Day 1 session 5 synthesis of irt policy makers survey and context mapping po

1. IMCHAPolicymakersSurvey
LessonsLearned
PierreOngolo-Zogo
Dakar24April2017

2. SessionObjectives
1.Tobecomefamiliarwiththepurposeand
methodsoftheIMCHApolicymakerssurvey
2.Tosharelessonslearnedfromthesurvey
3.Tohearfromparticipantsaboutthelevelof
interactionamongstIMCHAstakeholdersand
underlyingfactors
4.Tohearfromparticipantsabouttheir
expectationsforthenearfutureofIMCHA
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3. InnovationinServiceDeliveryis
•«anovelsetofbehaviors,routines,and
waysofworkingthataredirectedat
improvinghealthoutcomes,administrative
efficiency,costeffectiveness,orusers’
experienceandthatareimplementedby
plannedandcoordinatedactions»
3

4. SpreadofInnovations
T.Greenhalghetal.DiffusionofInnovationsinServiceOrganizations:Systematic
ReviewandRecommendations.TheMilbankQuarterly2005,82;4:581-629
4

5. TheKnowledge*Spectrum-Shaxson,2012
5

6. KnowledgeTranslationis
•“Thedynamicanditerativeprocessthat
includesthesynthesis,dissemination,
exchange,andethicallysoundapplication
ofknowledgetoimprovehealth,provide
moreeffectiveservicesandproducts,and
strengthenthehealthcaresystem.”
Straussetal2009
CanadianInstitutesofHealthResearch
http://www.cihr-irsc.gc.ca/e/39033.html
6

7. KnowledgeExchange
•“Knowledgeexchangeiscollaborativeproblem-
solvingbetweenresearchersanddecisionmakers
thathappensthroughlinkageandexchange.
Effectiveknowledgeexchangeinvolvesinteraction
betweendecisionmakersandresearchersand
resultsinmutuallearningthroughtheprocessof
planning,producing,disseminating,and
applyingexistingornewresearchindecision-
making.”
CanadianHealthServicesResearchFoundation
http://www.chsrf.ca/keys/glossary_e.php
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8. EvidenceInformedHealthPolicy
HealthResearchPolicyandSystems,SupplementsDec2009
www.health-policy-systems.com/supplements/7/S1
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9. 9
Guidelines
PolicyBriefs
OverviewsofSR
SystematicReviewsofResearch
Appliedresearchstudies,articlesandreports
Basic,theoreticalandmethodologicalinnovations
Evidence-KnowledgePyramid

10. IMCHAPolicymakersSurvey

11. SurveytoDetermine
•HowevidenceiscurrentlyusedtoinformMNCH
policiesandstrategieswithinIMCHAprogram
•Whereislocatedrelevantevidencethatcaninform
MNCHpoliciesandstrategies
•Thecapacitytolocateandtousepolicy-relevant
evidenceforMNCHwithinorganizations
•IdeastoenhanceevidenceuptakeforMNCHwithin
IMCHA
•Suggestionstoenhancingpersonalinvolvementwith
theIRTandtheimplementationofIMCHA
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12. DataCollection
•E-introductiontopotentialparticipants
•Emailinvitingpolicymakerstocompletethe
surveyformsasWordfiles
•SurveytoolwasadaptedfromtheSelf
AssessmentToolCanadianHealthServices
ResearchFoundation
•Toolcombiningquantitativeandqualitative
question
•Resumetemplate
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13. DataAnalysis
•Deductive/inductivegapidentificationguidedby
twoframeworksoninteractivemodelsofKTE
•Jacobsonetal.howtoconsidertheusercontext
•Lavisetal.assessingcountryefforts
•Translationisfacilitatedwhenknowledgeproducers
andusersareknowntooneanotherandare
familiarwithoneanother’sneeds,preferences,
objectivesandcircumstances
•Interpretivecomponentguidedbyasystemsthinking
perspectiveconsideringpreviousMNCHpolicycontext
mapping
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JacobsonN,ButterillD&GoeringP:Developmentofaframeworkforknowledgetransfer:understandingusercontext.JournalofHealthServices
ResearchandPolicy2003;8:94-99
LavisJN,LomasJ,HamidM,SewankamboNK:Assessingcountry-leveleffortstolinkresearchtoaction.BullWorldHealthOrgan2006,84:620–628

14. GapIdentification
•Acquisitionofevidence:abilitytolocateandacquirethe
neededpolicy-relevantevidenceforMNCH;
•Evaluationofevidence:abilitytoassessandappraisepolicy-
relevantevidencetoensureitisreliable,relevantandapplicable
tocurrentMNCHcontext
•Adaptationofevidence:abilitytopresentpolicy-relevant
evidencetootherdecision-makersinanattractiveandusefulway
forMNCH
•Applicationofevidence:availabilityoftheskills,resources,
processesandculturetopromoteandusepolicy-relevant
evidenceinMNCHdecision-making
•Needsintermsofprofessionaldevelopmentandinstitutional
capacityinmattersrelatedtoknowledgetranslationandevidence
informeddecisionmaking.
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15. AnalysisforRecommendationstoHPROs
•ExtenttowhichpolicymakersinvolvedwithIRTsare
comfortableusingevidenceindecision-making
•Actualforasandprocesseswhereevidenceis
mostneededanduseful
•Entrypointsforcapacitystrengtheningrelatedto
understandingtheknowledgetranslationvaluechain
•Currentroleplayedbythepolicymakersinvolvedwith
IRTsgenerallyandaspertheIMCHAprogram
•OpportunitiesforpolicymakersinvolvedwithIRTsto
collaborateinthedecision-makingprocesswith
non-governmentalstakeholders,includingresearch
bodiesandotherinstitutions
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16. WhatweHaveLearned

17. Participants
17
Gender11M/3F
Agecategory10/14agedabove45years
Institutionalaffiliation4NationalLevel-10SubnationalLevel
InfluenceonMNCH
policyprocesses
10withdirectinfluence
4withIndirectinfluence
Mediandurationin
position
3.5(6mo-6yrs)
Decisionspace
6TopManagement
6SeniorLevel
2MidLevel
In-servicetrainingin
KTEorEIHSP
3/14

18. 1.Policymakersplayedasignificantfacilitating
rolethathelpedIRTstogainaccesstothe
researchfieldincludingdecision-makers
2.Institutionalcapacityinmattersrelatedto
usingevidenceforpolicy-makingindicatesa
fairlyappropriateperformance
3.TheinnovativecomponentoftheIMCHA
programisyettobeappropriatelyowned
4.Roomsforimprovement
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KeyLessonsLearned

19. Institutionalcapacity-Quantitativeassessment
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Performanceoffunctions
Performance
0,00
0,15
0,30
0,45
0,60
Acquisition
Assessing Evidence
Adapting evidence
Using Evidence
0,54
0,48
0,590,58
MEAN
0,0
12,5
25,0
37,5
50,0
0,00
0,15
0,30
0,45
0,60
Acquisition
Assessing Evidence
Adapting evidence
Using Evidence
MEDPERFMEAN
40,3
11,9
17,6
35,1
38
10,5
19,5
33
35,1
17,6
11,9
40,3

20. EIHSPisnotwellknown
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21. PerceivedInstitutionalNeeds
•Establishingresearchevidenceasapriority
•Organizationsshouldintegrateresearchmuch
moreoften
•Skilledindividualstoreview,synthesizeand
incorporateevidenceduringpolicyformulationor
implementation
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22. •HPROswerenotcitedasresourcesforpolicy
relevantevidence
•Policymakersexpectfurtherengagementand
interactionwiththeIRTs
•AminorityisfamiliarwithconceptsofKTE
•Evidencesynthesesnotcitedaspolicy-relevant
evidence
•Evidenceinformedstakeholdersdialoguesnot
citedasopportunitiesfordiscussingpolicy
change
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ExpectedAppropriateOwnership

23. •Strengtheningindividualcapacitytocopewith
theuseofevidenceduringpolicyformulationor
implementation
•IRTsandHPROstofurthertheinteraction
componentandthemulti-countrycomponent
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ThereisRoomforImprovement

24. 1.HPROsshallprovidesupportthrough
capacitybuildinginmattersrelatedtoEIHP,
toolsforcriticalappraisalofpolicyrelevant
evidence,andprovisionofevidencebriefs
2.HPROsshallmaintainanonlineclearinghouse
ofMNCHpolicyrelevantandappraised
evidenceinordertocaterforpolicymakers’
needsofevidenceduringstrategicplanningand
meetingswithdevelopmentpartners
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« Disruptive »Recommendations

25. 1.PolicymakersinvolvedwithIRTsmustbeformally
exposedtokeyconceptsandprinciplesof
KTEandEIHP
2.Policymakersshallbemoreresponsiveand
reinforcetheirownershipoftheoverallgoal
oftheIMCHAprogram
3.Policymakersshoulddemandformore
evidencesynthesesfromtheIRTsandHPROs
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« Disruptive »Recommendations

26. 1.Doesthesummarycaptureallkeyissues?
2.Suggestionsforimprovementarewelcome...
3.Whataretheunderlyingfactorsofthecurrent
stateofaffairs?
4.WhatareyourexpectationsfromIRTsand
HPROsinordertoenhanceevidence-to-policy
linkforbetteringMNCHinyourconstituency?
5.Whattodonext?ActionpointsforIRTs&
HPROs
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WeWanttoHearfromYou

27. Merci!
Obrigado!
Thanks!
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