S. In Cabo Verde, as an example, during the dialogues for the

This was a hard selection (Private pharmacist, Cabo Verde). Despite the fact that government officials in Cabo Verde wanted to restrict sales of only generic drugs, they had been SB 262470A web forced to consider inclusion of brand drugs in order to develop the policy. According to the respondents, in Togo there was tension in the debates in between the state and civil society organisations (mutual well being organisations) more than the organisation of health insurance coverage, which forced the government into additional dialogues at the sub-nationalWider AUY922 policy dialogues at the national levelMinistry of wellness level dialoguesRegional level dialoguesDepartmental dialogues at the ministerial levelDistrict level dialoguesDepartmental/specific region dialoguesPolicy dialogues at the neighborhood level NGO/civil society dialoguesHealth facility dialoguesFig. 1 Forms and logical flow of policy dialogues in Cape Verde, Guinea, Liberia, Togo and ChadMwisongo et al. BMC Well being Solutions Research 2016, 16(Suppl 4):Page 342 oflevel to agree on the function of insurance entities. In Liberia the handling of divergent views over the ministerial function in UHC are an excellent instance of how relational power was title= nature12715 applied, as noted by a respondent, We had a lot of delays because of the disagreement among the ministries of wellness and social affairs on their roles in UHC. Through several dialogues and presentations it became clear that it was greater to location it under the Ministry of Social Affairs ... the Ministry of Well being had to agree so as to move the course of action (Ministry of Wellness official, Liberia). In these examples, even though the pharmacists, the civil society organisations and also the Ministry of Social Affairs might be regarded as the winners, in the real sense the losers, mostly the government, stood to benefit ultimately because it was they who were responsible for developing the specified policies. This was a zero-sum game scenario [4]. It could also be argued that although a policy is created, it may not realize its purpose because of the power battles title= s13578-015-0060-8 which have influenced it, limiting its benefit. Some theorists argue that not all power is motivated by the want to defend personal advantages and that sometimes power is exerted and utilised merely to push for superior functionality on the overall health program [1]. As outlined by the respondents, this was seen within the dialogues in Togo, throughout which a bottom-up approach was used to gather details and proof from sub-national dialogues. Prescribed processes in the national level, as a basis for establishing tactics, have been resisted by the subnational level and instead they employed their own processes supported with proof from their districts. Intransitive energy, which calls for unification of efforts towards a common output, was applied on numerous occasions during these dialogues to generate collective outcomes. In the interviews, it was evident that in all of the 5 countries the stakeholders involved in the policy dialogues worked in a unified manner to generate a document or policy of interest.S. In Cabo Verde, one example is, throughout the dialogues for the development of title= AEM.01433-15 the pharmaceuticalpolicy, tension arose between government representatives and private pharmacists regarding the sale of brand drugs, as noted by a stakeholder, The Ministry of Well being had to agree to our request for provision of brand drugs if they wanted our support ...