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Chapter 23 - Using Health Research for Evidence-Informed Decisions in Health Systems in L&MICs

from Section 2 - Transforming Health Systems: Confronting Challenges, Seizing Opportunities

Published online by Cambridge University Press:  08 December 2022

By
Kabir Sheikh ,
Aku Kwamie  and
Abdul Ghaffar
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

Decisions taken by stakeholders at all levels of health systems can benefit from the use of different types of evidence drawn from heterogeneous research fields – including epidemiology, clinical and basic biomedical research, and health policy and systems research (HPSR). However, out of these diverse forms of evidence, HPSR is relatively underused and under-funded. Challenges associated with the use of HPSR in health systems in low- and middle-income countries (L&MIC) include the lack of opportunity and resources, the need for greater capacity for the generation and use of evidence, and fundamental problems around how the research agenda is framed. Evidence informed decision-making in L&MICs can be improved by better alignment of HPSR with health system needs, institutionalizing the use of HPSR evidence, and strengthening individual capacities to generate and use HPSR evidence. Several global, national and local-level initiatives have helped take strides in these areas, but more work and investments are needed to strengthen the use of appropriate evidence, especially HPSR evidence, in health systems.

Keywords

Health systemsHealth policy and systems researchEmbedded researchEvidence to policyHealth system needsDemand driven researchEvidence based medicineEvidence based health policyEvidence based policy makingEvidence informed decision making Informed decisionsResearch evidenceL&MIC
Type
Chapter
Information
Making Health Systems Work in Low and Middle Income Countries
Textbook for Public Health Practitioners
 , pp. 354 - 367
Publisher: Cambridge University Press
Print publication year: 2022

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References

World Health Organization. The World Health Report 2000: Health Systems – Improving Performance. Geneva, World Health Organization, 2000. www.who.int/whr/2000/en/whr00_en.pdf (accessed July 11, 2021).Google Scholar
Lipsky, M.. Street-level bureaucracy and the analysis of urban reform. Urban Aff Q 1971; 6(4): 391–409.CrossRefGoogle Scholar
Vickers, G.. The Art of Judgment: A Study of Policy Making. London, Chapman & Hall, 1965.Google Scholar
Argyris, C.. Organizational Learning II. Theory, Method, and Practice. London, FT Press, 1996.Google Scholar
Gibbs, N., Kwon, J., Balen, J., et al. Operational research to support equitable non-communicable disease policy in low-income and middle-income countries in the sustainable development era: a scoping review. BMJ Glob Health 2020; 5(6): e002259.CrossRefGoogle ScholarPubMed
Onoka, C. A., Hanson, K., Hanefeld, J.. Towards universal coverage: a policy analysis of the development of the National Health Insurance Scheme in Nigeria. Health Policy Plan 2015; 30(9): 1105–1117.Google Scholar
World Health Organization. Learning health systems: pathways to progress: flagship report of the Alliance for Health Policy and Systems Research. Geneva, World Health Organization, 2021. https://apps.who.int/iris/handle/10665/344891 (accessed February 16, 2022).Google Scholar
World Health Organization. World Report on Health Policy and Systems Research. Geneva, World Health Organization, 2017. https://apps.who.int/iris/bitstream/handle/10665/255051/9789241512268-eng.pdf (accessed July 18, 2021).Google Scholar
Abimbola, S.. The foreign gaze: authorship in academic global health. BMJ Glob Health 2019; 4(5): e002068.Google Scholar
Langlois, E. V., Daniels, K., Akl, E. A.. Evidence synthesis for health policy and systems: a methods guide. 2018. www.who.int/alliance-hpsr/resources/publications/hsr-synthesis/en/ (accessed July 10, 2021).Google Scholar
World Health Organization. Changing mindsets: strategy on health policy and systems research. 2012. www.who.int/alliance-hpsr/alliancehpsr_changingmindsets_strategyhpsr.pdf (accessed July 11, 2021).Google Scholar
Ghaffar, A., Langlois, E. V., Rasanathan, K., et al. Strengthening health systems through embedded research. Bull World Health Organ 2017; 95(2): 87.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
Kok, M. O., Gyapong, J. O., Wolffers, I., et al. Towards fair and effective North–South collaboration: realising a programme for demand-driven and locally led research. Health Res Policy Syst 2017; 15(1): 96.Google Scholar
Witter, S., Andrew, K., Molly, S., et al. Generating demand for and use of evaluation evidence in government health ministries: lessons from a pilot programme in Uganda and Zambia. Health Res Policy Syst 2017; 15: 86.Google Scholar
Goldman, I., Mathe, J. E., Jacob, C., et al. Developing South Africa’s national evaluation policy and system: first lessons learned. AEJ 2015; 3(1): 9.Google Scholar
Alliance for Health Policy and Systems Research. Rapid research responders: the life-saving power of embedded research. 2021. www.ahpsr.org/stories/rapid-research-responders-the-life-saving-power-of-embedded-research (accessed July 11, 2021).Google Scholar
Kerrigan, D., Kennedy, C. E., Cheng, A. S., et al. Advancing the strategic use of HIV operations research to strengthen local policies and programmes: the Research to Prevention Project. J Int AIDS Soc 2015; 18(1): 20029.Google Scholar
Shroff, Z., Aulakh, B., Gilson, L., et al. 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.Google Scholar
Academy of Medical Sciences. Strengthening clinical research capacity in low- and middle-income countries. 2017. https://acmedsci.ac.uk/policy/policy-projects/strengthening-clinical-research-capacity-in-low-and-middle-income-countries (accessed July 14, 2021).Google Scholar
Franzen, S. R., Chandler, C., Lang, T.. Health research capacity development in low and middle income countries: reality or rhetoric? A systematic meta-narrative review of the qualitative literature. BMJ Open 2017; 7(1):e012332.Google Scholar
Gilson, L.. Health Policy and Systems Research: A Methodology Reader. Geneva,Alliance for Health Policy and Systems Research, 2012.Google Scholar
Pitayarangsarit, S., Tangcharoensathien, V.. Sustaining capacity in health policy and systems research in Thailand. Bull World Health Organ 2009; 87(1): 72–74.Google Scholar
Walshe, K., Rundall, T. G.. Evidence-based management: from theory to practice in health care. Milbank Q 2001; 79(3): 429–457, iv–v.Google Scholar
Oliver, K., Lorenc, T., Innvær, S.. New directions in evidence-based policy research: a critical analysis of the literature. Health Res Policy Syst 2014; 12: 34.CrossRefGoogle ScholarPubMed
Sackett, D. L., Rosenberg, W.M., Gray, J. A., et al. Evidence based medicine: what it is and what it isn’t. BMJ 1996; 312: 70–72.Google Scholar
Brownson, R. C., Chriqui, J. F., Stamatakis, K. A.. Understanding evidence-based public health policy. Am J Public Health 2009; 99: 1576–1583.Google Scholar
Janati, A., Hasanpoor, E., Hajebrahimi, S., et al. An evidence-based framework for evidence-based management in healthcare organizations: a Delphi study. Ethip J Health Sci 2018; 28(3): 305–314.Google Scholar
Husson, H., Howarth, C., Sztramko, S. N., et al. The National Collaborating Centre for Methods and Tools (NCCMT): supporting evidence-informed decision-making in public health in Canada. 2021. www.canada.ca/en/public-health/services/reports-publications/canada-communicable-disease-report-ccdr/monthly-issue/2021-47/issue-5-6-may-june-2021/evidence-informed-decision-making-national-collaborating-centre-methods-tools.html (accessed July 12, 2021).Google Scholar
Green, A., Bennett, S.. Sound Choices: Enhancing Capacity for Evidence-Informed Health Policy. Geneva, Alliance for Health Policy and Systems Research, 2007.Google Scholar
Tricco, A. C., Langlois, E. V., Straus, S. E.. Rapid Reviews to Strengthen Health Policy and Systems: A Practical Guide. Geneva, World Health Organization, 2017.Google Scholar
Hamid, M., Bustamante-Manaog, T., Truong, V. D., et al. EVIPNet: translating the spirit of Mexico. Lancet 2005; 366(9499): 1758–1760.Google Scholar
World Health Organization. Partners’ health policy and systems research report – 2021. 2021. www.ahpsr.org/partners-hpsr-report/ (accessed February 16, 2022).Google Scholar
Argyrous, G.. Evidence based policy: principles of transparency and accountability. AJPA 2012; 71(4): 457–468.Google Scholar

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