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SIF theme i vb legislation action
- 1. Legislative processes: Country case studies Dr. Michael McQuestion Dr. Cliff Kamara Ms. Dana Silver Sustainable Immunization Financing Program Anglophone African Peer review workshop Nairobi, Kenya 27 October 2015
- 2. Objective • Document and discuss the formal processes through which these documents were produced, including which institutions participated and the steps that were followed in creating them
- 3. Overview • In any society, laws are an expression of current social conditions • Legislation is inherently difficult because it places claims on public resources or limits personal freedoms • Some legislative projects were begun by governments, others by parliaments • Some were advocated for by (non-state) stakeholders, others were created “behind closed doors”
- 4. Overview • In all successful cases, governments and parliaments ultimately came together to pass the legislation • More commonly, the institutions fail to come together, or there is political resistance and the legislative project is never completed – Most SIF countries have never passed any original health legislation
- 5. Legislative strategies • When a particular legislative strategy is blocked, another can be tried – Structural • Shift from government-led to parliament-led • Abandon freestanding bill, insert provisions into a larger bill • Degrade project from a law to an edict or decree • Shift from federal to sub-national jurisdictions – Political • Inform, organize more stakeholders
- 6. Current project status Immunization Legislation Processes in SIF Anglophone African Sub-Region (X.15) Country Legislative Project Phase I Phase II Phase III Phase IV Phase V Phase VI Phase VII National Counterparts Devise Legislative Strategy Drafting Workshops/Expert Consultations [#† of Both] Public Vets Bill Government Submits Bill to Parliament Parliament Registers Bill for Vote Parliament Passes Bill Immuniza tion- Related Provisions Implemen ted Kenya Child Health Law Dec11-Feb12 Social Health Insurance Bill Feb12*-Sep13 1 National Immunisation Law Sep13-Sep14 2 General Bill on Health Sep 14*-Present 2 Vaccine Procurement Bill Oct14*-Present Liberia National Immunisation Law Jun12Mar13-Jun13 ? Jun13 Jun13-Present Nigeria National Health Law Dec13* ? ? Dec13-Dec14 Sierra Leone National Immunisation Law Feb12- May15 Private Members' Immunisation Bill May15- Aug15 Public Health Act Aug15*- Present Uganda National Immunisation Law Sep11-Jun12 Feb12- Present 7 Apr14 † As reported to SIF HQ through internal monthly field reporting framework. * Denotes estimated date on which immunization-related content entered project. Legend Active Project Discontinued Project
- 7. Case study • How and in which institution did the legislative project originate? • Who were the original champions? • Who are the current champions? • What mechanism was used to launch the legislative project? – Government-led or parliament-led – Type of legislation, legislative document
- 8. Case study • Describe each stage of the project so far – Which stage was easiest? Why? – Which stage was most difficult? Why? • Has the original draft bill been revised? – Describe the revision process • What is the current status of the bill? – If pending, what is the likelihood it will be passed by parliament by June 2016?
- 9. Thank you!
- 10. Thank you!