1. Stakeholder analysis

2. 2 Policy and planning Key messages Stakeholder analysis is a very useful tool. Work out how to influence stakeholders on a specific issue Do it often Keep results private

3. 3 Policy and planning Actors (who) (stakeholders) Content (what) Process (how) Context (situation, where, when) from Gill Walt - LSHTM Policy process involves:

4. 4 Policy and planning Who are the stakeholders? ●The people – consumer organizations, the powerless ●Government Departments ●Private sector (health care providers, insurers, business) ●National NGOs & faith-based organisations ●Professional bodies ●Media & analysts ●Politicians ●Trade unions ●Development partners ●And more … … … …

5. 5 Policy and planning Stakeholder analysis What do we need to know about them? Are they … … Powerful  Weak Supportive  Opposed Engaged  Disinterested Accessible  Remote Flexible  Rigid

6. 6 Policy and planning How can we use this information? Power Level of support for a specific issue Low High Low High

7. 7 Policy and planning Changing stakeholders’ positions Form alliances to increase power Provide information to increase support Look for ‘win-win’ outcomes Persuade through communication Power Level of support for a specific issue Low High Low High

8. 8 Policy and planning Exercise: Stakeholder analysis Objective Practice analysing stakeholders and identifying if/how you need to influence them. Task (in groups) 1.Plot stakeholders position on the issue along each of the five criteria 2.Review the profiles and discuss whether it is appropriate 3.If not... discuss what you need to do to change stakeholder’s positions to be more favourable 4.Plot the first two criteria on the flipchart 5.Present the group’s stakeholder analysis in plenary

9. 9 Policy and planning Issues for exercise: Group 1 – Increasing utilization of Family and Soum Health Centers by increasing laboratory capacity Group 2 – Strengthening NCD screening and early treatment at Family and Soum Health Centers Group 3 – Strengthening the gate-keeping role of Family and Soum Health Centers Group 4 – Reducing hospital length of stay. Group 5 – Improving rational prescribing among doctors

10. 10 Policy and planning Stakeholder analysis profile 12345 PowerfulWeak SupportiveOpposed EngagedDisinterested AccessibleRemote FlexibleRigid

11. 11 Policy and planning Stakeholder analysis: Considerations Take care with sharing results of analysis Do stakeholder analysis often:- as issues arise as players change as stakeholder positions change over time Remember: others are doing the same analysis on you

12. Thank you