Assessing the influence of knowledge translation platforms on health system policy processes to achieve the health millennium development goals in Cameroon and Uganda: a comparative case study.
Assessing the influence of knowledge translation platforms on health system policy processes to achieve the health millennium development goals in Cameroon and Uganda: a comparative case study.
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DOI：
10.1093/heapol/czx194
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发表时间：
2018-05-01
影响因子：
3.2
通讯作者：
Sewankambo NK
中科院分区：
文献类型：
--
作者：
Ongolo-Zogo P;Lavis JN;Tomson G;Sewankambo NK
关于支持循证卫生系统决策 (EIHSP) 的举措（例如在非洲运营的知识翻译平台 (KTP)）的影响，缺乏经验数据。评估喀麦隆和乌干达政府附属机构内的两个 KTP 是否以及如何影响： (1) 旨在支持实现卫生千年发展目标 (MDG) 的卫生系统政策制定过程和决策； (2) EIHSP 的总体气候。我们对 2009 年至 2011 年间喀麦隆循证政策网络 (EVIPNet) 和乌干达区域东非社区卫生政策倡议 (REACH-PI) 参与的四个政策流程进行了嵌入式比较案例研究。我们结合了文件审查和对 54 个利益相关者的半结构化访谈。受卫生政策分析和知识利用方面的学术启发，采用了框架引导的主题分析。 EVIPNet 喀麦隆和 REACH-PI 乌干达对卫生系统政策决策产生了直接影响。证据简报的联合制作与在包容性证据知情的利益攸关方对话期间收集的隐性知识相结合，有助于重新界定卫生系统问题，揭示冲突根源，为达成共识奠定基础，并为实现卫生千年发展目标调整可行且负担得起的选择，从而做出决策。新的政策问题网络已经出现。 KTP 通过改变利益相互影响的方式、引入安全港审议来间接影响卫生政策进程，并通过改善政策相关证据的获取与背景观念因素相交叉。 KTP 被认为是对 EIHSP 的理解、接受和采用产生积极影响的变革推动者，因为它们在能力建设、快速证据合成和政策相关证据交换所方面的互补工作。这个嵌入式案例研究说明了两个 KTP 如何通过涉及政策问题网络、利益群体互动和证据支持的想法的途径影响政策决策，以及它们如何影响 EIHSP 的总体氛围。
There is a scarcity of empirical data on the influence of initiatives supporting evidence-informed health system policy-making (EIHSP), such as the knowledge translation platforms (KTPs) operating in Africa. To assess whether and how two KTPs housed in government-affiliated institutions in Cameroon and Uganda have influenced: (1) health system policy-making processes and decisions aiming at supporting achievement of the health millennium development goals (MDGs); and (2) the general climate for EIHSP. We conducted an embedded comparative case study of four policy processes in which Evidence Informed Policy Network (EVIPNet) Cameroon and Regional East African Community Health Policy Initiative (REACH-PI) Uganda were involved between 2009 and 2011. We combined a documentary review and semi structured interviews of 54 stakeholders. A framework-guided thematic analysis, inspired by scholarship in health policy analysis and knowledge utilization was used. EVIPNet Cameroon and REACH-PI Uganda have had direct influence on health system policy decisions. The coproduction of evidence briefs combined with tacit knowledge gathered during inclusive evidence-informed stakeholder dialogues helped to reframe health system problems, unveil sources of conflicts, open grounds for consensus and align viable and affordable options for achieving the health MDGs thus leading to decisions. New policy issue networks have emerged. The KTPs indirectly influenced health policy processes by changing how interests interact with one another and by introducing safe-harbour deliberations and intersected with contextual ideational factors by improving access to policy-relevant evidence. KTPs were perceived as change agents with positive impact on the understanding, acceptance and adoption of EIHSP because of their complementary work in relation to capacity building, rapid evidence syntheses and clearinghouse of policy-relevant evidence. This embedded case study illustrates how two KTPs influenced policy decisions through pathways involving policy issue networks, interest groups interaction and evidence-supported ideas and how they influenced the general climate for EIHSP.
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影响因子：
3.2
作者：
Bennett, Sara;Corluka, Adrijana;Aikins, Ama de-Graft
通讯作者：
Aikins, Ama de-Graft
影响因子：
5.3
作者：
GRINDLE, MS;THOMAS, JW
通讯作者：
THOMAS, JW
影响因子：
2.1
作者：
Hawkins, Benjamin;Parkhurst, Justin
通讯作者：
Parkhurst, Justin
影响因子：
4
作者：
El-Jardali, Fadi;Lavis, John;Ataya, Nour
通讯作者：
Ataya, Nour
DOI：
10.2471/blt.07.040386
发表时间：
2008-07-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Cordero, Cynthia;Delino, Rachel;Tugwell, Peter
通讯作者：
Tugwell, Peter