McNaught, Allan (2003) Health policy and its implementation in small island developing states in the British West Indies. International Journal of Health Planning & Management, 18 (4). pp. 313-328. ISSN 0749-6753 (Print), 1099-1751 (Online) (doi:10.1002/hpm.733)

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Abstract

Health policy and its implementation in small island developing states (SIDS) is a neglected
area of study, and, seemingly, of little interest. The existing literature is generally characterized
by descriptions of failure or incompetence, with little attempt to understand the nature
and workings of the policy process in these small, yet complex, societies.
The research undertaken in this article was carried out over 6 years in Anguilla (pop. 9000)
and the British Virgin Islands (pop. 20 000), two British Overseas Territories in the North East
Caribbean. The purpose of the research was to determine to what extent policy theory and the
tools of policy analysis could be used to explain the nature and the outcomes of the health
policy and implementation process.
In trying to analyse and understand the policy process in these small islands it was necessary
to understand their socio-politic character. In addition, the development of a model of the
public policy and public administration system in the English-speaking Caribbean was an
essential part of this process.
It was found that the conduct and outcome of the policy and implementation process in
these islands varied significantly. It is postulated that the variations are anchored in the nature
of the local context, the working practices and ideologies of politicians, senior public servants
and the local policy elite

Item Type:	Article
Uncontrolled Keywords:	health policy, management, small islands, Caribbean
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences
Related URLs:	Publisher
Last Modified:	14 Oct 2016 09:08
URI:	http://gala.gre.ac.uk/id/eprint/2881

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