The environmental, social, and economic value of Indonesia’s tropical forests has generated extensive interest and scrutiny, both local and global. International stakeholders are heavily involved in Indonesian forest policies, including in the issue of deforestation, both because of their immense interest in the Indonesian environment, and because of Indonesia’s lack of development capacity. Many of domestic and international stakeholders participating in the policy-making processes with regard to Indonesian forests have discrete views and concerns. A successful policy would be one that meets all the requirements of all such actors. This study was conducted to analyze the policy process including some questions about Indonesia’s policies for the prevention of deforestation: 1. ‘When are such policies formed?’, 2. ‘Who is involved in the policy-making process?’, 3. How are the resulting policies implemented?’ Appropriate research methods and analysis frameworks for the examination of policy processes were developed for this study and were applied to Indonesia’s deforestation prevention policies. The current study interviewed 72 of the 114 people who were involved in the policy-making process identified through this study, to analyze the means and motives that are involved in the policy-making process and to ascertain the respondents’ interactions with the other actors. The environmental contexts of the development of guidelines were examined by analyzing the streams of problems, politics, and policies through the Multiple Streams Framework to assess the manner in which the current Indonesian deforestation prevention policies have been established. Subsequently, the actors involved in the policy-making processes and the interactions between them were identified to create a structure of the policy network. Further, the parties that exert a significant influence on the deforestation prevention policy were identified. The characteristics of this policy network were confirmed, and the general network was classified into the Relation Network, Information Network and Trust Network. The result of the analyses reveals that the situation pertaining to the deforestation of Indonesian tropical forests has not substantially improved, even though the problem of forest degradation has been recognized in Indonesia for a long time now. The burden of environmental duties demanded from Indonesia by the international community has increased. As Indonesia has transformed politically from a long-standing military regime to a democratic government, its municipalities have gradually been strengthened and various levels of stakeholders including regional governments, NGO, and the private sector, have become actively invested in Indonesian policy-design. At the same time, international attention, and demand for preserving Indonesian forests have become more specific. Indonesia operated through a powerful presidential system and its president exerts much authority over the country’s society. In such a situation, the Indonesian President Susilo Bambang Yudhoyono (SBY)’s announcement at the G20 Summit in 2009 opened the Policy Window. President SBY declared that Indonesia would reduce emissions of greenhouse gas up to 41% 2020. This proclamation received much attention from both domestic and international groups, and led to sweeping changes in Indonesia’s forest policy. In all three of the above-mentioned sub-networks, the overwhelmingly powerful influence of the Ministry of Environment and Forestry, the main policy designer of the Indonesian deforestation prevention policy, was confirmed. The Ministry of Environment and Forestry was found to obtain the highest centrality value in the Relation Network and the gap between this actor and the other policy actors was extremely wide. However, the centrality value of the Ministry of Environment and Forestry was relatively low in the Information and Trust Networks, and this centrality was distributed to the other actors. These outcomes imply that not only the Ministry of Environment and Forestry, but also other organizations such as intergovernmental organizations and academic organizations contribute relevant information with regard to the policy, that the information dependency and trust of the other actors are decentralized, and that these other actors primarily depend on and trust international donors (e.g., World Bank, UN-REDD+ Task Force) and academics who are also interested actors in the formation of the forest policy of Indonesia. Many of the interested actors, especially intergovernmental organizations, academic organizations, NGOs, have access to the policy network of Indonesia’s deforestation prevention policy without any significant barriers. Hence, this policy network may be termed an open system. However, the internal policy actors are judged to be rigid in terms of their systems. The policy network for deforestation prevention has also emerged as a partially vertical hierarchy, as the Indonesian central government’s powerful initiative leads and directs the policy network along with a small number of other influential bodies. According to the classification of policy network types proposed by Marsh and Rhode (1992), the policy network for the prevention of deforestation in Indonesia may be described as an Issue Network with a vertical hierarchy.

Evidence-informed health policy making contributes to improved health outcomes by strengthening health systems. In addition, health policy decisions should take into consideration the needs and priorities of users of healthcare services. However, little research has been done to find best ways to facilitate evidence-informed and participatory health policymaking, particularly in low- and middle-income countries. This thesis is written based on three studies done in Ethiopia to fill this knowledge gap. In the first study, we examined whether, how and under what conditions evidence was used and service-users participated during the agenda-setting and policy formulation phases of selected policies in the ‘prevention of mother-to-child transmission of HIV’ program in Ethiopia using a multiple-case study design. In the second study, we identified strategies to facilitate evidence-informed health policy making using an online survey. In the third study, we identified strategies to facilitate participatory health policy making using a combined paper-based and Internet-based Delphi approach. The thesis does not have direct theoretical contribution. However, it will draw on two theoretical frameworks, namely Kingdon’s framework and the 3I+E framework. and use them in a setting from where they were originally developed. This thesis has two substantive and three methodological contributions. Substantively, the first study provides empirical evidence about the current practice of evidence-informed and participatory health policy making in a low-income, ‘revolutionary’ democratic country (Ethiopia). In addition, the studies have identified strategies to concretize the constitutional and policy provisions for evidence-informed and participatory health policy making in Ethiopia. The thesis has the following three methodological contributions. First, the studies explored the use of Kingdon’s multiple-streams framework and the 3I+E framework in predicting factors influencing agenda-setting and policy formulation phases, respectively, and in explaining the use of research evidence in informing these two phases in a ‘revolutionary’ democratic country where they have not previously been used. Second, the thesis has shown that paper-based and Internet-based Delphi could be combined in contexts with limited resources. Third, the thesis has demonstrated the possibility of training service-users as ‘peer’ researchers to collect and analyze data to inform their participation and maximize their contribution in surveys, forming a pyramid of participation. / Thesis / Doctor of Philosophy (PhD) / Evidence-informed health policy making can contribute to improved health outcomes by strengthening health systems. In addition, health policy decisions ultimately affect users of healthcare services. Thus, such decisions should take into consideration their needs and priorities. However, little research has been done to find best ways to facilitate evidence-informed and participatory health policymaking, particularly in low- and middle-income countries. This thesis is written based on three studies done in Ethiopia. In the first study, we examined whether, how and under what conditions evidence was used and service-users participated in the ‘prevention of mother-to-child transmission of HIV’ program in Ethiopia. In the second and third studies, we identified strategies to facilitate evidence-informed and participatory health policy making. In addition, we explored the possibility of combining Internet- and paper-based methods for consensus-building among policymakers, program managers, researchers, healthcare providers and service-users in settings with limited resources.