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Health Research Policy and Systems
Published in: Health Research Policy and Systems 1/2019

Open Access 01-12-2019 | Review

Evidence map of knowledge translation strategies, outcomes, facilitators and barriers in African health systems

Authors: Amanda Edwards, Virginia Zweigenthal, Jill Olivier

Published in: Health Research Policy and Systems | Issue 1/2019

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Abstract

Background

The need for research-based knowledge to inform health policy formulation and implementation is a chronic global concern impacting health systems functioning and impeding the provision of quality healthcare for all. This paper provides a systematic overview of the literature on knowledge translation (KT) strategies employed by health system researchers and policy-makers in African countries.

Methods

Evidence mapping methodology was adapted from the social and health sciences literature and used to generate a schema of KT strategies, outcomes, facilitators and barriers. Four reference databases were searched using defined criteria. Studies were screened and a searchable database containing 62 eligible studies was compiled using Microsoft Access. Frequency and thematic analysis were used to report study characteristics and to establish the final evidence map. Focus was placed on KT in policy formulation processes in order to better manage the diversity of available literature.

Results

The KT literature in African countries is widely distributed, problematically diverse and growing. Significant disparities exist between reports on KT in different countries, and there are many settings without published evidence of local KT characteristics. Commonly reported KT strategies include policy briefs, capacity-building workshops and policy dialogues. Barriers affecting researchers and policy-makers include insufficient skills and capacity to conduct KT activities, time constraints and a lack of resources. Availability of quality locally relevant research was the most reported facilitator. Limited KT outcomes reflect persisting difficulties in outcome identification and reporting.

Conclusion

This study has identified substantial geographical gaps in knowledge and evidenced the need to boost local research capacities on KT practices in low- and middle-income countries. Evidence mapping is also shown to be a useful approach that can assist local decision-making to enhance KT in policy and practice.
Appendix
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Literature
1.
Green A, Bennett S. Sound Choices: Enhancing Capacity for Evidence-informed Health Policy. AHPSR Biennual Review. Geneva: WHO, Alliance for Health Policy and Systems Research; 2007.
2.
Conalogue DM, Kinn S, Mulligan J-A, McNeil M. International consultation on long-term global health research priorities, research capacity and research uptake in developing countries. Health Res Policy Syst. 2017;15:24.PubMedPubMedCentralCrossRef
3.
Poot CC, van der Kleij RM, Brakema EA, Vermond D, Williams S, Cragg L, et al. From research to evidence-informed decision making: a systematic approach. J Public Health. 2018;40(1):i3–i12.CrossRef
4.
El-Jardali F, Lavis J, Moat K, Pantoja T, Ataya N. Capturing lessons learned from evidence-to-policy initiatives through structured reflection. Health Res Policy Syst. 2014;12:2.PubMedPubMedCentralCrossRef
5.
Langlois EV, Becerril Montekio V, Young T, Song K, Alcalde-Rabanal J, Tran N. Enhancing evidence informed policymaking in complex health systems: lessons from multi-site collaborative approaches. Health Res Policy Syst. 2016;14:20.PubMedPubMedCentralCrossRef
6.
Barratt H, Shaw J, Simpson L, Bhatia S, Fulop N. Health services research: building capacity to meet the needs of the health care system. J Health Serv Res Policy. 2017;22:243–9.PubMedPubMedCentralCrossRef
7.
8.
Tetroe JM, Graham ID, Foy R, Robinson N, Martin P, Wensing M, et al. Health research funding agencies ’ support and promotion of knowledge translation: an international study. Milbank Q. 2008;86:125–55.PubMedPubMedCentralCrossRef
9.
van Olmen J, Criel B, Bhojani U, Marchal B, Van Belle S, Chenge MF, et al. Analysing health system dynamics: a framework. Stud Heal Serv Organ Policy. 2012;28:1–117.
10.
de Savigny D, Adam T. Systems Thinking for Health Systems Strengthening. Geneva: WHO, Alliance for Health Policy and Systems Research; 2009.
11.
Shroff Z, Aulakh B, Gilson L, Agyepong IA, El-Jardali F, Ghaffar A. Incorporating research evidence into decision-making processes: researcher and decision-maker perceptions from five low- and middle-income countries. Health Res Policy Syst. 2015;13:70.PubMedPubMedCentralCrossRef
12.
Graham ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, et al. Lost in knowledge translation: time for a map? J Contin Educ Heal Prof. 2006;26:13–24.CrossRef
13.
McKibbon KA, Lokker C, Wilczynski NL, Ciliska D, Dobbins M, Davis DA, et al. A cross-sectional study of the number and frequency of terms used to refer to knowledge translation in a body of health literature in 2006: a Tower of Babel? Implement Sci. 2010;5:16.PubMedPubMedCentralCrossRef
14.
Gervais MJ, Marion C, Dagenais C, Chiocchio F, Houlfort N. Dealing with the complexity of evaluating knowledge transfer strategies: guiding principles for developing valid instruments. Res Eval. 2016;25:62–9.CrossRef
15.
16.
Sudsawad P. Knowledge Translation: Introduction to Models, Strategies, and Measures. Austin: Southwest Educational Development Laboratory, The National Center for the Dissemination of Disability Research; 2007.
17.
18.
Kothari A, Wathen CN. A critical second look at integrated knowledge translation. Health Policy. 2013;109:187–91.PubMedCrossRef
19.
20.
21.
King L, Hawe P, Wise M. Making dissemination a two-way process. Health Promot Int. 1998;13:237–44.CrossRef
22.
Brownson RC, Royer C, Ewing R, McBride TD. Researchers and policymakers: travelers in parallel universes. Am J Prev Med. 2006;30:164–72.PubMedCrossRef
23.
Bosch-Capblanch X, Lavis JN, Lewin S, Atun R, Røttingen J-A, Dröschel D, et al. Guidance for evidence-informed policies about health systems: rationale for and challenges of guidance development. PLoS Med. 2012;9:e1001185.PubMedPubMedCentralCrossRef
24.
Harris R. The impact of research on development policy and practice: this much we know. In: Chib A, et al., editors. Impact of Information Society Research in the Global South. Singapore: Springer Singapore; 2015. p. 21–43.
25.
Langer L, Tripney J, Gough D. The Science of Using Science: Researching the Use of Research Evidence in Decision-making. London: EPPI-Centre, Social Science Research Unit, UCL Institute of Education, University College London; 2016.
26.
Cheetham M, Wiseman A, Khazaeli B, Gibson E, Gray P, Van der Graaf P, et al. Embedded research: a promising way to create evidence-informed impact in public health? J Public Health. 2018;40(1):i64–70.CrossRef
27.
Brownson RC, Fielding JE, Green LW. Building capacity for evidence-based public health: reconciling the pulls of practice and the push of research. Annu Rev Public Health. 2018;39:27–53.PubMedCrossRef
28.
Oliver K, Innvar S, Lorenc T, Woodman J, Thomas J. A systematic review of barriers to and facilitators of the use of evidence by policymakers. BMC Health Serv Res. 2014;14:2.PubMedPubMedCentralCrossRef
29.
Lavis JN, Oxman AD, Lewin S, Fretheim A. SUPPORT Tools for evidence-informed health Policymaking (STP)3: setting priorities for supporting evidence-informed policymaking. Health Res Policy Syst. 2009;7(Suppl 1):S3.PubMedPubMedCentralCrossRef
30.
Kothari A, Wathen CN. Integrated knowledge translation: digging deeper, moving forward. J Epidemiol Community Health. 2017;71:619–23.PubMedCrossRef
31.
Craveiro I, Hortale V, De Oliveira APC, Dal Poz M, Portela G, Dussault G. The utilization of research evidence in health workforce policies: the perspectives of Portuguese and Brazilian national policy-makers. J Public Health. 2018;40(Suppl 1):i50–6.CrossRef
32.
Koon AD, Nambiar D, Rao KD. Embedding of Research into Decision-making Processes. Geneva: Alliance for Health Policy and Systems Research, World Health Organization; 2012.
33.
Nutley S, Walter I, Davies H. Using Evidence: How Research can Inform Public Services. Bristol: The Policy Press; 2007.CrossRef
34.
35.
Oxman AD, Vandvik PO, Lavis JN, Fretheim A, Lewin S. SUPPORT Tools for evidence-informed health Policymaking (STP) 2: Improving how your organisation supports the use of research evidence to inform policymaking. Health Res Policy Syst. 2009;7(Suppl 1):S2.PubMedPubMedCentralCrossRef
36.
Ongolo-Zogo P, Lavis JN, Tomson G, Sewankambo NK. 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. Health Policy Plan. 2018;33:539–54.PubMedPubMedCentralCrossRef
37.
Newson R, King L, Rychetnik L, Milat A, Bauman A. Looking both ways: a review of methods for assessing research impacts on policy and the policy utilisation of research. Health Res Policy Syst. 2018;16:54.PubMedPubMedCentralCrossRef
38.
Newson R, Rychetnik L, King L, Milat A, Bauman A. Does citation matter? Research citation in policy documents as an indicator of research impact – an Australian obesity policy case-study. Health Res Policy Syst. 2018;16:55.PubMedPubMedCentralCrossRef
39.
Murphy K, Fafard P. Taking power, politics, and policy problems seriously. J Urban Heal. 2012;89:723–32.CrossRef
40.
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(1):109.CrossRef
41.
Moat KA, Lavis JN, Abelson J. How contexts and issues influence the use of policy-relevant research syntheses: a critical interpretive synthesis. Milbank Q. 2013;91:604–48.PubMedPubMedCentralCrossRef
42.
Tricco AC, Zarin W, Rios P, Pham B, Straus SE, Langlois EV. Barriers, facilitators, strategies and outcomes to engaging policymakers, healthcare managers and policy analysts in knowledge synthesis: a scoping review protocol. BMJ Open. 2016;6:e013929.PubMedPubMedCentralCrossRef
43.
44.
Kirigia JM, Pannenborg CO, Amore LGC, Ghannem H, IJsselmuiden C, Nabyonga-Orem J. Global forum 2015 dialogue on “From evidence to policy – thinking outside the box”: perspectives to improve evidence uptake and good practices in the African region. BMC Health Serv Res. 2016;16:215.PubMedPubMedCentralCrossRef
45.
Uzochukwu B, Onwujekwe O, Mbachu C, Okwuosa C, Etiaba E, Nyström ME, et al. The challenge of bridging the gap between researchers and policy makers: experiences of a Health Policy Research Group in engaging policy makers to support evidence informed policy making in Nigeria. Glob Health. 2016;12:67.CrossRef
46.
Grant MJ, Booth A. A typology of reviews: an analysis of 14 review types and associated methodologies. Health Inf Libr J. 2009;26:91–108.CrossRef
47.
Clapton J, Rutter D, Sharif N. SCIE Systematic mapping guidance. In: Using Knowledge in Social Care, Research Resource 03. London: Social Care Institute for Excellence; 2009.
48.
Randall NP, James KL. The effectiveness of integrated farm management, organic farming and agri-environment schemes for conserving biodiversity in temperate Europe: a systematic map. Environemental Evid. 2012;1:4.
49.
Bragge P, Clavisi O, Turner T, Tavender E, Collie A, Gruen RL. The Global Evidence Mapping Initiative: scoping research in broad topic areas. BMC Med Res Methodol. 2011;11:92.PubMedPubMedCentralCrossRef
50.
Miake-Lye IM, Hempel S, Shanman R, Shekelle PG. What is an evidence map? A systematic review of published evidence maps and their definitions, methods, and products. Syst Rev. 2016;5:28.PubMedPubMedCentralCrossRef
51.
52.
Pienaar E, Grobler L, Busgeeth K, Eisinga A, Siegfried N. Developing a geographic search filter to identify randomised controlled trials in Africa: finding the optimal balance between sensitivity and precision. Health Inf Libr J. 2011;28:210–5.CrossRef
53.
Edwards A. Exploring Knowledge Translation Mechanisms in the Western Cape Provincial Health System, Master thesis: University of Cape Town, Health Policy and Systems Division; 2018.
54.
Rodríguez DC, Shearer J, Mariano AR, Juma PA, Dalglish SL, Bennett S. Evidence-informed policymaking in practice: country-level examples of use of evidence for iCCM policy. Health Policy Plan. 2015;30(2):ii36–45.PubMedPubMedCentralCrossRef
55.
Moat KA, Lavis JN, Clancy SJ, El-Jardali F, Pantoja T. Evidence briefs and deliberative dialogues: perceptions and intentions to act on what was learnt. Bull World Health Organ. 2014;92:20–8.PubMedCrossRef
56.
57.
Berman J, Mitambo C, Matanje-Mwagomba B, Khan S, Kachimanga C, Wroe E, et al. Building a knowledge translation platform in Malawi to support evidence-informed health policy. Health Res Policy Syst. 2015;13:73.PubMedPubMedCentralCrossRef
58.
Stewart R, Wiggins M, Thomas J, Oliver S, Brunton G, Ellison GT. Exploring the evidence-practice gap: a workshop report on mixed and participatory training for HIV prevention in southern Africa. Educ Heal. 2005;18:224–35.CrossRef
59.
de Carvalho IA, Byles J, Aquah C, Amofah G, Biritwum R, Panisset U, et al. Informing evidence-based policies for ageing and health in Ghana. Bull World Health Organ. 2015;93:47–51.CrossRef
60.
Ashford LS, Smith RR, De Souza R-M, Fikree FF, Yinger NV. Creating windows of opportunity for policy change: incorporating evidence into decentralized planning in Kenya. Bull World Health Organ. 2006;84:669–72.PubMedPubMedCentralCrossRef
61.
Hyder AA, Corluka A, Winch PJ, El-Shinnawy A, Ghassany H, Malekafzali H, et al. National policy-makers speak out: are researchers giving them what they need? Health Policy Plan. 2011;26:73–82.PubMedCrossRef
62.
Behague D, Tawiah C, Rosato M, Some T, Morrison J. Evidence-based policy-making: the implications of globally-applicable research for context-specific problem-solving in developing countries. Soc Sci Med. 2009;69:1539–46.PubMedCrossRef
63.
Albert MA, Fretheim A, Maïga D. Factors influencing the utilization of research findings by health policy-makers in a developing country: the selection of Mali’s essential medicines. Health Res Policy Syst. 2007;5:2.PubMedPubMedCentralCrossRef
64.
Shearer JC, Dion M, Lavis JN. Exchanging and using research evidence in health policy networks: a statistical network analysis. Implement Sci. 2014;9:126.PubMedPubMedCentralCrossRef
65.
Dagenais C, Somé TD, Boileau-Falardeau M, McSween-Cadieux E, Ridde V. Collaborative development and implementation of a knowledge brokering program to promote research use in Burkina Faso, West Africa. Global Health Action. 2015;8:26004.PubMedCrossRef
66.
Uneke CJ, Ndukwe CD, Ezeoha AA, Uro-Chukwu HC, Ezeonu CT. Implementation of a health policy advisory committee as a knowledge translation platform: the Nigeria experience. Int J Health Policy Manag. 2015;4:161–8.PubMedPubMedCentralCrossRef
67.
68.
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;7:750–65.PubMedCrossRef
69.
Rispel LC, Doherty J. Research in support of health systems transformation in South Africa: the experience of the Centre for Health Policy. J Public Health Policy. 2011;32:S10–29.PubMedCrossRef
70.
McSween-Cadieux E, Dagenais C, Somé P-A, Ridde V. Research dissemination workshops: observations and implications based on an experience in Burkina Faso. Health Res Policy Syst. 2017;15:43.CrossRef
71.
Vargas E, Becerril-Montekio V, Gonzalez-Block MÁ, Akweongo P, Hazel CNA, de Famita Cuembelo M, et al. Mapping the use of research to support strategies tackling maternal and child health inequities: evidence from six countries in Africa and Latin America. Health Res Policy Syst. 2016;14:1.PubMedPubMedCentralCrossRef
72.
Guieu A, Zhang W-H, Lafort Y, Decat P, De Meyer S, Wang S, et al. Practical lessons for bringing policy-makers on board in sexual and reproductive health research. BMC Health Serv Res. 2016;16:649.PubMedPubMedCentralCrossRef
73.
Nabudere H, Asiimwe D, Amandua J. Improving access to skilled attendance at delivery: a policy brief for Uganda. Int J Technol Assess Health Care. 2013;29:207–11.PubMedCrossRef
74.
MacDonald NE, Bortolussi R, Kabakyenga J, Pemba S, Estambale B, Kollmann KHM, et al. Microresearch: finding sustainable local health solutions in East Africa through small local research studies. J Epidemiol Glob Health. 2014;4:185–93.PubMedCrossRef
75.
Hasnida A, Borst RA, Johnson AM, Rahmani NR, van Elsland SL, Kok MO. Making health systems research work: time to shift funding to locally-led research in the South. Lancet Glob Health. 2017;5:e22–4.PubMedCrossRef
76.
77.
78.
79.
Mitton C, Adair CE, Mckenzie E, Patten SB, Perry BE. Knowledge transfer and exchange: review and synthesis of the literature. Milbank Q. 2007;85:729–68.PubMedPubMedCentralCrossRef
80.
McPake B, Jensen C, Jones A. Learning Across Health Systems: Literature Review of International Health Policy Transfer Processes. Oxford: Oxford Policy Management; 2017.
81.
Bonell C, Fletcher A, Morton M, Lorenc T, Moore L. Realist randomised controlled trials: a new approach to evaluating complex public health interventions. Soc Sci Med. 2012;75:2299–306.PubMedCrossRef
82.
Gilson L, editor. Health Policy and Systems Research: A Methodology Reader. Geneva: World Health Organization; 2012.
83.
Panisset U, Koehlmoos TP, Alkhatib AH, Pantoja T, Singh P, Kengey-Kayondo J, et al. Implementation research evidence uptake and use for policy-making. Health Res Policy Syst. 2012;10:20.PubMedPubMedCentralCrossRef
84.
Westhorp G. Realist Impact Evaluation: An Introduction. London: Overseas Development Institute; 2014.
85.
Tulloch O, Mayaud P, Adu-Sarkodie Y, Opoku B, Lithur N, Sickle E, et al. Using research to influence sexual and reproductive health practice and implementation in sub-Saharan Africa: a case-study analysis. Health Res Policy Syst. 2011;9(1):S10.PubMedPubMedCentralCrossRef
86.
Van der Graaf P, Francis O, Doe E, Barrett E, O’Rorke M, Docherty G. Structural approaches to knowledge exchange: comparing practices across five centres of excellence in public health. J Public Health. 2018;40(1):i31–8.CrossRef
87.
Dobbins M, Robeson P, Ciliska D, Hanna S, Cameron R, O’Mara L, et al. A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies. Implement Sci. 2009;4:23.PubMedPubMedCentralCrossRef
88.
Haynes AS, Derrick GE, Redman S, Hall WD, Gillespie JA, Chapman S, et al. Identifying trustworthy experts: how do policymakers find and assess public health researchers worth consulting or collaborating with? PLoS One. 2012;7:e32665.PubMedPubMedCentralCrossRef
89.
West RM, House AO, Keen J, Ward VL. Using the structure of social networks to map inter-agency relationships in public health services. Soc Sci Med. 2015;145:107–14.PubMedCrossRef
90.
Cairney P, Oliver K. Evidence-based policymaking is not like evidence-based medicine, so how far should you go to bridge the divide between evidence and policy? Health Res Policy Syst. 2017;15:35.PubMedPubMedCentralCrossRef
91.
Kebede D, Zielinski C, Mbondji PE, Piexoto M, Kouvividila W, Lusamba-Dikassa P-S. The way forward – narrowing the knowledge gap in sub-Saharan Africa to strengthen health systems. J R Soc Med. 2014;107(1):10–2.PubMedPubMedCentralCrossRef
92.
93.
Moore G, Redman S, Haines M, Todd A. What works to increase the use of research in population health policy and programmes: a review. Evid Policy. 2011;7:277–305.CrossRef
94.
Gagliardi AR, Berta W, Kothari A, Boyko J, Urquhart R. Integrated knowledge translation (IKT) in health care: a scoping review. Implement Sci. 2016;11:38.PubMedPubMedCentralCrossRef
95.
Milat AJ, Li B. Narrative review of frameworks for translating research evidence into policy and practice. Public Heal Res Pract. 2017;27.
96.
Rodríguez DC, Hoe C, Dale EM, Rahman MH, Akhter S, Hafeez A, et al. Assessing the capacity of ministries of health to use research in decision-making: conceptual framework and tool. Health Res Policy Syst. 2017;15:65.PubMedPubMedCentralCrossRef
97.
Ongolo-Zogo P, Lavis JN, Tomson G, Sewankambo NK. Initiatives supporting evidence informed health system policymaking in Cameroon and Uganda: a comparative historical case study. BMC Health Serv Res. 2014;14:612.PubMedPubMedCentralCrossRef
98.
Keita N, Lokossou V, Berthe A, Sombie I, Johnson E, Busia K. The West African experience in establishing steering committees for better collaboration between researchers and decision-makers to increase the use of health research findings. Health Res Policy Syst. 2017;15:50.PubMedPubMedCentralCrossRef
99.
Lê G, Mirzoev T, Green A, Kalliecharan R. Consortium for Health Policy & Systems Analysis in Africa: Comparative Results of Capacity Needs Assessments in African Partner Institutions. CHEPSAA report. Leeds: Consortium for Health Policy & Systems Analysis in Africa; 2012.
100.
Paina L, Wilkinson A, Tetui M, Ekirapa-Kiracho E, Barman D, Ahmed T, et al. Using Theories of Change to inform implementation of health systems research and innovation: experiences of Future Health Systems consortium partners in Bangladesh, India and Uganda. Health Res Policy Syst. 2017;15:109.PubMedPubMedCentralCrossRef
101.
English M, Irimu G, Agweyu A, Gathara D, Oliwa J, Ayieko P, et al. Building learning health systems to accelerate research and improve outcomes of clinical care in low- and middle-income countries. PLoS Med. 2016;13(4):e1001991.PubMedPubMedCentralCrossRef
102.
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ. 2009;339:1–8.CrossRef
103.
Bennett S, Corluka A, Doherty J, Tangcharoensathien V, Patcharanarumol W, Jesani A, et al. Influencing policy change: the experience of health think tanks in low- and middle-income countries. Health Policy Plan. 2012;27:194–203.PubMedCrossRef
104.
Delany-Moretlwe S, Stadler J, Mayaud P, Rees H. Investing in the future: lessons learnt from communicating the results of HSV/ HIV intervention trials in South Africa. Health Res Policy Syst. 2011;9(Suppl 1):S8.PubMedPubMedCentralCrossRef
105.
Hennink M, Stephenson R. Using research to inform health policy: barriers and strategies in developing countries. J Health Commun. 2005;10:163–80.PubMedCrossRef
Metadata
Title
Evidence map of knowledge translation strategies, outcomes, facilitators and barriers in African health systems
Authors
Amanda Edwards
Virginia Zweigenthal
Jill Olivier
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Health Research Policy and Systems / Issue 1/2019
Electronic ISSN: 1478-4505
DOI
https://doi.org/10.1186/s12961-019-0419-0

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