National Framework for the Sustainability of Health Knowledge Translation Initiatives in Uganda

Basaza, Robert; Kinegyere, Alison Annet; Mutatina, Boniface; Sewankambo, Nelson K.

doi:10.1017/s0266462317004482

Cited by 5 publications

(6 citation statements)

References 31 publications

(58 reference statements)

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“…55,56 • In a tiered health system, the competition between private and public sectors might complicate the establishment of a PSO, and therefore it is important to start with identifying common priorities to minimize the fragmentation and increase the trust between the policy and research communities. 52,56,57 Stage 2 -Development Targeted programs and services…”

Section: Description Of the Stage Contextual Factors Acting As Mechanisms Of Influence On Stages Of Establishment Link To The Other Stagementioning

confidence: 99%

“…20,[38][39][40][41]43,48,53,60,64,66,78 researchers and policy-makers and/or by building new connections where needed. 46,52,54,55,57 Research system -Trust between researchers and policy-makers • Having interaction between researchers and policy-makers helps in pooling resources through finding or conducting relevant research and identifying research grants with KT components. 35,38,40 • Potentially sensitive research findings (eg, in relation to political priorities) might hinder buy-in for establishing a PSO but this can be mitigated by the organization addressing any potential resistance to research findings by engaging in a collaborative tone and clearly highlighting how they can be helpful to informing government priorities.…”

Section: Description Of the Stage Contextual Factors Acting As Mechanisms Of Influence On Stages Of Establishment Link To The Other Stagementioning

confidence: 99%

“…42 Health system -Availability of resources • Having highly-qualified managers within an MOH facilitates the establishment of PSOs, because such managers are more likely to value research evidence, be willing to use evidence in decision-making, and recognize and support research processes within the MOH that encourages the usage of research during policy development. 42,44,51,54 Health system -Trust between researchers and policy-makers • Competition between the private and public sector in a tiered/ mixed health system may slow the process of establishing a PSO (eg, by making it harder to pool needed resources and engage all relevant stakeholders), 52,56,57,76 which lends further support to the need to start the establishment process with identifying common priorities among stakeholders across different sectors PSO through institutionalization in a pre-existing institutional structure is an important factor to ensure PSO sustainability. 39,47,59 • Identifying an appropriate approach to retain the human resources needed in a PSO (eg, providing financial and/or non-financial incentives) is essential to ensure organizational sustainability.…”

Section: Description Of the Stage Contextual Factors Acting As Mechanisms Of Influence On Stages Of Establishment Link To The Other Stagementioning

confidence: 99%

See 2 more Smart Citations

Examining and Contextualizing Approaches to Establish Policy Support Organizations – A Critical Interpretive Synthesis

Sabahi

Wilson

Lavis

et al. 2020

Int J Health Policy Manag

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Background: In response to worldwide calls for the need to support evidence-informed policy-making (EIPM), more countries are increasingly interested in enhancing their efforts to use research to inform policy-making. In order to inform the efforts of those asked to lead the support of EIPM, our aim is to develop a conceptual framework to guide the process of establishing a policy support organization (PSO). Methods: We conducted a critical interpretive synthesis (CIS). We conducted a two steps literature review. In the second step, we systematically searched OVID EMBASE, PsychInfo, HealthStar, CINAHL, Web of Science, Social Science Abstract, Health Systems Evidence, and ProQuest Dissertations and Theses Global databases for documents reporting the establishment of PSOs and the contextual factors influencing the process of establishing these organizations. We assessed the eligibility of the retrieved articles and synthesized the findings iteratively. Results: We included 52 documents in the synthesis. Our findings suggest that a PSO establishment process has four interconnected stages: awareness, development, assessment, and maturation. The process of establishing a PSO is iterative and influenced by political, research and health systems contextual factors, which determine the availability of the resources and the trust between researchers and policy-makers. The contextual factors have an impact on each other, and the challenges that arise from one factor can be mitigated by other factors. Conclusion: For those interested in establishing a PSO, our framework provides a road map for identifying the most appropriate starting point and the factors that might influence the establishment process. Leaders of such PSOs can use our findings to expand or refine their scope of work. Given that this framework focuses only on PSOs in the health sector, an important next step for research would be to include other sectors from social systems and identify any additional insight that can enhance our framework.

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Section: Description Of the Stage Contextual Factors Acting As Mechanisms Of Influence On Stages Of Establishment Link To The Other Stagementioning

confidence: 99%

Section: Description Of the Stage Contextual Factors Acting As Mechanisms Of Influence On Stages Of Establishment Link To The Other Stagementioning

confidence: 99%

Section: Description Of the Stage Contextual Factors Acting As Mechanisms Of Influence On Stages Of Establishment Link To The Other Stagementioning

confidence: 99%

See 1 more Smart Citation

Examining and Contextualizing Approaches to Establish Policy Support Organizations – A Critical Interpretive Synthesis

Sabahi

Wilson

Lavis

et al. 2020

Int J Health Policy Manag

View full text Add to dashboard Cite

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“…Evidence champions are individuals in positions of influence who favour evidence use in policy and implement calculated approaches to increase the use of evidence in decisions. Their influence has been shown in studies on the factors affecting uptake of evidence-informed decision making (Basaza et al, 2018). For example, in the national food fortification programme, a stakeholder noted the importance of having top management as champions at the MOH (Respondent 7 -Non-government).…”

Section: Champions and Leadersmentioning

confidence: 99%

Using Evidence in Policy and Practice

Goldman¹,

Pabari²

2020

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This book asks how governments in Africa can use evidence to improve their policies and programmes, and ultimately, to achieve positive change for their citizens. Looking at different evidence sources across a range of contexts, the book brings policy makers and researchers together to uncover what does and doesn't work and why.Case studies are drawn from five countries and the ECOWAS (west African) region, and a range of sectors from education, wildlife, sanitation, through to government procurement processes. The book is supported by a range of policy briefs and videos intended to be both practical and critically rigorous. It uses evidence sources such as evaluations, research synthesis and citizen engagement to show how these cases succeeded in informing policy and practice. The voices of policy makers are key to the book, ensuring that the examples deployed are useful to practitioners and researchers alike.This innovative book will be perfect for policy makers, practitioners in government and civil society, and researchers and academics with an interest in how evidence can be used to support policy making in Africa.

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“…A study conducted in Uganda investigated the implementation of policies in maintaining and promoting the sustainability of KT strategies in the Ugandan health care system. Several KT issues were identified; such as the ability of the health care system to synthesize evidence, health care workers not being familiar with KT initiatives, and a general lack of organisation in Uganda being able to sustain new national frameworks as well as existing ones within their health care system (Basaza, Kinegyere, Mutatina, & Sewankambo, 2018). In another study carried out in Canada, Zambia, and South Africa, a DEPICT model was created to pilot KT in health promotion.…”

Section: Knowledge Translation (Kt) In Health Carementioning

confidence: 99%

Integrating knowledge-to-practice for occupational therapists working with high-risk infants in the KwaZulu-Natal public health sector: a qualitative explorative inquiry.

Dawood

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Introduction: Neonates are an at-risk population due to their increased susceptibility of mortality and morbidity. Occupational therapists have an important role in Early Childhood Intervention (ECI) and implementing Neurodevelopmental Supportive Care (NDSC) for high-risk infants whilst they are admitted in the Neonatal Intensive Care Unit (NICU). To the best knowledge of the author there is a paucity of literature available within the South African context in the use of evidence-based practices (EBP), and the integration of knowledge translation (KT) amongst occupational therapists who provide therapeutic management to high-risk infants and their families. Aim: This study aims to explore the knowledge to practice gaps experienced by occupational therapists who support high-risk infants in different levels of care in the public health sector of KwaZulu-Natal South Africa. Methods: A qualitative exploratory research design was used for this study. A nonprobability sampling technique was used. Seventeen occupational therapists who have more than two years of experience and are employed on a full-time basis in the public health sector of KZN participated in this study via online focus group discussions. Data were analysed using thematic analysis with inductive deductive reasoning, guided by a combined theoretical framework using the Appreciative Inquiry (AI) approach and KT process as a methodological orientation to the study. Research Ethics: Principles of confidentiality, autonomy, informed consent, beneficence, non-maleficence, and justice were adhered to. Participants were not of a vulnerable population and therefore support was not offered upon completion of the research discussions. Results: Five themes emerged in this study, namely, occupational therapy (OT) and neonatal care in the public health sector, Knowledge Acquisition and Knowledge Synthesis, Knowledge Translation/Utilization, Contextual barriers/adaptation, and the ideal OT in the ideal neonatal setting. Therapists outlined the facilitators, inhibitors, referral pathways and their personal interests in OT neonatal care. Supportive management and multidisciplinary teams (MDT) were highlighted as facilitators in the hospital environment whilst OT staff shortages, insufficient undergraduate training in the field and a lack of funding for courses for postgraduate OT training were regarded as inhibitors to practice. OTs source and synthesise knowledge from multiple sources to integrate, utilise and translate into neonatal practice. Contextual barriers are identified in various levelled facilities with acquired neonatal knowledge being adapted by therapists for low resourced settings. Participants envision the dream of the ideal day and therapist to intervene with neonates in the public health sector of KZN. Conclusion: Findings have identified several knowledge-to-practice gaps for OTs who support neonates in low resourced settings. Therapeutic resources and funding for postgraduate training, an improvement in the undergraduate curriculum, and policy development appear to be necessary to inform a standard of care across the province.

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National Framework for the Sustainability of Health Knowledge Translation Initiatives in Uganda

Cited by 5 publications

References 31 publications

Examining and Contextualizing Approaches to Establish Policy Support Organizations – A Critical Interpretive Synthesis

Examining and Contextualizing Approaches to Establish Policy Support Organizations – A Critical Interpretive Synthesis

Using Evidence in Policy and Practice

Integrating knowledge-to-practice for occupational therapists working with high-risk infants in the KwaZulu-Natal public health sector: a qualitative explorative inquiry.

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