Improving communication of research findings: identifying the sources of information most important to national disease control officers in low- and middle-income countries

Abstract

SummaryMajor global health initiatives have brought new opportunities and increased funding for health programmes in countries tackling diseases, such as malaria, tuberculosis (TB), and HIV ⁄ AIDS. However, to deploy these investments effectively, health programme managers need much better access to research that assesses the advantages and disadvantages of different strategies. Communicating key findings via the sources of information that health officials use and trust helps to maximise the impact of research on policy and practice. We contacted heads of communicable disease programmes in six countries to ask them about their most important and most frequently used sources of information, as well as the source of information behind their most recent policy change. African respondents particularly emphasised the importance of the World Health Organization (WHO) to influence policy, as well as some mention of international donors. Asian respondents, however, reported being guided much more by in-country information and surveillance. 'Most recent' policy changes having to do with drug treatments (particularly for malaria, but also in one TB policy) were influenced by the WHO, while other TB and HIV policy changes drew on wider sources of information, depending on the nature of the policy change considered (e.g. service structure, treatment approach or populations targeted). Our approach illustrates a first step many researchers may wish to engage in to help guide dissemination strategies to maximise potential research uptake.

Enhancing Medication Risk Communication in Developing Countries: A Mixed Method Survey Among Doctors and Pharmacists in Malaysia

“…This concurs with a previous study which reported that Asian health o cials preferred guidance from in-country sources. [31] Trust in the source is a major factor in the success of risk communication, with low trust resulting in decreased uptake. [32] When organizations are not transparent in communicating risks, their credibility is reduced.…”

The social network of international health aid

“…We expect that the effect of the non-material aspects of health aid links results mainly from the transmission of knowledge and norms, which we will also refer to as communication. There is a body of evidence indicating that aid-related communication among officials across borders is a major source of inputs in domestic health policy making and, especially in the case of states with little endogenous research capacity, it is often the main source of inputs (Okuonzi & Macrae, 1995;Parkhurst et al, 2010;Sumner & Harpham, 2008;Trostle et al, 1999). The self-perception of officials in agencies such as the World Bank is often as providers of knowledge (Barnes et al, 2016).…”