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INTRODUCTION
Global Health Workshop: Methods For
Implementation Science in Global Health
April, 20th. 2017
McGill University
Workshop co-organised by REALISME Chair and McGill of Global Health Programs
Valéry Ridde
@equitesante
@valeryridde
Definitions of implementation science in HIV/AIDS Odeny, Thomas A et al. The Lancet HIV , Volume 2 , Issue 5 , e178 - e180
69 articles 96-2013
73 definitions
IMPLEMENTATION
SCIENCE
RESEARCH
STUDIES
DEFINITIONS
 Scientific investigation of factors associated with effective
implementation(Franks and Schroder, 2013)
 implementation = process of putting an intervention into use -
either evidence-based or theory-based – in a setting(Damschroder et al., 2009;
Nash et al., 2006; Thompson et al., 2003)
BLACK BOX AND TYPE 3 ERROR
INTERVENTION
R
E
S
S
O
U
R
C
E
S
I
M
P
A
C
T
S
Acceptability
Adoption
Appropriateness
Feasibility
Fidelity
Cost
Penetration
Sustainability
IMPLEMENTATION OUTCOMES
Enola Proctor et al, 2010
Harald Saetren The Policy Studies Journal, Vol. 33, No. 4, 2005
Saetren, 2005- Articles 1933-2003
WHAT
EVERYONE
SHOULD KNOW
1. Quality Implementation Is the Sine Qua Non of
Effective Programs
2. Monitoring Implementation Is an Essential Component
3. It Is Extremely Costly to Ignore Implementation
4. Implementation Is a Multidimensional Concept
5. Implementation Exists along a Continuum
6. Adaptations Are Common and May Improve Program
Outcomes
7. Effective Professional Development Services Are
Essential
8. Multiple Factors Affect Implementation
9. at Least 14 Related Steps to Achieving Quality
Implementation
10. Quality Implementation Requires Collaboration among
Multiple Stakeholders
11. The Same Factors That Influence Quality of
Implementation Also Influence Sustainability
Durlak, 2015; pp. 395–405
HP AND POLICY SCIENCE : 1986-2006
E. Breton and E. de Leeuw, 2010
● 7% of HP articles are PP studies
● 18% are referring to a theoretical framework
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“We are not even close to a well-developed theory of
policy implementation’” Saetren’s (2005, p. 573)
« The theoretical base for implementation is
relatively new and needs to be tested and
operationalized in real-world settings. » Franks & Schroeder (2013, p.12)
Robert et Ridde, 2015
Perez et al, 2016
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INTRODUCTION - Global Health Workshop: Methods for implementation science in global health

  • 1. INTRODUCTION Global Health Workshop: Methods For Implementation Science in Global Health April, 20th. 2017 McGill University Workshop co-organised by REALISME Chair and McGill of Global Health Programs Valéry Ridde @equitesante @valeryridde
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  • 4. Definitions of implementation science in HIV/AIDS Odeny, Thomas A et al. The Lancet HIV , Volume 2 , Issue 5 , e178 - e180 69 articles 96-2013 73 definitions
  • 6. DEFINITIONS  Scientific investigation of factors associated with effective implementation(Franks and Schroder, 2013)  implementation = process of putting an intervention into use - either evidence-based or theory-based – in a setting(Damschroder et al., 2009; Nash et al., 2006; Thompson et al., 2003)
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  • 9. BLACK BOX AND TYPE 3 ERROR INTERVENTION R E S S O U R C E S I M P A C T S
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  • 14. Harald Saetren The Policy Studies Journal, Vol. 33, No. 4, 2005
  • 16. WHAT EVERYONE SHOULD KNOW 1. Quality Implementation Is the Sine Qua Non of Effective Programs 2. Monitoring Implementation Is an Essential Component 3. It Is Extremely Costly to Ignore Implementation 4. Implementation Is a Multidimensional Concept 5. Implementation Exists along a Continuum 6. Adaptations Are Common and May Improve Program Outcomes 7. Effective Professional Development Services Are Essential 8. Multiple Factors Affect Implementation 9. at Least 14 Related Steps to Achieving Quality Implementation 10. Quality Implementation Requires Collaboration among Multiple Stakeholders 11. The Same Factors That Influence Quality of Implementation Also Influence Sustainability Durlak, 2015; pp. 395–405
  • 17. HP AND POLICY SCIENCE : 1986-2006 E. Breton and E. de Leeuw, 2010 ● 7% of HP articles are PP studies ● 18% are referring to a theoretical framework 0 0 1 0 0 3 1 1 6 0 1 7 0 12 8 9 10 16 15 26 3 0 5 10 15 20 25
  • 18. “We are not even close to a well-developed theory of policy implementation’” Saetren’s (2005, p. 573) « The theoretical base for implementation is relatively new and needs to be tested and operationalized in real-world settings. » Franks & Schroeder (2013, p.12)
  • 19. Robert et Ridde, 2015 Perez et al, 2016
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  • 21. Let’s discuss together! Meet the experts Thank you for your attention