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AJPH First Look, published online ahead of print Mar 29, 2007
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May 2007, Vol 97, No. 5 | American Journal of Public Health 796-803
© 2007 American Public Health Association
DOI: 10.2105/AJPH.2006.095455

FRAMING HEALTH MATTERS

Generating Political Priority for Maternal Mortality Reduction in 5 Developing Countries

Jeremy Shiffman, PhD

Jeremy Shiffman is with the Maxwell School of Citizenship and Public Affairs of Syracuse University, Syracuse, NY, and the Center for Global Development, Washington, DC.

Correspondence: Requests for reprints should be sent to Jeremy Shiffman, 306 Eggers Hall, The Maxwell School of Syracuse University, Syracuse, NY 13244-1020 (e-mail jrshiffm{at}maxwell.syr.edu).

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.




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