Committing to implementation research for health systems to manage and control non-communicable diseases

Marten, Robert; Mikkelsen, Bente; Shao, Ruitai; Zennaro, Livia Dal; Berdzuli, Nino; Fernando, Thushara; Hammerich, Asmus; Hennis, Anselm; Shin, Hai‐Rim; Shongwe, Steven; Ghaffar, Abdul

doi:10.1016/s2214-109x(20)30485-x

Cited by 28 publications

(26 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…34 This study responds to the urgent calls from numerous international parties for more and better implementation evidence in LMICs, especially for non-communicable diseases. [1][2][3][4] We consistently applied the same method 19 across six settings in four countries on three continents, enabling comparison from a global perspective. Using a robust mixed-methods approach we triangulated quali tative findings (from 340 informants in over 200 interviews, focus groups, and observations), with findings from a quantitative survey.…”

Section: Discussionmentioning

confidence: 99%

“…WHO, global health funders, and other institutions have urged for more and better implementation research. [1][2][3][4] Implementation failure can drain scarce resources and seriously undermine the effect of health programmes. 5 Research is most needed for low-income and middleincome countries (LMICs), where the burden of disease is highest, health systems are weakest, and implementation evidence is scarcest.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mapping low-resource contexts to prepare for lung health interventions in four countries (FRESH AIR): a mixed-method study

Brakema

Kleij

Poot

et al. 2022

The Lancet Global Health

View full text Add to dashboard Cite

Background Effectiveness of health programmes can be undermined when the implementation misaligns with local beliefs and behaviours. To design context-driven implementation strategies, we explored beliefs and behaviours regarding chronic respiratory disease (CRD) in diverse low-resource settings. MethodsThis observational mixed-method study was conducted in Africa (Uganda), Asia (Kyrgyzstan and Vietnam) and Europe (rural Greece and a Roma camp). We systematically mapped beliefs and behaviours using the SETTINGtool. Multiple qualitative methods among purposively selected community members, health-care professionals, and key informants were triangulated with a quantitative survey among a representative group of community members and health-care professionals. We used thematic analysis and descriptive statistics. Findings We included qualitative data from 340 informants (77 interviews, 45 focus group discussions, 83 observations of community members' households and health-care professionals' consultations) and quantitative data from 1037 community members and 204 health-care professionals. We identified three key themes across the settings; namely, (1) perceived CRD identity (community members in all settings except the rural Greek strongly attributed long-lasting respiratory symptoms to infection, predominantly tuberculosis); (2) beliefs about causes (682 [65•8%] of 1037 community members strongly agreed that tobacco smoking causes symptoms, this number was 198 [19•1%] for household air pollution; typical perceived causes ranged from witchcraft [Uganda] to a hot-cold disbalance [Vietnam]); and (3) norms and social structures (eg, real men smoke [Kyrgyzstan and Vietnam]). Interpretation When designing context-driven implementation strategies for CRD-related interventions across these global settings, three consistent themes should be addressed, each with common and context-specific beliefs and behaviours. Context-driven strategies can reduce the risk of implementation failure, thereby optimising resource use to benefit health outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mapping low-resource contexts to prepare for lung health interventions in four countries (FRESH AIR): a mixed-method study

Brakema

Kleij

Poot

et al. 2022

The Lancet Global Health

View full text Add to dashboard Cite

show abstract

“…For people working in health care, this has meant dramatic changes in daily care provision; working in environments with heightened infection risks, surging demands, and resource and workflow pressures. 1 , 2 Non–COVID-19 care provision also has changed, including routine treatments of noncommunicable 3 and chronic diseases, 4 suspended elective surgeries, 5 , 6 and physically distant care to minimize virus transmission with widespread implementation of telehealth. 7 , 8 Health care providers have been essential in instituting these changes, and have reported a range of experiences: for some, there has been a heightened sense of autonomy, competence, and altruism, 9 , 10 while others have experienced the seemingly opposite consequences of anxiety, fear, grief, and physical and emotional exhaustion.…”

mentioning

confidence: 99%

Moral Distress and Moral Injury in Nephrology During the COVID-19 Pandemic

Ducharlet

Trivedi

Gelfand

et al. 2021

Seminars in Nephrology

View full text Add to dashboard Cite

“…The first step is acknowledging the need for IR amongst those charged with leading the NCD response at the national and international levelsas has been manifest in recent WHO publications [10,14,33] married with a growing understanding of how IR oper-Education and training for policymakers, web events, and the creation of forums and peer-to-peer learning networks can all support these aims. The Joint Learning Network [34], GHDonline [35], the G7 Primary Health Care universal knowledge initiative [36], and the Global Coordination Mechanism NCD Knowledge Action Portal communities of practice [37] are good examples of existing platforms that could be used for these ends.…”

Section: Promoting Spread and Adoption Through Capacitybuilding And M...mentioning

confidence: 99%

“…A recent WHO-led Lancet editorial stressed the "urgent necessity" of harnessing 'implementation research' to help countries course-correct [14]. This call resonates with the Global Action Plan mid-point evaluation which found that especially poor progress had been made in the domain of 'promoting and supporting capacity for NCD research' in WHO Member States [10].…”

Section: Introductionmentioning

confidence: 99%

Unleashing implementation research to accelerate national noncommunicable disease responses

et al. 2022

View full text Add to dashboard Cite

Noncommunicable diseases (NCDs) are the leading cause of death and disability worldwide. They exact a disproportionate toll in low and middle-income countries, and the world is not on-track to meet international targets for reductions in premature NCD mortality. Largely, we know which policies work for tackling NCDs, and the World Health Organization (WHO) has developed a package of ‘best buy’ policies that are highly cost effective. However, we don’t necessarily know how to adapt and implement these policies in new populations and cultures. Implementation Research (IR) is emerging as a potent tool for gearing the international response, providing a scientific approach to study the processes used to implement policies and interventions and the contextual factors that affect these processes. Amidst growing interest from policymakers, we identify four main areas for action: high-level engagement with IR among international NCD leaders; domestic investment in technical capacity-building; the creation of new financing streams for IR research; and the development of multi-stakeholder engagement mechanisms that can convene and leverage the perspectives and resources of multiple actors with overlapping aims.

show abstract

Committing to implementation research for health systems to manage and control non-communicable diseases

Cited by 28 publications

References 8 publications

Mapping low-resource contexts to prepare for lung health interventions in four countries (FRESH AIR): a mixed-method study

Mapping low-resource contexts to prepare for lung health interventions in four countries (FRESH AIR): a mixed-method study

Moral Distress and Moral Injury in Nephrology During the COVID-19 Pandemic

Unleashing implementation research to accelerate national noncommunicable disease responses

Contact Info

Product

Resources

About