The value and impact of embedded implementation research: insights from Latin America and the Caribbean

Marten, Robert; Revéiz, Ludovic; Aslanyan, Garry; Pérez, Freddy; Ghaffar, Abdul

doi:10.26633/rpsp.2021.110

Cited by 7 publications

(3 citation statements)

References 10 publications

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“…A scan of the scholarly evaluation literature revealed three salient themes: (1) the importance of taking into account sociodemographic and resource context as critical components in conducting evaluations; (2) awareness of political agendas and government entanglements in external funding that often present obstacles to cooperation and collaboration of key government entities in evaluation processes; and (3) impacts of evaluation on the development of human capital in the community and inclusion of government sector to assure implementation and sustainability of evaluative results. Lack of investment in human capital impairs the sustainability of programs when local evaluators are not involved in long‐term monitoring and evaluation (Alzua et al., 2012; Mangham & Hanson, 2010; Marten et al., 2021). These themes illustrate the dilemmas inherent in evaluation efforts conducted in countries with low socioeconomic contexts and the exclusion of accountability measures.…”

Section: Resultsmentioning

confidence: 99%

Evaluation dilemmas: Lessons learned in improving intervention outcomes and sustainability in Latin American communities

Zambrana,

Lovato,

Burgos

2024

New Drctns Evaluation

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A significant number of studies on program evaluations in Latin America have limited, if any, information on procedures, impact, and sustainability. Scholarly work emphasizes how evaluation designs must be deeply cognizant of socioeconomic, ecological, and resource contexts to be effective. The purpose of this article is to bring together research findings from three types of knowledge centered on evaluation processes and practices for working within Latin American countries. A scan of the empirical literature, expert interviews, and a case study are triangulated to assess the barriers and impacts of program evaluations in economically disadvantaged Latin American countries. We conclude by describing long‐standing principles and guidelines for evaluation procedures to promote community engagement and human capital development in all evaluation collaborations. Lessons learned reinforce the tenets of culturally responsive evaluation (CRE) procedures as critical to reproduce interventions that improve the lives of communities. Equity, contextual knowledge, and equal partnership are driving forces in centering social problems and developing human capital and the betterment of community conditions in our partnering countries.

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Section: Resultsmentioning

confidence: 99%

Evaluation dilemmas: Lessons learned in improving intervention outcomes and sustainability in Latin American communities

Zambrana,

Lovato,

Burgos

2024

New Drctns Evaluation

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“…EIR has been fostered by financing agencies whose calls demand the participation of high-level DMs as leaders of the research teams ( 10 , 19 , 22 ). Recent literature underscores that the involvement of these health DMs as PIs is the foundation of the potential of EIR to strengthen health systems and ensure pertinent research results’ uptake ( 11 , 13 - 16 ).…”

Section: Discussionmentioning

confidence: 99%

Replacement of core team members on embedded implementation research teams: experiences from Latin America and the Caribbean

Becerril‐Montekio

Torres‐Pereda

García-Bello

et al. 2023

Revista Panamericana De Salud Pública

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Objective. To understand how replacement of decision-makers (DMs) serving as principal investigators (PI) or co-PIs on research teams may affect the feasibility and value of embedded implementation research (EIR) used to improve health policies, programs, and services in Latin America and the Caribbean. Methods. This was a descriptive qualitative study based on 39 semistructured interviews with 13 embedded research teams selected by financing agencies to explore team composition, interaction among members, and research results. Interviews were conducted at three points during the study period from September 2018 to November 2019; data were analyzed from 2020 to 2021. Results. Research teams were found to be operating in one of three situations: (i) permanent core team (no change) with either active DM or inactive DM participation; (ii) replacement of DM–PI or co-PI that did not affect EIR research; and (iii) replacement of DM–PI that affected EIR. Conclusions. To ensure EIR continuity and stability, research teams should include high-level DMs together with more technical staff performing essential implementation activities. This structure could improve collaboration among professional researchers and ensure greater embeddedness of EIR to strengthen the health system.

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“…A efetividade depende do contexto de implementação. Em geral, as estratégias multicomponentes são as mais efetivas (153,154). A Tabela 21 resume as barreiras, intervenções e estratégias para superá-las que foram identificadas na literatura.…”

Section: Detecção De Barreiras E Facilitadoresunclassified

Guia de adaptação e implementação de diretrizes baseadas em evidências. Segunda edição

2023

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A Organização Pan-Americana da Saúde apresenta este manual para órgãos do governo, autoridades de saúde pública, profissionais de saúde, pacientes e outros indivíduos e instituições interessados na elaboração de diretrizes baseadas em evidências. Esta publicação tem como objetivo apresentar estratégias políticas e metodológicas para a criação e o fortalecimento de programas nacionais de elaboração de diretrizes na Região das Américas. Esta segunda edição analisa o processo de elaboração de diretrizes de acordo com a versão mais recente do método GRADE (Classificação de Recomendações, Avaliação, Desenvolvimento e Análises). Ela aborda a formulação das recomendações, a construção dos perfis de evidências e a criação de quadros para passar das evidências à decisão. São apresentados novos marcos conceituais para a criação ou fortalecimento dos programas de diretrizes (modelo lógico de funcionamento do programa, etapas para sua institucionalização, desafios para as entidades governamentais). Além disso, os aspectos essenciais do processo de implementação das diretrizes elaboradas pelos países ou instituições de saúde da Região (barreiras, estratégias e facilitadores da implementação e indicadores) são atualizados.

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The value and impact of embedded implementation research: insights from Latin America and the Caribbean

Cited by 7 publications

References 10 publications

Evaluation dilemmas: Lessons learned in improving intervention outcomes and sustainability in Latin American communities

Evaluation dilemmas: Lessons learned in improving intervention outcomes and sustainability in Latin American communities

Replacement of core team members on embedded implementation research teams: experiences from Latin America and the Caribbean

Guia de adaptação e implementação de diretrizes baseadas em evidências. Segunda edição

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