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Changing fortunes: analysis of fluctuating policy space for family planning in Kenya

机译:命运的变化:肯尼亚计划生育政策空间的波动分析

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摘要

Policies relating to contraceptive services (population, family planning and reproductive health policies) often receive weak or fluctuating levels of commitment from national policy elites in Southern countries, leading to slow policy evolution and undermining implementation. This is true of Kenya, despite the government's early progress in committing to population and reproductive health policies, and its success in implementing them during the 1980s. This key informant study on family planning policy in Kenya found that policy space contracted, and then began to expand, because of shifts in contextual factors, and because of the actions of different actors. Policy space contracted during the mid-1990s in the context of weakening prioritization of reproductive health in national and international policy agendas, undermining access to contraceptive services and contributing to the stalling of the country's fertility rates. However, during the mid-2000s, champions of family planning within the Kenyan Government bureaucracy played an important role in expanding the policy space through both public and hidden advocacy activities. The case study demonstrates that policy space analysis can provide useful insights into the dynamics of routine policy and programme evolution and the challenge of sustaining support for issues even after they have reached the policy agenda.
机译:与避孕服务有关的政策(人口,计划生育和生殖健康政策)常常受到南方国家国家政策精英的承诺水平的削弱或波动,导致政策发展缓慢并破坏了实施。尽管肯尼亚政府在致力于人口和生殖健康政策方面取得了早期进展,并且在1980年代成功实施了这些政策,但肯尼亚的情况确实如此。这项关于肯尼亚计划生育政策的重要信息性研究发现,由于环境因素的变化以及不同参与者的行动,政策空间缩小了,然后开始扩大。在1990年代中期,由于在国家和国际政策议程中削弱了对生殖健康的优先考虑,削弱了获得避孕服务的机会,并拖延了该国的生育率,政策空间收缩了。但是,在2000年代中期,肯尼亚政府官僚机构中计划生育的倡导者在通过公共和隐性倡导活动扩大政策空间方面发挥了重要作用。案例研究表明,政策空间分析可以为例行性政策和计划演变的动力提供动态有用的见解,甚至可以在问题达到政策议程后继续为问题提供支持。

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