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      Civil society priorities for global health: concepts and measurement

      research-article
      Health Policy and Planning
      Oxford University Press
      Global health, civil society, agenda setting, priorities, social media, Twitter

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          Abstract

          The global health agenda—a high stakes process in which problems are defined and compete for the kind of serious attention that promises to help alleviate inequities in the burden of disease—is comprised of priorities set within and among a host of interacting stakeholder arenas. This study informs crucial and unanswered conceptual and measurement questions with respect to civil society priorities in global health. The exploratory two-stage inquiry probes insights from experts based in four world regions and pilots a new measurement approach, analysing nearly 20 000 Tweets straddling the COVID-19 pandemic onset from a set of civil society organizations (CSOs) engaged in global health. Expert informants discerned civil society priorities principally on the basis of observed trends in CSO and social movement action, including advocacy, programme, and monitoring and accountability activities—all of which are widely documented by CSOs active on Twitter. Systematic analysis of a subset of CSO Tweets shows how their attention to COVID-19 soared amidst mostly small shifts in attention to a wide range of other issues between 2019 and 2020, reflecting the impacts of a focusing event and other dynamics. The approach holds promise for advancing measurement of emergent, sustained and evolving civil society priorities in global health.

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          Most cited references33

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          Towards a common definition of global health

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            The Rise and Fall of Social Problems: A Public Arenas Model

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              Generation of political priority for global health initiatives: a framework and case study of maternal mortality.

              Why do some global health initiatives receive priority from international and national political leaders whereas others receive little attention? To analyse this question we propose a framework consisting of four categories: the strength of the actors involved in the initiative, the power of the ideas they use to portray the issue, the nature of the political contexts in which they operate, and characteristics of the issue itself. We apply this framework to the case of a global initiative to reduce maternal mortality, which was launched in 1987. We undertook archival research and interviewed people connected with the initiative, using a process-tracing method that is commonly employed in qualitative research. We report that despite two decades of effort the initiative remains in an early phase of development, hampered by difficulties in all these categories. However, the initiative's 20th year, 2007, presents opportunities to build political momentum. To generate political priority, advocates will need to address several challenges, including the creation of effective institutions to guide the initiative and the development of a public positioning of the issue to convince political leaders to act. We use the framework and case study to suggest areas for future research on the determinants of political priority for global health initiatives, which is a subject that has attracted much speculation but little scholarship.
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                Author and article information

                Contributors
                Journal
                Health Policy Plan
                Health Policy Plan
                heapol
                Health Policy and Planning
                Oxford University Press (UK )
                0268-1080
                1460-2237
                July 2023
                22 May 2023
                22 May 2023
                : 38
                : 6
                : 708-718
                Affiliations
                Virginia Tech , 900 N. Glebe Rd., Arlington, VA 22203-1822, USA
                Author notes
                *Corresponding author. Virginia Tech, 900 N. Glebe Rd., Arlington, VA 22203-1822, USA. E-mail: slsmith1@ 123456vt.edu
                Author information
                https://orcid.org/0000-0003-2987-6252
                Article
                czad034
                10.1093/heapol/czad034
                10274568
                37217184
                2a2dfd02-8f92-4452-924d-135f05ac1399
                © The Author(s) 2023. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

                History
                : 15 September 2022
                : 30 April 2023
                : 15 May 2023
                : 05 May 2023
                : 02 June 2023
                Page count
                Pages: 11
                Funding
                Funded by: Institute for Society and Culture;
                Categories
                Original Article
                AcademicSubjects/MED00860

                Social policy & Welfare
                global health,civil society,agenda setting,priorities,social media,twitter
                Social policy & Welfare
                global health, civil society, agenda setting, priorities, social media, twitter

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