Framing universal health coverage in Kenya
An interpretive analysis of the 2004 Bill on National Social Health Insurance
Bibliographic Data
| ID | 11490452 |
|---|---|
| Authors | Adam D Koon (0000-0002-9031-9810, Johns Hopkins University, corresponding author), Susannah H Mayhew (0000-0002-2433-3809, London School of Hygiene & Tropical Medicine) |
| Year | 2021 |
| Volume | 35 |
| Issue | 10 |
| Pages | 1376-1384 |
| Publication date | 2021-02-16 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czaa133 |
| PMID | 33227121 |
| OpenAlex | W3108939017 |
| Language | EN |
| Citations received | 7 |
| References cited | 38 |
In 2004, President Mwai Kibaki of Kenya refused to sign a popular Bill on National Social Health Insurance into law. Drawing on innovations in framing theory, this research provides a social explanation for this decision. In addition to document review, this study involved interpretive analysis of transcripts from 50 semi-structured interviews with leading actors involved in the health financing policy process in Kenya, 2014–15. The frame-critical analysis focused on how actors engaged in (1) sensemaking, (2) naming, which includes selecting and categorizing and (3) storytelling. We demonstrated that actors' abilities to make sense of the Bill were largely influenced by their own understandings of the finer features of the Bill and the array of interest groups privy to the debate. This was reinforced by a process of naming, which selects and categorizes aspects of the Bill, including the public persona of its primary sponsor, its affordability, sustainability, technical dimensions and linkages to notions of economic liberalism. Actors used these understandings and names to tell stories of ideational warfare, which involved narrative accounts of policy resistance and betrayal. This analysis illustrates the difficulty in enacting sweeping reform measures and thus provides a basis for understanding incrementalism in Kenyan health policy
Discourse analysis · Framing (construction) · Health care · Health care reform · Incrementalism · Narrative · Narrative inquiry · Political science · Politics · Public relations · Sensemaking · Sociology · Global Maternal and Child Health · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Law · Public Administration · Health Policy
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The Interpretation of Cultures
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Agendas, alternatives, and public policies
The Political Uses of Expert Knowledge
Handbook of Critical Policy Studies
Media Images and the Social Construction of Reality
Nurses’ perceptions of universal health coverage and its implications for the Kenyan health sector
The political economy of universal health coverage
Framing and the health policy process
Achieving access
Framing mechanisms
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From Policy “Frames” to “Framing”
Progress towards universal coverage
Aristotelian framing
Universal Health Coverage for Inclusive and Sustainable Development
The social construction of reality
Understanding Emotions in Policy Studies through Foucault and Deleuze
Causal Stories and the Formation of Policy Agendas
| Unique citing works | 7 |
|---|---|
| Citations per year | 1,4 |
| Citation span | 2021 - 2026 (6) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 5 |