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Implementation Science
Published in: Implementation Science 1/2014

Open Access 01-12-2014 | Research

Feasibility of a rapid response mechanism to meet policymakers' urgent needs for research evidence about health systems in a low income country: a case study

Authors: Rhona M Mijumbi, Andrew D Oxman, Ulysses Panisset, Nelson K Sewankambo

Published in: Implementation Science | Issue 1/2014

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Abstract

Objectives

Despite the recognition of the importance of evidence-informed health policy and practice, there are still barriers to translating research findings into policy and practice. The present study aimed to establish the feasibility of a rapid response mechanism, a knowledge translation strategy designed to meet policymakers' urgent needs for evidence about health systems in a low income country, Uganda. Rapid response mechanisms aim to address the barriers of timeliness and relevance of evidence at the time it is needed.

Methods

A rapid response mechanism (service) designed a priori was offered to policymakers in the health sector in Uganda. In the form of a case study, data were collected about the profile of users of the service, the kinds of requests for evidence, changes in answers, and courses of action influenced by the mechanism and their satisfaction with responses and the mechanism in general.

Results

We found that in the first 28 months, the service received 65 requests for evidence from 30 policymakers and stakeholders, the majority of whom were from the Ministry of Health. The most common requests for evidence were about governance and organization of health systems. It was noted that regular contact between the policymakers and the researchers at the response service was an important factor in response to, and uptake of the service. The service seemed to increase confidence for policymakers involved in the policymaking process.

Conclusion

Rapid response mechanisms designed to meet policymakers' urgent needs for research evidence about health systems are feasible and acceptable to policymakers in low income countries.
Appendix
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Literature
1.
Cummings M: The National Library of Medicine. Coping With the Biomedical Literature: A Primer for the Scientist and the Clinician. 1981, Praeger, New York, 161-173.
2.
Bastian H, Glasziou P, Chalmers I: Seventy-five trials and eleven systematic reviews a day: how will we ever keep up?. PLoS Med. 2010, 7 (9): e1000326-10.1371/journal.pmed.1000326. doi:10.1371/journal.pmed.1000326CrossRefPubMedPubMedCentral
3.
Chalmers I, Glasziou P: Avoidable waste in the production and reporting of research evidence. Obstet Gynecol. 2009, 114 (6): 1341-1345. 10.1097/AOG.0b013e3181c3020d.CrossRefPubMed
4.
5.
The Bamako Call to Action on Research for Health. 2008
6.
The Mexico Statement on Health Research; Knowledge for Better Health: Strengthening Health Systems. 2004, The Ministerial Summit on Health Research, Mexico City
7.
Cheung A, Lavis JN, Hamandi A, El-Jardali F, Sachs J, Sewankambo N: Climate for evidence-informed health systems: a print media analysis in 44 low- and middle-income countries that host knowledge-translation platforms. Health Res Policy Syst. 2011, 9: 7-10.1186/1478-4505-9-7.CrossRefPubMedPubMedCentral
8.
Lavis JN: How can we support the use of systematic reviews in policymaking?. PLoS Med. 2009, 6: 11-10.1371/journal.pmed.1000141.CrossRef
9.
Uneke CJ, Ezeoha AE, Ndukwe CD, Oyibo PG, Onwe F: Promotion of evidence-informed health policymaking in Nigeria: bridging the gap between researchers and policymakers. Glob Public Health. 2012, 12: 750-765. 10.1080/17441692.2012.666255.CrossRef
10.
Lavis JN: Research, public policymaking, and knowledge-translation processes: Canadian efforts to build bridges. J Contin Educ Health Prof. 2006, 26 (1): 37-45. 10.1002/chp.49.CrossRefPubMed
11.
Granados A, Jonsson E, Banta HD, Bero L, Bonair A, Cochet C, Freemantle N, Grillia R, Grimshaw J, Harvey E, Levia R, Marshall D, Oxman A, Pasar TL, Räisänen V, Rius E, Espinas JA: EUR-assess project subgroup report on dissemination and impact. Int J Technol Assess Health Care. 1997, 13: 220-286. 10.1017/S0266462300010370.CrossRefPubMed
12.
Nabyonga Orem J, Mafigiri DK, Marchal B, Ssengooba F, Macq J, Criel B: Research, evidence and policymaking: the perspectives of policy actors on improving uptake of evidence in health policy development and implementation in Uganda. BMC Public Health. 2012, 12: 109-10.1186/1471-2458-12-109.CrossRef
13.
Davis DA, Thomson MA, Oxman AD, Haynes RB: Changing physician performance: a systematic review of the effect of continuing medical education strategies. JAMA. 1995, 274 (9): 700-705. 10.1001/jama.1995.03530090032018.CrossRefPubMed
14.
The Know-Do Gap. 2005, Knowledge Translation in Global Health, Geneva
15.
Straus SE, Tetroe J, Graham I: Defining knowledge translation. Can Med Assoc J. 2009, 181 (3-4): 165-168. 10.1503/cmaj.081229.CrossRef
16.
Panisset U, Koehlmoos TP, Alkhatib AH, Pantoja T, Singh P, Kengey-Kayondo J, McCutchen B, Miguel GB: Implementation research evidence uptake and use for policy-making.Health Res Policy Syst 2012, 10(20): doi:10.1186/1478-4505-10-20.,
17.
Lavis JN, Guindon GE, Cameron D, Boupha B, Dejman M, Osei EJ, Sadana R: Bridging the gaps between research, policy and practice in low- and middle-income countries: a survey of researchers. CMAJ. 2010, 182 (9): E350-E361. 10.1503/cmaj.081164.CrossRefPubMedPubMedCentral
18.
Oxman AD, Lavis JN, Lewin S, Fretheim A: SUPPORT Tools for evidence-informed health Policymaking (STP) 1: what is evidence-informed policymaking?. Health Res Policy Syst. 2009, 7 (Suppl 1): S1-10.1186/1478-4505-7-S1-S1.CrossRefPubMedPubMedCentral
19.
20.
21.
Grimshaw JM, Santesso N, Cumpston M, Mayhew A, McGowan J: Knowledge for knowledge translation: the role of the Cochrane Collaboration. J Contin Educ Health Prof. 2006, 26 (1): 55-62. 10.1002/chp.51.CrossRefPubMed
22.
Hill PS: Aligning research with policy: the evidence for health policy in Viet Nam (VINE) project. J Sci (Tạp chí Khoa). 2010, 27 (61): 179-184.
23.
24.
Malawi's Knowledge Translation Platform. 2014
25.
El-Jardali F, Lavis JN, Ataya N, Jamal D: Use of health systems and policy research evidence in the health policymaking in eastern Mediterranean countries: views and practices of researchers. Implement Sci. 2012, 7: 2-10.1186/1748-5908-7-2.CrossRefPubMedPubMedCentral
26.
Innvaer S, Vist G, Trommald M, Oxman A: Health policy-makers' perceptions of their use of evidence: a systematic review. J Health Serv Res Policy. 2002, 7: 239-244. 10.1258/135581902320432778.CrossRefPubMed
27.
Oliver K, Innvaer S, Lorenc T, Woodman J, Thomas J: Barriers and Facilitators of the Use of Evidence by Policy makers: an updated systematic review Second Conference on Knowledge Exchange in Public Health Holland Fuse Conference. 2013, How to get practice into science, Noorwijkhout, Netherlands
28.
Lavis J, Davies H, Oxman A, Denis JL, Golden-Biddle K, Ferlie E: Towards systematic reviews that inform health care management and policy-making. J Health Serv Res Policy. 2005, Suppl 1: 35-48. 10.1258/1355819054308549.CrossRef
29.
Black N: Evidence based policy: proceed with care. Br Med J Adv Nurs. 2001, 323: 275-279.
30.
Kasonde JM, Campbell S: Creating a knowledge translation platform: nine lessons from the Zambia forum for health research. Health Res Policy Syst. 2012, 10: 31-10.1186/1478-4505-10-31.CrossRefPubMedPubMedCentral
31.
Ritter A: How do drug policy makers access research evidence?. Int J Drug Policy. 2009, 20 (1): 70-75. 10.1016/j.drugpo.2007.11.017.CrossRefPubMed
32.
Lavis JN, Lomas J, Hamid M, Sewankambo NK: Assessing country-level efforts to link research to action. Bull World Health Organ. 2007, 84: 620-628. 10.2471/BLT.06.030312.CrossRef
33.
Healy J, Maxwell J, Hong PK, Lin V: Responding to Requests for Information on Health Systems from Policy Makers in Asian Countries. 2007
34.
Titler MG: The evidence for evidence-based practice implementation. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Edited by: Hughes RG. 2008, Agency for Healthcare Research and Quality: AHRQ Publication No. 08-0043, Rockville, MD
35.
Yin RK: Case Study Research: Design and Methods. 2009, Sage Publications, Thousand Oaks, CA
36.
REACH-PI (U), SURE Project: Uganda Clearing House for Policy and Systems Research (UCHPSR) [Online]. Makerere University: Regional East African Community Health - Policy Initiative (Uganda country node); Available: 2014.r., [http://​www.​uchpsr.​org/​]
37.
Wallace J, Nwosu B, Clarke M: Barriers to the uptake of evidence from systematic reviews and meta-analyses: a systematic review of decision makers' perceptions. BMJ Open. 2012, 2: 1-14.
38.
Adam T, Hsu J, De Savigny D, Lavis JN, Røttingen JA, Bennett S: Evaluating health systems strengthening interventions in low-income and middle-income countries: are we asking the right questions?. Health Policy Plan. 2012, 27: iv9-iv19.PubMed
39.
Koon AD, Rao KD, Tran NT, Ghaffar A: Embedding health policy and systems research into decision-making processes in low- and middle-income countries. Health Res Policy Syst. 2013, 11: 30-10.1186/1478-4505-11-30.CrossRefPubMedPubMedCentral
40.
Ganann R, Ciliska D, Thomas H: Expediting systematic reviews: methods and implications of rapid reviews. Implement Sci. 2010, 19 (5): 56-10.1186/1748-5908-5-56.CrossRef
41.
Khangura S, Konnyu K, Cushman R, Grimshaw J, Moher D: Evidence summaries: the evolution of a rapid review approach. Syst Rev. 2012, 1 (1): 10-10.1186/2046-4053-1-10.CrossRefPubMedPubMedCentral
42.
Saul JE, Willis CD, Bitz J, Best A: A time-responsive tool for informing policy making: rapid realist review. Implement Sci. 2013, 5 (8): 103-10.1186/1748-5908-8-103.CrossRef
43.
Dobbins M, DeCorby K, Twiddy T: A knowledge transfer strategy for public health decision makers. Worldviews Evid Based Nurs. 2004, 1: 120-128. 10.1111/j.1741-6787.2004.t01-1-04009.x.CrossRefPubMed
44.
Hawkins R, Kreuter M, Resnicow K, Fishbein M, Dijkstra A: Understanding tailoring in communicating about health. Health Educ Res. 2008, 23: 454-466. 10.1093/her/cyn004.CrossRefPubMedPubMedCentral
45.
Campbel S, Benita S, Coates E, Davies P, Penn G: Analysis for Policy: Evidence-Based Policy in Practice. 2007, Government Social Research Unit, London
46.
Strydom WF, FunkeI N, NienaberI S, NortjeI K, SteynII M: Evidence-based policymaking: a review. S Afr J Sci. 2010, 106: 5-6. 10.4102/sajs.v106i5/6.249.CrossRef
Metadata
Title
Feasibility of a rapid response mechanism to meet policymakers' urgent needs for research evidence about health systems in a low income country: a case study
Authors
Rhona M Mijumbi
Andrew D Oxman
Ulysses Panisset
Nelson K Sewankambo
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Implementation Science / Issue 1/2014
Electronic ISSN: 1748-5908
DOI
https://doi.org/10.1186/s13012-014-0114-z

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