under a creative commons license which means that you are free to copy, distribute, display, and use the materials as long as you clearly attribute the work to the KEYSTONE course (suggested attribution: Copyright KEYSTONE Health Policy & Systems Research Initiative, Public Health Foundation of India and KEYSTONE Partners, 2015), that you do not use this work for any commercial gain in any form and that you in no way alter, transform or build on the work outside of its use in normal academic scholarship without express permission of the author and the publisher of this volume. Furthermore, for any reuse or distribution, you must make clear to others the license terms of this work. This means that you can: read and store this document free of charge distribute it for personal use free of charge print sections of the work for personal use read or use parts or whole of the work in a context where no financial transactions take place gain financially from the work in anyway sell the work or seek monies in relation to the distribution of the work use the work in any commercial activity of any kind distribute in or through a commercial body (with the exception of academic usage within educational institutions such as schools and universities However, you cannot: