Journal of Public Health Policy

, Volume 35, Issue 2, pp 185–203 | Cite as

Securing support for eye health policy in low- and middle-income countries: Identifying stakeholders through a multi-level analysis

  • Piergiuseppe Morone
  • Eva Camacho Cuena
  • Ivo Kocur
  • Nicholas Banatvala
Original Article


This article empirically evaluates advocacy in low- and middle-income countries as a key tool for raising policy priority and securing high-level decision maker support in eye health. We used a unique data set based on a survey conducted by World Health Organization in 2011 on eye care and prevention of blindness in 82 low- and middle-income countries. The theoretical framework derives from the idea that a plethora of stakeholders at local and global level pressure national governments, acting in economic and the political spheres. Previously, eye care has not been investigated in such a framework. We found structural differences across countries with different income levels and proposed policy recommendations to secure high-level decision makers’ support for promoting eye health. Three case studies suggest that, in order to secure more support and resources for eye health, domestic and international stakeholders must strengthen their engagement with ministries of health at political and above all economic levels.


eye health low and middle income countries stakeholders analysis multi-level analysis 



We gratefully acknowledge financial support from the Spanish Ministry of Science and Innovation (ECO2011-23634) and from Universitat Jaume I (P1.1B2012-27).


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Copyright information

© Palgrave Macmillan, a division of Macmillan Publishers Ltd 2013

Authors and Affiliations

  • Piergiuseppe Morone
    • 1
  • Eva Camacho Cuena
    • 2
  • Ivo Kocur
    • 3
  • Nicholas Banatvala
    • 3
  1. 1.DiGEF – Department of LawSapienza – Università di Roma, Philosophy and Economic StudiesRomaItaly
  2. 2.Department of EconomicsUniversitat Jaume ICastellónSpain
  3. 3.World Health OrganizationGenevaSwitzerland

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