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  • Chapter 36 - Political Economy of Health Reforms in Low and Middle Income Countries

  • from Section 2 - Transforming Health Systems: Confronting Challenges, Seizing Opportunities
  • Edited by Sameen Siddiqi, Aga Khan University, Awad Mataria, World Health Organization, Egypt, Katherine D. Rouleau, University of Toronto, Meesha Iqbal, UTHealth School of Public Health, Houston
  • Book:
    Making Health Systems Work in Low and Middle Income Countries
    Published online:
    08 December 2022
    Print publication:
    29 December 2022, pp 563-577

  • Summary

    Meant for public health professionals, the Chapter explains what is meant by political economy and its relevance to health, why structural reforms in health are frequently influenced and obstructed by political considerations, how political expediency influences priority setting decisions in health that are frequently related to allocation of resources, and what measures can be taken to minimize political obstacles and barriers in favour of evidence-informed decisions. Political economy of health, as a field of study, grew rapidly in the 1970s that sought to explain the disparities in health care access and the socioeconomic differential in health status across society. Health system development, reform and transformation is a social and political intervention. Political economy analysis (PEA) is central to the successful formulation of health policies and plans and for ensuring their effective implementation. PEA can help to identify potential barriers and facilitators for policy and system change. PEA can help to identify potential barriers and facilitators for policy and system change.