Policy change frameworks are commonly used to understand policy development processes. However, few studies have attempted to apply these frameworks to the recent popular fee-free policy education at the high school level in Sub-Saharan Africa. Investigating fee-free policy development through policy change frameworks can assist both in identifying the genesis of past policies, including who the important actors are, how issues are framed and problematised, and how specific solutions are designed, as well as how to interpret unfolding policies. In this article, we review three prominent policy change frameworks: Baumgartner and Jones' "punctuated equilibrium framework," Sabatier and Jenkins-Smith's "advocacy coalition framework," and Kingdon's "multiple streams framework." After reviewing the frameworks, we apply them to two fee-free policies in Ghana which are Progressive Free Senior High School and Free Senior High School policies to understand the drivers of fee-free policy change. From the socio-political background, three main concepts were derived from these policy change frameworks deducing from the basic assumptions of these theories. They are domestic politics, political and policy entrepreneurs, and socio-economic dynamics. The results show that fee-free policies are largely driven by domestic politics and political and policy entrepreneurs in political executive positions. Factors under socio-economic dynamics are only scope conditions that are not significant to trigger the adoption of a fee-free policy.
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http://dx.doi.org/10.1007/s11077-022-09473-3 | DOI Listing |
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Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, GPO Box 2100, Adelaide, SA 5042, Australia.
This paper highlights cardiovascular disease (CVD) preventive access challenges and potential intervention strategies that address cardiovascular preventive service access gaps among African immigrants living in developed countries. Migration, coupled with changes in dietary habits, socio-economic factors, and cultural adjustments, contributes to a heightened risk of CVD among African immigrants. This risk is compounded by a lack of targeted preventive interventions and culturally tailored programmes, as well as challenges related to language barriers, health literacy, and digital literacy.
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In 2025 the changes in national leadership cast a surprising light and ineffable shadows on America's race, gender and class dynamics. Unexpectedly, women and people of color did not vote as a monolithic force in favor of one side or another of culture wars. In the health promotion discipline alarms are being sounded that America's new political leadership will use their newfound popularity among a wider constituency to question the integrity of public health and challenge the value of science writ large.
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Academy of Managed Care Pharmacy Foundation, Alexandria, VA.
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Objective: To identify emerging trends in managed care pharmacy.
Evolution
January 2025
Department of Environmental Science, Policy & Management, University of California Berkeley, Berkeley, CA, 94720, United States.
Selection on animal signal form often changes significantly with the environment, yet signal form may itself be environment dependent. Little is known about how variation in individual responses to changing environments affects the relationship between selection and the subsequent evolution of signal traits. To address this question, we assess the effects of variation in temperature on individual signaling and mating behavior responses across temperatures in the wolf spider Schizocosa floridana.
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