Why did Polio Elimination Rise to the Top of Pakistan’s Health Agenda?
This article was written by Hira Farooq, a student in Gavin Yamey’s master’s course, “Global Health Policy: Transforming Evidence Into Policy.” In the piece, she uses John Kingdon’s well-known multiple streams policy framework to understand how and why Pakistan prioritized polio elimination. The framework proposes that a policy concern rises to the top of a national agenda when three “streams” collide: the problem stream (identification and definition of the problem), the policy stream (development of policy solutions), and the politics stream (the political climate). Kingdon also noted the importance of policy windows (moments in time when the streams converge) and policy entrepreneurs (individuals skilled at bringing the streams together). Since the establishment of its national Polio Eradication Programme in 1994, Pakistan has conducted hundreds of polio campaigns, declared polio…
