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Health Policy Process And Power

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Health Policy Process & Power essay

Question 3. Present a critical case study of evidence based/informed health policy making. In doing this, you will want to explain what the policy was, and what body of evidence was drawn upon or seen as relevant. Then you should explore the political aspects of the policy. If there was contestation over evidence (such as which evidence was used, what was seen as important, or how to interpret evidence), you can explain the views of the opposed groups, and the roles of different institutions or processes, which led to the final outcome.

A case study of evidence based health policy-making: Adopting DOTS for treatment of tuberculosis in Ukraine

This paper will cover the process by which Ukraine adopted …show more content…

(Oxman et al., 2009) This paper will look at the role of evidence in informing the adoption of DOTS in Ukraine, utilising Figure 1 from Oxman et al (2009) about how systematic reviews and local evidence affect policy change. Local evidence will mainly be analysed as the systematic review was done in order for WHO to recommend the DOTS strategy. As shown in this model it is important to also consider local evidence when making evidence-informed decisions, since specific country circumstances can have significant effect on policies and changing one policy may in fact require a number of other policies to be modified as well.

TB Control Program in Ukraine

The Ukraine was formerly a part of the Soviet Union and as such many of its policies continue from those that were in place during this period. The TB policy was one of these whereby TB cases were detected by mass screening the population and TB services were vertical structures and highly centralised. Treatment was performed in specialized TB hospitals and entailed long and non-standard treatments. (Vassall et al., 2009) Patients were treated through individualized treatment, which required them to stay between 6 months to 2 years in hospital.

Patients received TB services free of charge at point of delivery, as it was financed by national, regional and local budgets, the funds were provided by external agencies. The finances are managed by these

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