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Transnational actors and health care reform

Why international organizations initially opposed, and later supported, social health insurance in Ghana

Bibliographic Data

ID12608762
AuthorsIshmael Wireko (Johnson‐Shoyama Graduate School of Public Policy 101 Diefenbaker Place, Saskatoon Saskatchewan Canada S7N 5B8), Daniel Béland (0000-0003-2756-5629, Johnson‐Shoyama Graduate School of Public Policy 101 Diefenbaker Place, Saskatoon Saskatchewan Canada S7N 5B8, corresponding author)
Year2017
Volume26
Issue4
Pages405-415
Publication date2017-01-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Social Welfare (JOURNAL)
Journal identifiersISSN: 1369-6866 • E-ISSN: 1468-2397
PublisherWiley (PUBLISHER • GB)
DOI10.1111/ijsw.12257
OpenAlexW2580015894
LanguageEN
Citations received12
References cited29

Much has been written about the impact of transnational actors on health and social policy. In this article, we show how some international organizations’ efforts to prevent Ghana from enacting a social health insurance program in 2003 failed. We then explain why the Ghanaian government ignored these organizations’ advice and even excluded them from the policy formulation process altogether. Finally, we explore these organizations’ logic as they came to accept and even promote the new Ghanaian policy internationally. As argued, a temporal perspective on the impact of transnational actors and the way their prescriptions change over time is necessary if one is to capture transnational policy influence and its limitations. A temporal perspective is also important in explaining the logic of accommodation on the part of these actors, since this only becomes apparent over time. This is precisely why our qualitative analysis traces both domestic policy development and the changing nature of transnational ideas and prescriptions

Economic growth · Economics · Government (linguistics · Health care · Perspective (graphical · Political science · Public relations · Sociology · Global Maternal and Child Health · Healthcare Systems and Reforms · Law · Public Administration · Social Policy and Reform Studies · Health Policy

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Unique citing works12
Citations per year1,71
Citation span2019 - 2025 (7)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 12
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