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KEYSTONE / Module 12 / Slideshow 1 / Knowledge Translation


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KEYSTONE HPSR Initiative // Module 12: Knowledge translation // Slideshow 1: Knowledge Translation
This is the first slideshow of Module 12: Knowledge translation, of the KEYSTONE Teaching and Learning Resources for Health Policy and Systems Research

To access video sessions and slides for all modules copy and past the following link in your browser:

Module 12: Knowledge translation
Knowledge translation (KT) has been defined as “a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically-sound application of knowledge” in order to improve health. KT in HPSR engages organizational, behavioural and political elements to link research and action. This module attends to theories, debates, approaches and ethics of KT.

There are 2 slideshows in this module.

Module 11: Knowledge translation
-Module 12 Slideshow 1: Knowledge Translation
-Module 12 Slideshow 2: Knowledge Translation: Discussion & Questions

The other modules in this series are:
Module 1: Introducing Health Systems & Health Policy
Module 2: Social justice, equity & gender
Module 3: System complexity
Module 4: Health Policy and Systems Research frameworks
Module 5: Economic analysis
Module 6: Policy analysis
Module 7: Realist evaluation
Module 8: Systems thinking
Module 9: Ethnography
Module 10: Implementation research
Module 11: Participatory action research
Module 13: Research Plan Writing

KEYSTONE is a collective initiative of several Indian health policy and systems research (HPSR) organizations to strengthen national capacity in HPSR towards addressing critical needs of health systems and policy development. KEYSTONE is convened by the Public Health Foundation of India in its role as Nodal Institute of the Alliance for Health Policy and Systems Research (AHPSR).

The inaugural KEYSTONE short course was conducted in New Delhi from 23 February – 5 March 2015. In the process of delivering the inaugural course, a suite of teaching and learning materials were developed under Creative Commons license, and are being made available as open access resources. The KEYSTONE teaching and learning resources include 38 videos and 32 slide presentations organized into 13 modules. These materials cover foundational concepts, common approaches used in HPSR, and guidance for preparing a research plan.

These resources were created and are made available through support and funding from the Alliance for Health Policy & Systems Research (AHPSR), WHO for the KEYSTONE initiative.

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KEYSTONE / Module 12 / Slideshow 1 / Knowledge Translation

  1. 1. Building the HPSR CommunityBuilding HPSR Capacity KEYSTONE Inaugural KEYSTONE Course on Health Policy and Systems Research 2015 Knowledge Translation (KT)
  2. 2. Knowledge Translation Rajani, Kerry, Shinjini, Kabir
  3. 3. Outline of presentation • Knowledge to Action Gap • Models for linking research to action • “What” should be disseminated? • Practical issues
  4. 4. Why is there a gap? - Information exists in a form that may not reach policy makers/programme implementers or get their interest - May not know that the information exists - May not see the information as irrelevant to their agenda - Attribute motive to information - misguided or false. Adapted from Bennett & Jessani 2011
  5. 5. What is KT? “a dynamic and iterative process that includes synthesis, dissemination, exchange and ethically-sound application of knowledge” in order to improve health (Canadian Institutes for Health Research).
  6. 6. A dialogic practice – unlike some other sciences THE HEALTH SYSTEM RESEARCHERS Promote inclusion of excluded voices Promote reflection and learning Stimulate discourse Inform policy choices Reframe debates Synthesize and analyze knowledge KNOWLEDGE UTILIZATION KNOWLEDGE CREATION OTHER HEALTH POLICY / SYSTEM ACTORS
  7. 7. Forms of Knowledge • Explicit: available in documents, orderly collation of data and information; • Potential: lies buried within data- but not yet used • Tacit: resides within people- not documented
  8. 8. Who is responsible for Knowledge Translation? Multiple actors - Researchers, - Policy Makers at different levels - Civil society, - Research funders
  9. 9. Models for linking research to action Source: Lavis et al 2006
  10. 10. Factors that affect Knowledge to Translation 1. Personal contact between researchers & policy makers – Role of influence 2. Timeliness and relevance of research 3. Summary with clear recommendations (including costs) 4. Good quality research 5. Research that confirms current policy or endorsed self-interest 6. Issue of interest 7. Research that included effectiveness data 8. Power and budget struggles 9. Political instability or high turnover of policy-making staff 10.Politics and agendas may more easily trump decision making than “policy evidence” (compared to clinical decisions) Adapted from Innvaer et al 2002,
  11. 11. What should be disseminated? • There are different types of evidence that can be disseminated, such as findings from individual studies, systematic review, actionable messages. • Marketing single studies, articles or reports can do harm • Systematic reviews: Are less likely to mislead, Have higher precision (confidence in predictions), More efficient use of time, Can be more constructively contested -
  12. 12. How should knowledge be disseminated and to whom? • There are different ways in which it can be disseminated - journals, policy briefs, presentations, media brief, journal articles, using social media, meetings conferences, internet fora • Identify stakeholders – those most likely to use the information, champions (to reach policy makers with influence (also those likely to oppose the information), craft a strategy for engagement, disseminate and monitor action.
  13. 13. Developing and implementing a communications strategy • DFID, Vogel 2011 Research Dissemination distributing information to various audiences within the academic community and beyond in forms that are appropriate to their needs, often a one- way process Research Communication communicating research outputs to a range of intermediate and end users, through an iterative, interactive and multi-directional process nvolving a wide range of stakeholders from planning, through, implementation and monitoring and evaluation Research Uptake Purposeful activities: - stimulate end users of research to become aware of, access and apply research knowledge - create an enabling environment by mobilising intermediaires, knowlegde brokers and the media to contextualise and connect research with end users in policy and practice
  14. 14. HPSR research and clinical /epidemiological research • HPSR often uses research methods that are perceived to be soft, value laden • HPSR findings with focus on contexts - palatable to some and not to others (complex so straightforward recommendations cannot be made) • Different audiences- need to cater to both.
  15. 15. DATA to ACTION • HMIS DATA: 32, 3, 15, 2013- (Alwar district- block level data) • INFORMATION: 32 home deliveries reported in the last three months which is up from 15 from the same time in 2012. • What next?
  16. 16. Thank You
  17. 17. Open Access Policy KEYSTONE commits itself to the principle of open access to knowledge. In keeping with this, we strongly support open access and use of materials that we created for the course. While some of the material is in fact original, we have drawn from the large body of knowledge already available under open licenses that promote sharing and dissemination. In keeping with this spirit, we hereby provide all our materials (wherever they are already not copyrighted elsewhere as indicated) under Creative Commons Attribution-NonCommercial 4.0 International License. To view a copy of this license visit This work is ‘Open Access,’ published under a creative commons license which means that you are free to copy, distribute, display, and use the materials as long as you clearly attribute the work to the KEYSTONE course (suggested attribution: Copyright KEYSTONE Health Policy & Systems Research Initiative, Public Health Foundation of India and KEYSTONE Partners, 2015), that you do not use this work for any commercial gain in any form and that you in no way alter, transform or build on the work outside of its use in normal academic scholarship without express permission of the author and the publisher of this volume. Furthermore, for any reuse or distribution, you must make clear to others the license terms of this work. This means that you can: read and store this document free of charge distribute it for personal use free of charge print sections of the work for personal use read or use parts or whole of the work in a context where no financial transactions take place gain financially from the work in anyway sell the work or seek monies in relation to the distribution of the work use the work in any commercial activity of any kind distribute in or through a commercial body (with the exception of academic usage within educational institutions such as schools and universities However, you cannot: