Research Article

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

Table 6

Challenges and facilitators in selected countries.

ThemeSubtheme
Thailand [8, 11, 20]Iran [8, 2126]Chile [2739]France [8, 4045]Tunisia [8, 4654]

Barriers(i) Weak influence on policies
(ii) Difficulties with diversity of approaches and beliefs of constituencies
(iii) Ensuring proper representation
(iv) Making the role of science and university smarter
(v) Establishing better links between national and provincial levels
(vi) Non-participation of some populations
(vii) Lack of awareness about NHA
(viii) Weak capacity of some constituencies for data analysis
(i) Lack of data generation structures for health dialogue space
(ii) Changing policies with managerial change
(iii) Insufficient performance of existing mechanisms
(i) Lack of data generation structures for health dialogue space
(ii) Lack of specific mechanisms
(i) Weak influence on policies(i) Lack of data generation structures for health dialogue space
(ii) Political and managerial instability
(iii) Socioeconomic instability
(iv) Lack of trust
Facilitator(i) Political will and commitment
(ii) Resources (structure, money, and manpower)
(iii) Dialogue space and skills
(i) General health policy
(ii) PHC structure
N/A(i) Political will and commitment
(ii) Dialogue space and skills
N/A

N/A: not available.