The third stream, the politics stream, includes the macropolitical conditions in a policy environment: the public mood, ideologies of the current leadership, and existence and activities of interest groups and the media (14).
According to Kingdon, a policy change process is conditioned by three analytically distinct streams: problem, policy and politics stream.
Kingdon's agenda-setting framework, suggests that when conditions in three streams: Problem, Politics and Policy, come together to bring an issue into the policy agenda, a window of opportunity arises for policy change [17].
This policy process fits with the Kingdon model of three streams: problems, politics and policy.
To some extent the commissioning of the IBoD study could be seen as addressing Kingdon's three streams: problem, politics, and policy [ 30], coming together in the hope that the study would offer answers and help progress in the field.
In the next section, extension of Kingdon's Multiple Streams (Problem, Policy and Politics streams) framework [41] is used to discuss the utilization of RSBY and MSBY MDR-TB benefit packages in terms of equity in benefitting the poor from these packages.
A challenge in applying this model to a programme change such as the ETA is identifying the appropriate level at which to consider the influences of the political climate (the politics stream).
The politics stream describes the political context in which health policy is set.
In the politics stream, no clear political transitions were discussed by stakeholders that could present a window of opportunity for reform.
The politics stream consists of political developments, in this case a trend of increasing energy imports and prices, along with enlargement of the EU to include NMS which felt their national security was undermined by dependence on gas imports (particularly from Russia).
