Doing a stakeholder

analysis

ICHS 6

www.hpsa-africa.org

@hpsa_africa

www.slideshare.net/hpsa_africa

Introduction to Complex Health

Systems

An approach, tool or set of tools for

generating knowledge about actors -

individuals or organisations - so as to

understand their behaviour, intentions,

inter-relations and interests; and for

assessing the influence and resources

they bring to bear on decision-making or

implementation processes

(Varvasovsky and Brugha, 2000)

What is a stakeholder?

• Someone with a ‘vested’ interest in a situation

– affect or are affected by situation

– those who hold power in the situation (over

resources, policies),

– those who benefit or suffer from situation

– those who maintain situation

• May be visible or invisible in the situation

SHA is a management tool

• To understand agents positioning

• To assess the feasibility of future policy

directions

• To develop strategies for influencing

agents

• To facilitate the implementation of

projects

Challenges

• Difficulties of judgement and

interpretation

• Agents’ interests and concerns change

over time

• Actors’ interests not the only influences

over policy change

In public service

organisations, consider

• Those who control resources

• Those who have political influence

(including media, pressure groups)

• Those who have involvement in the

service delivery process

• Those who have impact on wider

environment of organisation (e.g.

regulatory bodies, local authorities)

Power of

actor

high support/

enthusiastic

&committed

<<

<<

compliant

not

mobilised

>>

>>

uncooperative

high

opposition/

hostile

Very High

v

v

Medium

v

v

Very Low

Copyright

Funding

You are free:

To Share – to copy, distribute and transmit the work

To Remix – to adapt the work

Under the following conditions:

Attribution You must attribute the work in the manner

specified by the author or licensor (but not in any way that

suggests that they endorse you or your use of the work).

Non-commercial You may not use this work for commercial

purposes.

Share Alike If you alter, transform, or build upon this work,

you may distribute the resulting work but only under the same

or similar license to this one.

Other conditionsFor any reuse or distribution, you must make clear to

others the license terms of this work.

Nothing in this license impairs or restricts the authors’

moral rights.

Nothing in this license impairs or restricts the rights of

authors whose work is referenced in this document.

Cited works used in this document must be cited following

usual academic conventions.

Citation of this work must follow normal academic

conventions. Suggested citation:

Introduction to Complex Health Systems, Presentation

6. Copyright CHEPSAA (Consortium for Health Policy &

Systems Analysis in Africa) 2014, www.hpsa-africa.org

www.slideshare.net/hpsa_africa

This document is an output from a project funded by the European Commission (EC) FP7-Africa (Grant no.

265482). The views expressed are not necessarily those of the EC.

The CHEPSAA partners

University of Dar Es SalaamInstitute of Development Studies

University of the WitwatersrandCentre for Health Policy

University of GhanaSchool of Public Health, Department of Health Policy, Planning and Management

University of LeedsNuffield Centre for International Health and Development

University of Nigeria Enugu Health Policy Research Group & the Department of Health Administration and Management

London School of Hygiene and Tropical MedicineHealth Economics and Systems Analysis Group, Depart of Global Health & Dev.

Great Lakes University of KisumuTropical Institute of Community Health and Development

Karolinska InstitutetHealth Systems and Policy Group, Department of Public Health Sciences

University of Cape TownHealth Policy and Systems Programme, Health Economics Unit

Swiss Tropical and Public Health InstituteHealth Systems Research Group

University of the Western CapeSchool of Public Health