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Table 4 Components shaping the prioritization of rehabilitation in national health systems

From: Prioritizing rehabilitation in low- and middle-income country national health systems: a qualitative thematic synthesis and development of a policy framework

Components

Sub-components

Description

Problem definition

Problem clarity

Common understanding of the definition and nature of rehabilitation

Solution acceptabilitya

Ability to reach consensus on solutions to advance rehabilitation policy and services, which are perceived as politically feasible and acceptable in the domestic context

Governance

Domestic advocacy coalitions

The cohesiveness, representativeness, and power of domestic proponents working to advance rehabilitation on the national agenda, inclusive of government and non-governmental actors

Transnational actors

The engagement of non-domestic actors concerned with rehabilitation – including donors, international organizations, and non-governmental organizations– through policy frameworks, normative influences, funding, and technical assistance

Structural factors

National legacies

The political and historical contexts that structure decision making and the existing rehabilitation system

Health system structures

The arrangements of health services, their financing, and processes for data collection and reporting

  1. a In this usage, solutions are considered a part of an issue’s problem definition because solutions carry implicit assumptions about what a challenge, or problem, means and the feasibility of addressing it through policy intervention