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Chapter 14 - Health Policy and Systems Research: The Role of Implementation Research

from Section 1 - Analyzing Health Systems: Concepts, Components, Performance

Published online by Cambridge University Press:  08 December 2022

By
David H. Peters  and
Olakunle Alonge
Edited by
Sameen Siddiqi ,
Awad Mataria ,
Katherine D. Rouleau  and
Meesha Iqbal
Sameen Siddiqi
Affiliation:
Aga Khan University
Awad Mataria
Affiliation:
World Health Organization, Egypt
Katherine D. Rouleau
Affiliation:
University of Toronto
Meesha Iqbal
Affiliation:
UTHealth School of Public Health, Houston
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Summary

This chapter highlights how the evolving field of implementation research is being used to address problems of implementation of health policies, programs, practices, and technologies in low and middle-income countries (L&MICs). Implementation research offers a way to understand and address implementation challenges and contribute to building stronger health systems within the realities of specific and changing contexts. It is used to assess how and why interventions work, including the feasibility, adoption, and acceptance of interventions and their coverage, quality, equity, efficiency, scale, and sustainability. A well-designed research question is critical to successful implementation research, and provides the basis for choosing the research methods and how likely the research will influence policy and practice. In describing the theories, frameworks and tools used in implementation research, they are shown to be well suited to address inter-dependent and complex problems around improving people’s wellbeing – a critical mandate for achieving Universal Health Coverage and the Sustainable Development Goals.

Keywords

Implementation researchImplementation scienceHealth Policy and Systems ResearchMulti-disciplinary researchPerformance managementOperational researchEvidence-based medicineResearch questionsTheoriesFrameworksL&MICResearch design
Type
Chapter
Information
Making Health Systems Work in Low and Middle Income Countries
Textbook for Public Health Practitioners
 , pp. 208 - 224
Publisher: Cambridge University Press
Print publication year: 2022

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References

World Health Organization. World Report on Health Policy and Systems Research. Geneva, World Health Organization, 2017. www.who.int/alliance-hpsr/resources/publications/worldreport-hpsr/en/ (accessed November 28, 2020).Google Scholar
World Bank. Improving health services in developing countries: from evidence to action. 2009. https://openknowledge.worldbank.org/bitstream/handle/10986/12335/48790.pdf?sequence=1&isAllowed=y (accessed September 11, 2020).Google Scholar
Landsverk, J., Brown, C. H., Chamberlain, P., et al. Design and analysis in dissemination and implementation research. In Brownson, R. C., Colditz, G. A., Proctor, E. K., eds., Dissemination and Implementation Research in Health: Translating Science to Practice. Oxford, Oxford University Press, 2012.Google Scholar
Theobald, S., Brandes, N., Gyapong, M., et al. Implementation research: new imperatives and opportunities in global health. Lancet 2018; 392(10160): 2214–2228.Google Scholar
World Health Organization. Implementation research in health: a practical guide. 2013. www.who.int/alliance-hpsr/resources/implementationresearchguide/en/ (accessed December 11, 2020).Google Scholar
Rabin, B. A., Brownson, R. C., Haire-Joshu, D., et al. A glossary for dissemination and implementation research in health. J Public Health Manag Pract 2008; 14: 117–123.CrossRefGoogle ScholarPubMed
Peters, D. H., Adam, T., Alonge, O., et al. Implementation research: what it is and how to do it. BMJ 2013; 347: f6753.Google Scholar
Nilsen, P.. Making sense of implementation theories, models and frameworks. Implement Sci 2015; 10(1): 53.Google Scholar
Active Implementation Research Network. Implementation stages. 2021. www.activeimplementation.org/frameworks/mplementation-stages/ (accessed September 14, 2020).Google Scholar
Logan, J., Graham, I.. Toward a comprehensive interdisciplinary model of health care research use. Sci Commun 1998; 20: 227–246.Google Scholar
Logan, J., Graham, I.. The Ottawa model of research use. In Rycroft-Malone, J., Bucknall, T., eds., Models and Frameworks for Implementing Evidence-Based Practice: Linking Evidence to Action. Oxford, Wiley-Blackwell, 2010.Google Scholar
Kitson, A. L., Harvey, G., McCormack, B.. Enabling the implementation of evidence-based practice: a conceptual framework. Qual Health Care 1998; 7: 149–158.Google Scholar
Rycroft-Malone, J.. Promoting action on research implementation in health services (PARIHS). In Rycroft-Malone, J., Bucknall, T., eds., Models and Frameworks for Implementing Evidence-Based Practice: Linking Evidence to Action. Oxford, Wiley-Blackwell, 2010.Google Scholar
Fixsen, D. L., Naoom, S. F., Blase, K. A., et al. Implementation research: a synthesis of the literature. 2005. http://citeseerx.ist.psu.edu/viewdoc/download;jsessionid=B2848E493952A6F47A4EBB48A67CB4C5?doi=10.1.1.610.6226&rep=rep1&type=pdf (accessed June 14, 2020).Google Scholar
Blase, K. A., Van Dyke, M., Fixsen, D. L., et al. Implementation science: key concepts, themes and evidence for practitioners in educational psychology. In Kelly, B., Perkins, D. F., eds., Handbook of Implementation Science for Psychology in Education. Cambridge, Cambridge University Press, 2012.Google Scholar
Jacobson, N., Butterill, D., Goering, P.. Development of a framework for knowledge translation: understanding user context. J Health Serv Res Policy 2003; 8: 94–99.CrossRefGoogle ScholarPubMed
Grol, R., Wensing, M., Eccles, M.. Improving Patient Care: The Implementation of Change in Clinical Practice. Edinburgh, Elsevier, 2005.Google Scholar
Durlak, J. A., DuPre, E. P.. Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Community Psychol 2008; 41: 327–350.CrossRefGoogle ScholarPubMed
Damschroder, L. J., Aron, D. C., Keith, R. E., et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 2009; 4(1): 1–5.Google Scholar
Atkins, L., Francis, J., Islam, R, et al. A guide to using the theoretical domains framework of behaviour change to investigate implementation problems. Implement Sci 2017; 12(1): 1–8.CrossRefGoogle ScholarPubMed
Rogers, E. M.. Diffusion of Innovations, 5th ed. New York, Free Press, 2003.Google Scholar
Kadushin, C.. Understanding Social Networks: Theories, Concepts, and Findings. New York, Oxford University Press, 2012.Google Scholar
Wenger, E., McDermott, R. A., Snyder, W.. Cultivating Communities of Practice: A Guide to Managing Knowledge. Cambridge, MA, Harvard Business Press, 2002.Google Scholar
Weiner, B. J.. A theory of organizational readiness for change. Implement Sci 2009; 4: 67.Google Scholar
May, C., Finch, T.. Implementing, embedding, and integrating practices: an outline of normalization process theory. Sociology 2009; 43(3): 535–554.CrossRefGoogle Scholar
Glasgow, R. E., Vogt, T. M., Boles, S. M.. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health 1999; 89: 1322–1327.Google Scholar
Green, L. W., Kreuter, M. W.. Health Program Planning: An Educational and Ecological Approach. New York, McGraw-Hill, 2005.Google Scholar
Proctor, E., Silmere, H., RaghaVan, R., et al. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Admin Policy Mental Health 2011; 38: 65–76.Google Scholar
Bartholomew, L. K., Markham, C. M., Ruiter, R. A. C., et al. Planning Health Promotion Programs: An Intervention Mapping Approach, 4th ed. San Francisco, 2016.Google Scholar
BMJ Best Practice. What is GRADE? 2020. https://bestpractice.bmj.com/info/us/toolkit/learn-ebm/what-is-grade/ (accessed March 3, 2021).Google Scholar
Cochrane Methods. Methodological expectations of Cochrane intervention reviews. 2020. https://methods.cochrane.org/methodological-expectations-cochrane-intervention-reviews (accessed March 19, 2021).Google Scholar
Rychetnik, L., Hawe, P., Waters, E., et al. A glossary for evidence based public health. J Epidemiol Community Health 2004; 58(7): 538–545.Google Scholar
Peters, D. H., Peters, M. A., Wickramasinghe, K., et al. Asking the right question: implementation research to accelerate national non-communicable disease responses. BMJ 2019; 20(365): l1868.Google Scholar
Boyko, J. A., Lavis, J. N., Abelson, J., et al. Deliberative dialogues as a mechanism for knowledge translation and exchange in health systems decision-making. Soc Sci Med 2012; 75: 1938–1945.CrossRefGoogle ScholarPubMed
Tran, N., Langlois, E. V., Reveiz, L., et al. Embedding research to improve program implementation in Latin America and the Caribbean. Rev Panam Salud Publica 2017; 41: e75.Google Scholar
Ghaffar, A., Langlois, E. V., Rasanathan, K., et al. Strengthening health systems through embedded research. Bull World Health Organ 2017; 95: 87.Google Scholar
Subramanian, S., Kibachio, J., Hoover, S., et al. Research for actionable policies: implementation science priorities to scale up non–communicable disease interventions in Kenya. J Glob Health 2017; 7: 010204.Google Scholar
Petticrew, M., Roberts, H.. Evidence, hierarchies, and typologies: horses for courses. J Epidemiol Community Health 2003; 57: 527–529.Google Scholar
Alonge, O., Rodriguez, D. C., Brandes, N., et al. How is implementation research applied to advance health in low-income and middle-income countries? BMJ Glob Health 2019; 4(2): e001257.Google Scholar
Yazbeck, A. S., Soucat, A.. When both markets and governments fail health. Health Syst Reform 2019; 5(4): 268–279.Google Scholar

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