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AJPH First Look, published online ahead of print Mar 29, 2007
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American Journal of Public Health, 10.2105/AJPH.2006.095455

Framing Health Matters

Generating Political Priority for Maternal Mortality Reduction in 5 Developing Countries

Jeremy Shiffman 1*

1 Syracuse University

* To whom correspondence should be addressed. E-mail: jrshiffm{at}maxwell.syr.edu.


  Abstract

I conducted case studies on the level of political priority given to maternal mortality reduction in 5 countries: Guatemala, Honduras, India, Indonesia, and Nigeria. Among the factors that shaped political priority were international agency efforts to establish a global norm about the unacceptability of maternal death; those agencies’ provision of financial and technical resources; the degree of cohesion among national safe motherhood policy communities; the presence of national political champions to promote the cause; the deployment of credible evidence to show policymakers a problem existed; the generation of clear policy alternatives to demonstrate the problem was surmountable; and the organization of attention-generating events to create national visibility for the issue. The experiences of these 5 countries offer guidance on how political priority can be generated for other health causes in developing countries.

Key Words: Global Health, Government, Health Policy, Health Promotion, Birth Outcomes




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