What are the effects (positive, neutral, negative) of the public policy under study on the targeted health problem? ?? How effective is this policy in terms of its intermediate effects? ?? I

MPH Foundational Competencies (CEPH)
NCCHPP (2012) has outlined a framework for analyzing public policy. These dimensions include the effects (i.e., effectiveness, unintended effects,
equity) and implementation (i.e., cost, feasibility, acceptability) of policy. http://www.ncchpp.ca/docs/Guide_framework_analyzing_policies_En.pdf
Use this framework to analyze a policy concerning public health surveillance at the state or national level.
Part 1: Policy Identification – Identify a policy and give a brief summary of the policy that pertains to public health surveillance at the state or national level.
Part 2: Policy Evaluation
Evaluate the policy identified in Part 1 using the framework’s six dimensions: effectiveness, unintended effects, equity, cost, feasibility, and acceptability.
Use page 12 of the framework’s appendix http://www.ncchpp.ca/docs/Guide_framework_analyzing_policies_En.pdf and Select an answer to one relevant question in each sub-dimension
Dimension A: Policy Effects
o Sub-dimension A1: Effectiveness Apply the effectiveness dimension of the NCCHPP’s framework by selecting one of the following questions:
?? What are the effects (positive, neutral, negative) of the public policy under study on the targeted health problem?
?? How effective is this policy in terms of its intermediate effects?
?? Is the intervention logic of this policy plausible?
?? How does the implementation context influence this policy’s effectiveness?
?? How much time is needed before effects can be observed, and do these effects persist over time?
o Sub-dimension A2: Unintended effects Apply the unintended effects dimension of the NCCHPP’s framework by selecting one of the following
questions:
?? Does the policy under study produce unintended effects, whether positive or negative?
?? How can the negative unintended effects be mitigated?
o Sub-dimension A3: Equity Apply the equity dimension of the NCCHPP’s framework by selecting one of the following questions:
?? What are the effects (intended or unintended) of the policy under study on different groups?
?? Does this policy create, reinforce, or correct social inequalities in health?
Dimension B: Policy Implementation
o Sub-dimension B1: Cost Apply the cost dimension of the NCCHPP’s framework by selecting one of the following questions:
?? What are the financial costs and gains for the government? For other actors (industry, community organizations, consumers, taxpayers,
etc.)?
?? How are the costs distributed over time?
?? To what extent are the costs apparent?
?? How do the costs of the policy under study compare with those of other potential policies, including that of inaction?
?? What is the cost-effectiveness of the policy under study for the government? For society?
o Sub-dimension B2: Feasibility Apply the feasibility dimension of the NCCHPP’s framework by selecting one of the following questions:
?? Are the required human, material, and technological resources available?
?? Does the policy being studied fall under the legal jurisdiction of the authority who wishes to adopt it? Is it in conformity with existing
legislation?
?? Is this policy a follow-up to a pilot program?
?? Can this policy be administered by preexisting mechanisms?
?? Is the authority promoting this policy also the one that will implement it? If not, how many different actors are involved in implementing this policy? Are they effectively guided by the policy’s promoters? Do they cooperate well? ?? Do the opponents of this policy have the ability to interfere with its adoption? Its implementation?
o Sub-dimension B3: Acceptability Apply the acceptability dimension of the NCCHPP’s framework by selecting one of the following questions:
?? Which actors are, or would be, affected by the public policy under consideration?
?? Is the problem this policy targets a social issue requiring intervention?
?? What are stakeholders’ reactions to intervening to address this problem?
?? How do stakeholders think the issue should be addressed?
Part 3: Impact on Public Health and Equity
Describe the impact this policy has on public health and health equity. Ensure your response includes the following:
A description of the vulnerable population/community
The health inequity (i.e., health disparity) addressed or created by the policy?and how health equity may be achieved.
The relevant social determinants of health associated with the population/community.

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