Table 6 The effective factors in the failure of CHE reduction policies in the category of process

Process

Stakeholder participation

Importance of stakeholders

Non-participation of stakeholders in policy design

Non-acceptance of responsibility between stakeholders

Non-alignment of stakeholders in the program

Intersectoral collaboration

Improperly implement program mechanisms

Weak intersectoral coordination

Disagreement of various stakeholders with the program

Improper organization of health system components

Monitoring and evaluation

Monitoring and evaluation

Weakness of regulatory institutions

Uncertainty of policy monitoring authority

Selective enforcement of rules

Weak oversight of the entire health system

Weakness in parliamentary oversight

Stewardship and leadership

Internal governance

Lack of determination in implementing programs

Managers are not familiar with the subject

Managers' short-term attitude to solving problems

Weakness in the stewardship of the MoHME

lack of commitment

Management instability (change management)

Interdisciplinary governance

Weakness in leadership and governance of the health system

Lack of transparency of duties

Lack of interaction between policy-makers and executives

Gap exists between policy formulation and implementation