Assessing policy dialogues and the role of context: Liberian case study before and during the Ebola outbreak

• Published in: BMC health services research Vol. 16 Suppl 4; no. 1; p. 219
• Main Authors: Nabyonga-Orem, Juliet, Gebrikidane, Mesfin, Mwisongo, Aziza
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 18-07-2016; BioMed Central
• Subjects: Administrative Personnel - psychology; Analysis; Attitude to Health; Case studies; Comprehension; Disease Outbreaks; Ebola virus infections; Government Programs - economics; Government Programs - organization & administration; Health Planning Organizations - organization & administration; Health Policy; Health Priorities; Health Promotion - economics; Health Promotion - organization & administration; Healthcare Financing; Hemorrhagic Fever, Ebola - epidemiology; Humans; Information Dissemination; Interprofessional Relations; Liberia - epidemiology; Medical policy; Perception; Policy Making; Power, Psychological; Virus diseases; Liberia; Health system resilience; Policy dialogue; Ebola viral disease
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-016-1454-y

In the last decade participatory approaches have gained prominence in policy-making, becoming the focus of good policy-making processes. Policy dialogue is recognised as an important aspect of policy-making among several interactive and innovative policy-making models applied in different contexts and sectors. Recently there has been emphasis on the quality of policy dialogue in terms of how it should be conducted to attain participation and inclusiveness. However, there is paucity of evidence on how the context influences policy dialogue, particularly participation of stakeholders. Liberia's context, which is characterised as post-war, highly donor dependent and in recovery from the recent catastrophic Ebola outbreak, provides an opportunity to understand the influence of context on policy dialogue.
This was an exploratory study using qualitative methods. Key informant interviews were conducted using an interview guide. A total of 16 interviews were conducted, 12 at the national level and 4 at the sub national level. Data were analysed using inductive thematic content analysis.
The respondents felt that the dialogues were a success and involved important stakeholders; however, there were concerns about the improper methodology and facilitation used to conduct them. Opinions among the respondents about the process of generating and selecting the themes for the dialogues were extremely divergent. Both before and during the Ebola outbreak, the context was instrumental in shaping the dialogues according to the issue of focus, requirements for participation and the decisions to be made. Policy dialogues have become a platform for policy discussions and decisions in Liberia. It is a process that is well recognised and appreciated and is highly attributed to the success of the negotiations during the Ebola outbreak.
To sustain and strengthen policy dialogues in future, there needs to be proper information sharing through diverse forums and avenues, stakeholders' empowerment and competent facilitation. These will ensure that the process is credible and legitimate.