Initial framework based on scoping review | Key changes after expert review | Key changes after key informant interviews and consensus building exercise |
Knowledge | ||
Definition: Stakeholder’s level of knowledge and understanding of the policy Domains:
Value scales: 1—No or minimum knowledge, 2—General knowledge, 3—Extensive knowledge | Definition: Retained Changes in domains:
Value scales: Retained | Definition: Retained Changes in domains:
Changes in value scales: 0—No knowledge, 1—Limited knowledge, 2—General knowledge, 3—Extensive knowledge Note: General knowledge defined as operational knowledge on policy, while extensive knowledge includes both operational knowledge and understanding of policy rationale |
Interest | ||
Definition: Extent to which stakeholders perceive policy implementation as relevant and likely to affect them Domains:
Value scales: 1—No or minimum interest, 2—Limited interest, 3—General interest, 4—High interest | Changes in definition: Stakeholder’s motivations and perceived impact of policy implementation to their own organisation Changes in domains:
Value scales: Retained | Definition: Retained Changes in domains:
Changes in value scales: 0—No Interest, 1—Limited interest, 2—General interest, 3—High interest |
Power | ||
Definition: The ability of the stakeholder to affect policy implementation Domains:
Value scales: 1—Low, 2—Medium, 3—High Note: Stakeholders rated based on possession and control of resources | Definition: Retained Changes in domains:
Changes in value scales: 1—Low, 2—Medium, 3—High Note: Stakeholders rated based on possession and control of resources and ability to make decisions in policy implementation | Changes in definition: The potential ability of the stakeholder to affect policy implementation based on resources Changes in domains:
Changes in value scales: 1—Low, 2—Medium, 3—High Note: Stakeholders rated based on possession and control of resources and potential to affect policy implementation |
Position | ||
Definition: Whether the stakeholder supports, opposes or is neutral about policy implementation Domains
Value scales: 1—Opponent, 2—Moderate opponent, 3—Neutral, 4—Moderate supporter, 5—Supporter | Definition: Retained Changes in domains:
Value scales: Retained | Definition: Retained Changes in domains:
Changes in value scales: 1—Strong opponent, 2—Moderate opponent, 3—Neutral, 4—Moderate support, 5—Strong support |
Source: Definitions, domains and value scales for the frameworks were adapted from elements in the methodological papers and studies of Varvasovsky and Brugha (2000), Schmeer (2000), Abiiro and McIntyre (2013), Lehmann and Gilson (2013), Caniato et al (2014), Dalglish et al (2015) and Sriram et al (2018) and feedback from health policy experts and stakeholders.