Evidence Based Legislation - Programme
Improving East African Health Care through Evidence Based Legislation
1-5 February 2010
Kampala, Uganda
Day 1
Day 1: Monday, 1 February 2010Using institutional legislative theory and methodology (ILTAM) as a guide to design effectively |
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| 08.00 - 09.00 |
Registration |
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| 09.00 - 09.30 |
Opening Ceremony – EALA/UNDESA Hon. Lydia Wanyoto – Mutende, Chairperson General Purpose Committee, EALA |
The workshop is opened by a high profile dignitary. |
| 09.30 - 10.30 |
Plenary Session Institutionalist Legislative Theory and Methodology (ILTAM): A guide for: designing, drafting and assessing bills to provide all East Africans with better health care Presenter: Ann Seidman, |
This session will introduce the workshop’s methodology and objectives and more specifically the Institutionalist Theory and Methodology (ILTAM) as a mechanism for addressing the regional health care crisis through evidence based law making. The presenter will explore how ILTAM can serve as a guide to developing laws responsive to country-specific problems, and likely to work in the face of existing resources and constraints. |
| 10.30 – 10.50 | Coffee break | |
| 10.50-13.00 |
Plenary Session ILTAM four step problem-solving methodology as a guide for writing a research report – Introduction Step 1: Identifying (a) the nature and scope of the targeted social problem; and (b) the problematic behaviours that cause the problem. Step 2: Explaining the causes of the problematic behaviours mentioned in Step 1, based on evidence. Step 3: Designing a bill’s detailed provisions to address the causes of problematic behaviours. Step 4: Monitoring and supervising the law’s implementation and social impact after its enactment. Presenter: Lorna Seitz, ICLAD |
This session provides an introduction to ILTAM’s four steps, and helps participants appreciate why evidence-based policy development and legislation drafting is more effective than alternative methodologies. Using a case study drawn from the EAC source book, presenters guide participants through the process of identifying role occupants, describing and explaining problematic behaviours, narrowing the topic, and producing basic solutions. If time permits, participants discuss how the ILTAM approach differs from existing approaches to policy-making, and how the resultant solutions are also likely to differ. Session format: interactive lecture and group discussion. |
| 13.00-14.30 |
Lunch |
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| 14.30-15.20 |
Working Groups Step 1: Identifying the Social Problem
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Each facilitator briefly outlines what his/her group will do during the afternoon working groups, and summarizes his/her group’s case study. The group then asks questions, and offers evidence, to generate a more comprehensive, and factually-accurate, picture of the nature and scope of the social problem. During this session, groups focus on assessing the selection of role occupants, and on describing the behaviors of primary role occupants. |
| 15.20-15.40 |
Coffee break |
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| 15.40-16.40 |
Working Groups: Focusing on describing implementing officials’ problematic behaviors |
Groups conclude discussions of the statement of the social problem, focusing now on assessing the descriptions of implementing officials’ problematic behaviors. Groups critically evaluate reports, to ensure that the descriptions of problematic patterns of behavior accurately reflect local institutional differences, identify key implementing officials’ problematic behaviors and describe regional coordinating mechanisms. Presenter describes what the groups are expected to present during the Tuesday morning “report back” sessions, and participants prepare presentations describing their group’s social problem. A group representative will give this presentation during Tuesday’s first plenary session.
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| 16.40-17.00 |
Plenary Session |
Evaluate the day and explain the process for day two emphasizing the importance of reading the relevant chapters for day 2 |
Day 2
Day 2: Tuesday, 2 February 2010Using ILTAM’s problem-solving methodology’s Steps #2 and #3 to gather relevant facts |
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Reading |
Required: EAC resource book:chapter 2 and chapter to which group is assigned; Recommended: Drafters’ Manual, Chs. 5, 6; |
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| 9.00-10.30 |
Group Reports on Whose and What Behaviours Constitute the Social Problem an Effective Law Must Transform |
Groups present detailed problem statements, and receive comments from other groups. The discussion will focus on why it is important to understand problems in behavioural terms, approaches to identifying and selecting key role occupants, and the types of evidence required to test the validity of behavioural hypotheses. Group will identify strategies MPs can use to ensure that draft proposals are based on an accurate understanding of how key institutions function. A. One reporter for each group will give a 10 minute report on:
B. 20 minute plenary discussion to improve problem statements |
| 10.30-10.50 |
Coffee break |
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| 10.50-13.00 |
Plenary Session Step 2: Explaining the Legal and Non-Legal Causes of Problematic Behaviors Presenters: Ann Seidman and Lorna Seitz |
During this session, presenters introduce participants to the ROCCIPI categories (Rule Opportunity, Capacity, Communication, Interest, Process and Ideology) and explain how they can serve as a guide for developing hypotheses about the legal and non-legal causes of problematic behaviours. Participants will discuss the need to conduct research to challenge these explanatory hypotheses, and the need to revise explanatory hypotheses in light of country-specific evidence. |
| 13.00-14.30 |
Lunch |
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| 14.30-15.20 |
Working Groups: Assessing the probable causes of the relevant role occupants’ problematic behaviours |
Using the Rule, Opportunity, Capacity, Communication, Interest, Process and Ideology (ROCCIPI ) categories, each team should assess the evidence as to the causes of the primary role occupants’ and implementing agency personnel’s problematic behaviours. Working in pairs, participants seek to explain the causes of different actors’ problematic behaviours. Participants review the causal explanations contained in the EAC Resource Book, and see if these explanations match their own understanding of the facts. Participants develop research outlines to gather missing information. Participants revise their research reports to reflect a deeper understanding of why the various actors are doing what they are doing in the face of local resources and constraints. Note: this second step must provide the evidence on which a drafter relies in designing and drafting the bill’s detailed provisions. Workshop participants ensure that their explanations for why the various actors are engaging in the problematic behaviours are consistent with all available facts. |
| 15.20-15.40 |
Coffee Break |
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| 15.40-16.40 |
Plenary Session Assessing Legislation to Determine Whether/Not it is Likely to Work in the Face of Available Evidence, and Revising Legislative Provisions on the Basis of Available Evidence Presenters: Toby Dorsey / Sean Kelly |
After a brief presentation on ILTAM’s 3rd Step, and an introduction to ILTAM as a guide to legislative assessment, participants will be asked to predict whether/not a proposed solution is likely to work in the face of country-specific facts. We will draw legislative assessment exercises from the cases contained in the EAC Resource Book. These exercises will highlight the importance of drafting proposals on the basis of a comprehensive understanding of the country-specific fact pattern. |
| 16.40-17.00 |
Plenary Session Daily evaluation and planning session |
Evaluate the day and explain the process for day two emphasizing the importance of reading the relevant chapters for day 3 |
Day 3
Day 3: Wednesday, 3 February 2010Designing and structuring the bill’s detailed provisions Participants analyse whether the evidence (ie the bill’s structure) demonstrates that the bill’s drafters successfully used RIC-D-FRETT to translate the research report’s proposed legislative solution into logically-grouped and ordered prescriptions of the relevant role occupants’ appropriate behaviors; and whether the detailed legislative provisions listed in the relevant Resource Book chapter seem likely to change the relevant role occupants’ and implementing agency officials’ problematic behaviors as necessary to help resolve the targeted problem. Each group should conduct this assessment with detailed checklists re: content for the various RIC-D-FRETT categories in hand. |
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| Reading | EAC Resource Book, Ch. 2, esp. pp. 44-6; APKN drafting guide lines; each group’s members re-read the solution part of the research report in the chapter for which they are responsible. | |
| 09.00 – 10.00 |
RIC-D-FRETT Selection, and Organization, of Implementing Agency Special Considerations When Drafting Regional or National Laws that Require/Facilitate Local Elaboration and Implementation Presenter: Sean Kelly |
During this session, we will explore the factors a policy-maker should consider when selecting, and structuring, an implementing agency. We will also consider strategies for increasing the likelihood that implementing agency officials can, and will, perform their new duties as desired. |
| 10.00-10.20 | Coffee Break | |
| 10.20-12.00 |
Working Groups Step 3: Developing a Legislative Solution Responsive to the Country-Specific Causes of the Problematic Behaviours |
In continuation of Tuesday’s final session, each group assesses the legislative solution proposed in their Resource Book chapter. Group members must consider:
This session should hone participants’ skills in the areas of legislative assessment, developing evidence-based amendments to draft bills (or to existing laws), and advocacy on behalf of legislative proposals with a high likelihood of being effectively implemented. |
| 12.00-13.00 | Designing a Comprehensive Legislative Scheme: Using the RIC-D-FRETT checklist to translate a research report’s solution into a bill (EAC Resource Book, pp. 44-5) Presenter: Lorna Seitz /Ann Seidman |
In this session, we introduce the RIC-D-FRETT checklist for legislative completeness and demonstrate how to use the RIC-D-FRETT checklist to translate a research report’s solution into a detailed, well structured, legislative proposal. During the last half hour of the session, working groups consider whether existing legislation, or their proposed bill, adequately addresses all of the RIC-D-FRETT categories. Group members discuss the structure of the proposed bills -- proposing changes, as needed, to improve the bill’s logical structure. |
| 13.00-14.30 | Lunch | |
| 14.30-15.20 | Group Reports & Discussion |
Groups report back: Which of the RIC-D-FRETT categories are not adequately addressed either in existing law or in their draft bills? Discussion: Are these (or other) categories typically overlooked in the laws of the EAC’s, and member nations’, legislative assemblies? If so, to what effect? |
| 15.20-15.40 | Coffee break | |
| 15.40-16.40 |
Introduction to the APKN Drafting Guidelines Presenter : Toby Dorsey |
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| 16.40-17.00 |
Plenary Session Daily evaluation and planning session |
Evaluate the day and explain the process for day two emphasizing the importance of reading the relevant chapters for day 4 |
Day 4
Day 4: Thursday 4 February 2010Assessing and revising a proposed legislative solution to increase the likelihood that it will help to change the problematic behaviours (institutions) to facilitate resolution of the targeted social problem |
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| Readings: | Reading: Manual, Ch. 8, 9 (esp. pp. 205-215) B-Stream Manual (for ICLAD’s Distance Course), especially the rules proposed for ensuring a bill’s detailed sentences prove precise and unambiguous and adequately limit the relevant role occupant’s discretion in deciding how to behave in the face of the bill’s prescribed behaviours. | |
| Plenary session 09:00-10:20 |
Drafting for Clarity and Avoiding Ambiguity Presenter: Toby Dorsey , Sean Kelly |
In this session, the presenters will guide participants through the rules for drafting legislation that avoids ambiguity and that clearly defines what officials may, shall, or shall not do what. Participants will consider examples from existing legislation to determine whether it complies with the rules and then draft their own sentences to improve the examples according to the drafting rules. |
| 10:20-10:40 |
Coffee break |
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| 10.40-13.00 |
RIC-D-FRETT Rule-Making Provisions Presenter: Lorma Seitz and Ann Seidman |
Using the draft EAC bill to establish a health commission as an example, discuss the importance of stating criteria and procedures to make it likely that the Commission will make decisions and draft and promulgate regulations through transparent, accountable and participatory processes. Issues discussed:
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| 13.00-14.30 |
Lunch |
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| 14.30-15.20 |
RIC-D-FRETT Monitoring and Evaluation Provisions Presenter: Ann Seidman, Sean Kelly and Lorna Seitz |
Issues discussed:
Group Work: Design a monitoring system that ensures that new needs are identified and legislative impacts are appropriately assessed. |
| 15.20-15.40 |
Coffee break |
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| 15.40-16.40 |
Working Groups: |
Groups finalize their presentations, to ensure that they are prepared to present their problem statements, explanations and solutions for discussion. |
| 16.40-17.00 |
Daily evaluation and planning session |
The workshop facilitator(s) should ask all workshop participants to fill in a survey evaluation questionnaire for the final session on Day 4,. |
Day 5
Day 5: Friday the 5th of February 2010Translating a research report’s proposed legislative solution into a bill’s provisions into the detailed words required to ensure the solution’s effective implementation |
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| Readings: |
Manual, Ch. 10 (pp. 254-278), Ch. 11 (pp. 296-299) B-Stream manual for Distance Course – use rules to assess the detailed words of at least one of your team’s bills’ provisions. |
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| 09:00-10:30 |
Group Presentations & Editing Sessions |
Group presentations of initial report & bill, with highlights as to changes made to report and bill in course of workshop. Feedback from all participants regarding additional changes needed, evidence needed to support changes, suggested coordination mechanisms throughout EAC |
| 10:30-11.00 |
Coffee break |
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| 11.00 -12.00 |
Building the Legislator/ Policymaker – Drafter Relationship |
Group discussion of the “editing session” process, and how it differs from processes for policy-making and bill reform in use in EAC. In the existing system, how can an MP obtain necessary evidence and effectively advocate for reforms to draft policies and bills that are logically and factually warranted? |
| 12.00-13.00 |
Way forward and closure Presenter: EALA/UNDESA |
This session will summarize results of evaluation survey and its implications for next steps for strengthening regional legislative drafting capacity by the facilitators. |
| 13.00-14.30 |
Lunch |
End of workshop |
| 14.30-17.00 |
E-modules: Review Meeting |
The meeting will review proposed e-modules to ensure consistency and relevancy. It will also provide an opportunity to get inputs from experts in the field and working in Africa. Suggested methods for delivering the modules will be identified. |

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