Evaluating the Process and Extent of Institutionalization: A Case Study of a Rapid Response Unit for Health Policy in Burkina Faso

Zida, Andre; Lavis, John N.; Sewankambo, Nelson K.; Kouyaté, Bocar; Ouedraogo, Salimata

doi:10.15171/ijhpm.2017.39

Cited by 23 publications

(68 citation statements)

References 30 publications

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“…Recent research in this area (and after our seach cutoff) provides an idea of how process-oriented research on institutionalisation of knowledge use in LMIC health systems might be conducted. One is a body of work devoted to the formation of institutionalised structures for knowledge-informed policy-making in Burkina Faso [86][87][88]. This work is notable for the extent to which it implicitly addresses all three dimensions of institutionalisation (regulative, normative and cultural-cognitive) as well as its practical implications for health system development.…”

Section: Discussionmentioning

confidence: 99%

A scoping review of the uses and institutionalisation of knowledge for health policy in low- and middle-income countries

Koon

Windmeyer

Bigdeli

et al. 2020

Health Res Policy Sys

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There is growing interest in how different forms of knowledge can strengthen policy-making in low-and middleincome country (LMIC) health systems. Additionally, health policy and systems researchers are increasingly aware of the need to design effective institutions for supporting knowledge utilisation in LMICs. To address these interwoven agendas, this scoping review uses the Arskey and O'Malley framework to review the literature on knowledge utilisation in LMIC health systems, using eight public health and social science databases. Articles that described the process for how knowledge was used in policy-making, specified the type of knowledge used, identified actors involved (individual, organisation or professional), and were set in specific LMICs were included. A total of 53 articles, from 1999 to 2016 and representing 56 countries, were identified. The majority of articles in this review presented knowledge utilisation as utilisation of research findings, and to a lesser extent routine health system data, survey data and technical advice. Most of the articles centered on domestic public sector employees and their interactions with civil society representatives, international stakeholders or academics in utilising epistemic knowledge for policy-making in LMICs. Furthermore, nearly all of the articles identified normative dimensions of institutionalisation. While there is some evidence of how different uses and institutionalisation of knowledge can strengthen health systems, the evidence on how these processes can ultimately improve health outcomes remains unclear. Further research on the ways in which knowledge can be effectively utilised and institutionalised is needed to advance the collective understanding of health systems strengthening and enhance evidence-informed policy formulation.

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Section: Discussionmentioning

confidence: 99%

A scoping review of the uses and institutionalisation of knowledge for health policy in low- and middle-income countries

Koon

Windmeyer

Bigdeli

et al. 2020

Health Res Policy Sys

View full text Add to dashboard Cite

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“…Thus, it is in a privileged position to take the lead to support member countries to institutionalise EIP. The institutionalisation of EIP will require multiple and concerted efforts and high-level commitment from all players – at country level from policy-makers, researchers and the civil society and across all levels of the EVIPNet network, including the EVIPNet Europe Secretariat, WHO country offices and country teams/member countries [ 28 , 60 – 62 ]. Further, as shown in previous evaluations, for KTPs to have the greatest chance of success and institutionalisation, it will be important to ensure a clear mandate, strong leadership, and sufficient funding and human resources [ 28 , 60 , 62 , 63 ].…”

Section: Discussionmentioning

confidence: 99%

“…At WHO country office level, EVIPNet Europe should continue to build capacity for EIP and clearly demonstrate and advocate for links to strategic levers, including how EVIPNet Europe can, and has, helped to achieve national health targets. At the country level, it will be important to finance and support the work of EVIPNet, ensuring that, beyond individual champions, a dedicated institutionalised, multidisciplinary EVIPNet Europe country team is created, acting as the EIP focal point to the Ministry of Health with protected time to engage in the planning, implementation and M&E of EIP work on a sustainable long-term basis [ 28 , 60 – 62 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the performance and achievements of the WHO Evidence-informed Policy Network (EVIPNet) Europe

Lester

Haby

Chapman

et al. 2020

Health Res Policy Sys

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Background The Evidence-informed Policy Network (EVIPNet) is one of the key mechanisms introduced by WHO to reduce the research-to-policy gap. EVIPNet Europe was launched in 2012. We evaluated the performance and achievements of EVIPNet Europe with the overall aims (1) to inform future developments and strategic planning of EVIPNet Europe and (2) to contribute to the evidence base for organisational knowledge translation activities by sharing the lessons learnt. Methods The evaluation covered the WHO Secretariat of EVIPNet Europe and its 21 member countries, from its inception to mid-2018. A mixed methods design was used to assess changes in three domains, including triangulation of quantitative and qualitative methods, based on the EVIPNet Europe Monitoring & Evaluation framework and theory of change. Data were collected between August and October 2018. Data collection comprised documentary review, social media analysis, online country evaluation, key informant interviews and validated tools. Two case studies were also developed. Results The evaluation showed promising results as well as lessons to guide the future development of EVIPNet in the WHO European Region and other regions of the world. EVIPNet Europe appears to be filling a niche in promoting the capacity of Network member countries for evidence-informed policy-making. There is evidence that EVIPNet Europe’s capacity-building programme of work is improving knowledge and skills at the individual level. There has been an increase in activity and outputs since its establishment and evidence has been used to inform new policies in some member countries. However, the speed at which member countries are developing or publishing products varies greatly and no formalised knowledge translation platforms have yet been created. Financial and human resources are limited and staff turnover is a cause for concern, both at the WHO Secretariat and country team levels. Conclusions Six years since the launch of EVIPNet Europe, the Network has grown quickly, is clearly valued and has had some successes. However, more work and support are needed if it is to achieve its vision of a Europe in which high-quality, context-sensitive evidence routinely informs health decision-making processes that ultimately serve to strengthen health outcomes across the Region.

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“…According to Mijumbi-Deve and Sewankambo, [32], RRSs improve the timeliness and relevance of research evidence for policy-making and they are also thought to improve contact and interaction between users and producers of research evidence, the lack of which has been cited as a barrier for the use of research evidence during policy and decisionmaking. In Burkina Faso, the RRSs facilitated the use of research evidence in policymaking and largely reached the consolidation phase of the institutionalization after project leaders, convinced policy-makers of the importance of the service [56].…”

Section: Consider Political Acceptability Of the Policymentioning

confidence: 99%

Promoting the use of evidence in health policymaking in the ECOWAS region: the development and contextualization of an evidence-based policymaking guidance

Uneke

Sombié

Johnson

et al. 2020

Preprint

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Background The Economic Commission of the West African States (ECOWAS), through her specialised health Institution, the West African Health Organization (WAHO) is supporting Members States to improve health outcomes in West Africa. There is a global recognition that evidence-based health policies are vital towards achieving continued improvement in health outcomes. The need to have a tool that will provide systematic guide on the use of evidence in policymaking necessitated the production of the evidence-based policy-making (EBPM) Guidance. Methods Google search was performed to identify existing guidance on EBPM. Lessons were drawn from the review of identified guidance documents. Consultation, interaction and interviews were held with policymakers from the 15 West African countries during WAHO organized regional meetings in Senegal, Nigeria, and Burkina Faso. The purpose was to elicit their views on the strategies to promote the use of evidence in policymaking to be included in the EBPM Guidance. A regional Guidance Validation Meeting for West African policymakers was thereafter convened by WAHO to review findings from review of existing guidance documents and validate the EBPM Guidance. Results Out of the 250 publications screened, six publications fulfilled the study inclusion criteria and were reviewed. Among the important issues highlighted include: what evidence informed decision-making is; different types of research methods, designs and approaches, and how to judge the quality of research. The identified main target end users of the EBPM Guidance are policy/decision makers in the West African sub-region, at local, sub-national, national and regional levels. Among the key recommendations included in the EBPM Guidance include: properly defining/refining policy problem; reviewing contextual issues; initiating policy priority setting; considering political acceptability of policy; commissioning research; use of rapid response services, use of policy advisory/technical/steering committees; and use of policy briefs and policy dialogue. Conclusion The EBPM Guidance is one of the emerging tools that can enhance the understanding of evidence to policy process. The strategies to facilitate the use of evidence in policymaking outlined in the Guidance, can be adapted to local context, and incorporated validated approaches that can be used to promote evidence-to-policy-to-practice process in West Africa.

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Evaluating the Process and Extent of Institutionalization: A Case Study of a Rapid Response Unit for Health Policy in Burkina Faso

Cited by 23 publications

References 30 publications

A scoping review of the uses and institutionalisation of knowledge for health policy in low- and middle-income countries

A scoping review of the uses and institutionalisation of knowledge for health policy in low- and middle-income countries

Evaluation of the performance and achievements of the WHO Evidence-informed Policy Network (EVIPNet) Europe

Promoting the use of evidence in health policymaking in the ECOWAS region: the development and contextualization of an evidence-based policymaking guidance

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