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Health Policy and Planning 2008 23(5):308-317; doi:10.1093/heapol/czn024
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Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2008; all rights reserved.
The online version of this article has been published under an open access model. Users are entitled to use, reproduce, disseminate, or display the open access version of this article for non-commercial purposes provided that: the original authorship is properly and fully attributed; the Journal and Oxford University Press are attributed as the original place of publication with the correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated. For commercial re-use, please contact journals.permissions@oxfordjournals.org

This article appears in the following Health Policy and Planning issue: Future directions for health policy analysis: a tribute to the work of Professor Gill Walt [View the issue table of contents]

‘Doing’ health policy analysis: methodological and conceptual reflections and challenges

Gill Walt1,*, Jeremy Shiffman2, Helen Schneider3, Susan F Murray4, Ruairi Brugha5 and Lucy Gilson3,6,7

1Health Policy Unit, London School of Hygiene and Tropical Medicine, UK.
2Maxwell School of Citizenship and Public Affairs, Syracuse University, Syracuse, NY, USA.
3Centre for Health Policy, University of the Witwatersrand, Johannesburg, South Africa.
4King's College London, UK.
5Department of Epidemiology, Royal College of Surgeons in Ireland, Dublin, Ireland.
6Health Economics and Financing Programme, London School of Hygiene and Tropical Medicine, UK.
7School of Public Health and Family Medicine, University of Cape Town, South Africa.

*Corresponding author. Health Policy Unit, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. E-mail: gill.walt{at}lshtm.ac.uk

The case for undertaking policy analysis has been made by a number of scholars and practitioners. However, there has been much less attention given to how to do policy analysis, what research designs, theories or methods best inform policy analysis. This paper begins by looking at the health policy environment, and some of the challenges to researching this highly complex phenomenon. It focuses on research in middle and low income countries, drawing on some of the frameworks and theories, methodologies and designs that can be used in health policy analysis, giving examples from recent studies. The implications of case studies and of temporality in research design are explored. Attention is drawn to the roles of the policy researcher and the importance of reflexivity and researcher positionality in the research process. The final section explores ways of advancing the field of health policy analysis with recommendations on theory, methodology and researcher reflexivity.

Key Words: Policy analysis, methodology, process, health policy

Accepted for publication 22 June 2008.


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