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Unpublished Paper
Workshop Democracy: Making Policy in Cote d'Ivoire
ExpressO (2014)
  • Max Levin
Development experts would benefit from a better understanding of how policy is made in developing countries. In this article, I describe how health policy is made in Cote d’Ivoire, from the perspective of a Westerner embedded in the Ministry of Health for 10 months. I provide a narrative of how one health system reform—performance-based financing—moved from policy idea to enacted reform. I describe the origins of the reform in Cote d’Ivoire, how the government came to support the reform, and then the mechanics of how the reform was enacted. I then present observations on how policymaking in Cote d’Ivoire differs from a Western democracy, including a discussion of the part played by local actors and Western organizations such as the World Bank. I conclude with recommendations for both Ivorian and Western technocrats on what practical steps they could take to achieve better reform outcomes.
  • Cote d'Ivoire,
  • Ivory Coast,
  • West Africa,
  • development law,
  • global health law,
  • health policy,
  • policymaking,
  • policy formulation,
  • policy implementation,
  • health reform,
  • health financing,
  • health systems research,
  • performance-based financing,
  • PBF,
  • participant observation,
  • World Bank
Publication Date
November 16, 2014
Citation Information
Max Levin. "Workshop Democracy: Making Policy in Cote d'Ivoire" ExpressO (2014)
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