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Table 3 Definitions of the five policymaking stages

From: Health financing policies in Sub-Saharan Africa: government ownership or donors’ influence? A scoping review of policymaking processes

Policymaking stage

Definition

Matching indicator of government ownership

Emergence

The moment where a predictable or unpredictable “policy window” is seized by decision makers for initiating a strategy aiming at addressing an emerging and sometimes burning issue [62]. Some authors refer to it as the stage of “agenda-setting”.

- Political will and leadership demonstrated at the highest level of government

Formulation

The stage where the content of the policy is defined

- Political will and leadership demonstrated at the highest level of government

- Effective engagement at technical and operational levels of government

- Capacity to act and coordinate actors within public agencies

Funding

The step where financial provisions are made available to the implementing structure in charge of the policy implementation.

- Effective engagement at technical and operational levels of government

- Mobilization of national resources for contributing to finance the policy

Implementation

Ability of the State to lead and coordinate the operationalization of the policy.

- Effective engagement at technical and operational levels of government

- Capacity to act and coordinate actors within public agencies

- Mobilization of national resources for contributing to finance the policy

Evaluation

Appreciating policy processes and outcomes [63].

- Effective engagement at technical and operational levels of government

- Capacity to act and coordinate actors within public agencies