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Issues and challenges in
  the decision-making
        process

                     Communication Workshop
Why don’t policy-makers use our data?
• Health data is often inaccessible, indigestible and
  obscure
• Unresponsive to the immediate needs of policy-
  makers
• By the time health data is published it is out of date
• Information is "lost in translation" because it is not
  directed to policy-makers in formats they can
  understand and use
• Don’t want to use data/evidence due to political
  considerations
Understanding the ‘know-do’ gap
People with the ability and authority to use
information either:
1. Don’t know
2. Don’t understand
3. Don’t care
4. Don’t agree
                       Knowledge Translation Toolkit
What we would like decision-making
         to look like...



                           Decision made
Problem is   Evidence is
                             based on
identified    gathered       evidence
The reality




Source: Knowledge Translation Toolkit
Discussion
                5 minutes
  Who influences your Ministry of Health?

Are their messages likely to support or oppose
                     yours?
Influence mapping

 Primary    Secondary   Tertiary

                             Govt.
                          departments

                          Associations
                          and lobbies
             Advisors
Decision-      and          General
             opinion         public
 maker
             leaders
                            Beliefs


                            Media
The policy pie
                     Good ideas   The media

         Electoral cycle                       Cultural beliefs



Academic research                                    Policy briefs



  Other countries                                     Experience



              Lobbyists                        Resources
                    Habits and
                     tradition        Values
Group work
                    45 minutes
• Information needed to make a decision
  – Imagine you are the Minister of Health
     • You are about to attend your next budget meeting and
       need information about the main health
       issues/challenges
     • Use the Report provided to help prepare your meeting
       notes
  – Imagine you are an external consultant
     • Review the quality of the Report provided to help
       prepare recommendations for improvement

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Communication Workshop: Issues and challenges in decision-making

  • 1. Issues and challenges in the decision-making process Communication Workshop
  • 2. Why don’t policy-makers use our data? • Health data is often inaccessible, indigestible and obscure • Unresponsive to the immediate needs of policy- makers • By the time health data is published it is out of date • Information is "lost in translation" because it is not directed to policy-makers in formats they can understand and use • Don’t want to use data/evidence due to political considerations
  • 3. Understanding the ‘know-do’ gap People with the ability and authority to use information either: 1. Don’t know 2. Don’t understand 3. Don’t care 4. Don’t agree Knowledge Translation Toolkit
  • 4. What we would like decision-making to look like... Decision made Problem is Evidence is based on identified gathered evidence
  • 5. The reality Source: Knowledge Translation Toolkit
  • 6. Discussion 5 minutes Who influences your Ministry of Health? Are their messages likely to support or oppose yours?
  • 7. Influence mapping Primary Secondary Tertiary Govt. departments Associations and lobbies Advisors Decision- and General opinion public maker leaders Beliefs Media
  • 8. The policy pie Good ideas The media Electoral cycle Cultural beliefs Academic research Policy briefs Other countries Experience Lobbyists Resources Habits and tradition Values
  • 9. Group work 45 minutes • Information needed to make a decision – Imagine you are the Minister of Health • You are about to attend your next budget meeting and need information about the main health issues/challenges • Use the Report provided to help prepare your meeting notes – Imagine you are an external consultant • Review the quality of the Report provided to help prepare recommendations for improvement

Editor's Notes

  1. Common reasons given as to why policy-makers don’t use dataOther reasons?Examples?Anyone ever asked Minister or Senior people if they use the data/reports and how?
  2. Don’t know the info exists, or what action to takeDon’t understand the information, what it means, why it is importantDon’t care – see the information as irrelevant, not beneficialDon’t agree with the information or think it is misguided or falseIf we want to effectively communicate with policy-makers, we need to STOP and think about these...Question to group – what are the main reasons why? All four?Reasons why people don’t use information are important: don’t know it exists, need to communicate and disseminate betterDon’t agree or care – more difficult...
  3. Perfect world....I want to buy an apple – green apples are cheaper and more nutritious than red, so I buy a green apple
  4. If you want to influence health policy – start with the Ministry of HealthBUTDecisions based on preferences of donors, activities of national boardsWho holds the power in the Ministry?What does this mean? Need to identify supporters, entry points, policy hooks, opportunities
  5. Time to consider question – report back
  6. Exercise just did – example of influence mapping, power mapping, arena of influenceCompare with group resultsIdentified individuals and groups with the power to effect key decisionsPosition and motive of each player and the best channels to communicate with them
  7. Use an annual report and try to find informationWhat was difficult, easy, etc30 minutes for work, 15 for discussion