Journal
HEALTH POLICY AND PLANNING
Volume 26, Issue 1, Pages 83-92Publisher
OXFORD UNIV PRESS
DOI: 10.1093/heapol/czq023
Keywords
Medical practitioners; power; policy analysis; implementation; discourse; public health guidelines; HIV testing; India
Funding
- Aga Khan Foundation
- DFID TARGETS Consortium at the LSHTM
- University of London
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The metaphor of public health guideline implementation throws light on the problematical nature of the power possessed by medical practitioners in relation to public health systems in India. Even as practitioners wield 'negative' power in their ability to resist authority, they appear to lack the 'positive' power to contribute intellectually to the policy process. This mix of political obduracy and intellectual demoralization among practitioners also underpins a subtle trend in public health, of the separation of the world of ideas from the world of actions. Study findings highlight that stronger regulations and provisions for accountability in Indian health systems critically need to be balanced by measures to develop collective intellectual capital and include the voices of frontline practitioners in public health policy discourse.
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