Cross-Country Study of Institutionalizing Social Participation in Health Policymaking: A Realist Analysis

Table 3

Origin of demand for public participation and contextual factors in selected countries.

Theme	Subtheme
	Thailand [8, 11, 20]	Iran [8, 21–26]	Chile [27–39]	France [8, 40–45]	Tunisia [8, 46–54]
Origin of demand for participation	(i) Right to health; (ii) Health inequality	(i) Health inequality; (ii) Health transformation plan	(i) Democratization and rights agenda; (ii) Health and social inequality	(i) HIV/AIDS crisis and the right to health; (ii) Health inequality	(i) Health inequality
Contextual conditions	(i) Dialogue space based on health reform movement in 1990; (ii) Political will and commitment; (iii) Trust and public demand for more participation in policymaking; (iv) Paradigm shift in health definition	(i) Political will and commitment; (ii) Dialogue space based on socialization of health	(i) Mobilization of popular classes prior to the 1973 military coup; (ii) Established biopsychosocial approach in primary healthcare	(i) Civil society activism; (ii) Political will and commitment; (iii) Dialogue space based on trust and respect	(i) Dialogue space after 2011 revolution; (ii) Societal dialogue for health system reform