Document Type : Original Article
Authors
Abstract
BACKGROUND: Capacity constraints on implementation research among policymakers and
researchers are a major challenge to the evidence to policy link. This study was designed to bring
together senior policymakers and researchers in Nigeria to consider issues around research‑to‑policy
interface and enhance their capacity on implementation research.
METHODS: The design was a cross‑sectional study. A 3‑day joint implementation research workshop
was held for policymakers and researchers using World Health Organization/TDR Implementation
Research Toolkit. Assessment of participants’ capacity for evidence‑informed policymaking and
knowledge on implementation research was done using a 5‑point Likert scale questionnaire.
A postworkshop key informant interview was also conducted.
RESULTS: A total of 20 researchers and 15 policymakers participated in the study. The
interaction/partnership between policymakers and researchers was generally rare in terms of
priority‑setting process, involvement as coinvestigators, and executing strategies to support
policymakers’ use of research findings. The mean ratings (MNRs) recorded mostly ranged
from 1.80 to 1.89 on the 5‑point scale. Researchers were rarely involved in the generation of
policy‑relevant research that satisfies policymakers’ needs with MNR very low at 1.74. The
MNRs for capacity to acquire, assess, and adapt research were generally considerably higher
among researchers (3.16–3.82) than policymakers (2.27–3.20). There was a general consensus
that the training tremendously improved participants’ understanding and use of implementation
research.
CONCLUSION: Policymakers and researchers are increasingly recognizing their need to work with
each other in the interest of the health systems. There is a need to create more capacity enhancement
platforms that will facilitate the interface between them.
Keywords
toolkit‑Workbook. World Health Organization on Behalf of
the Special Programme for Research and Training in Tropical
Diseases. Geneva, Switzerland: World Health Organization; 2014.
2. Travis P, Bennett S, Haines A, Pang T, Bhutta Z, Hyder AA, et al.
Overcoming health‑systems constraints to achieve the millennium
development goals. Lancet 2004;364:900‑6.
3. Peters DH, Tran NT, Adam T. Implementation research in
health: A practical guide. Alliance for Health Policy and Systems
Research. Geneva, Switzerland: World Health Organization; 2013.
4. Padian NS, Holmes CB, McCoy SI, Lyerla R, Bouey PD,
Goosby EP, et al. Implementation science for the US president’s
emergency plan for AIDS relief (PEPFAR). J Acquir Immune Defic
Syndr 2011;56:199‑203.
5. MEASURE Evaluation. Fundamentals of Implementation
Research. U.S. Agency for International Development (USAID);
2012. Available from: http://www.betterevaluation.org/sites/
default/files/MS‑12‑55.pdf. [Last accessed on 2017 Jul 30].
6. World Health Organization. Implementation research for
the control of infectious diseases of poverty. World Health
Organization on Behalf of the Special Programme for Research
and Training in Tropical Diseases. Geneva, Switzerland: World
Health Organization; 2011.
7. Rathgeber EM. Research Partnerships in International Health
Capitalizing on Opportunity. Ottawa, Carleton University:
University of Ottawa; 2009.
8. Johnson NA, Lavis JN. Procedures Manual for the “Evaluating
Knowledge‑Translation Platforms in Low‑ and Middle‑Income
Countries” Study. Hamilton, Canada: McMaster University
Program in Policy Decision‑Making; 2009.
9. Giorgi A, editor. Sketch of a psychological phenomenological
method. In: Phenomenology and Psychological Research: Essays.
Pittsburgh, Pa: Duquesne University Press; 1985. p. 8‑22.
10. Albert MA, Fretheim A, Maïga D. Factors influencing the
utilization of research findings by health policy‑makers in a
developing country: The selection of Mali’s essential medicines.
Health Res Policy Syst 2007;5:2.
11. WMA Declaration of Helsinki. Ethical Principles for Medical
Research Involving Human Subjects; 2017. Available from:
https://www.wma.net/policies‑post/wma‑declaration‑of‑hels
inki‑ethical‑principles‑for‑medical-research‑involving‑human‑s
ubjects/. [Last accessed on 2017 Jul 30].
12. Gathoni N, Godbolt S. Working Together to Achieve HIFA 2015:
a Perspective from two HIFA 2015 Supporting Organizations.
AHILA Congress; 2015. Available from: http://www.ecommons.
aku.edu/cgi/viewcontent.cgi?article=1024&context=librari
es. [Last accessed on 2017 Jul 30].
13. Uneke CJ, Ezeoha AE, Ndukwe CD, Oyibo PG, Onwe F.
Promotion of evidence‑informed health policymaking in Nigeria:
Bridging the gap between researchers and policymakers. Glob
Public Health 2012;7:750‑65.
14. Green A, Bennett S. Sound Choices: Enhancing Capacity for
Evidence‑Informed Health Policy. Geneva, Switzerland: World
Health Organization; 2007.
15. Uneke CJ, Sombie I, Keita N, Lokossou V, Johnson E,
Ongolo‑Zogo P, et al. An assessment of policymakers’ engagement
initiatives to promote evidence informed health policy making in
Nigeria. Pan Afr Med J 2017;27:57.
16. Uneke CJ, Ezeoha AE, Uro‑Chukwu H, Ezeonu CT, Ogbu O,
Onwe F, et al. Enhancing the capacity of policy‑makers to develop
evidence‑informed policy brief on infectious diseases of poverty
in Nigeria. Int J Health Policy Manag 2015;4:599‑610.
17. Uneke CJ, Sombie I, Keita N, Lokossou V, Johnson E,
Ongolo‑Zogo P, et al. An assessment of national maternal
and child health policy‑makers’ knowledge and capacity for
evidence‑ informed policy‑making in Nigeria. Int J Health Policy
Manag 2016;6:309‑16.
18. Uneke CJ, Sombie I, Keita N, Lokossou V, Johnson E,
Ongolo‑Zogo P, et al. An assessment of maternal, newborn and
child health implementation studies in Nigeria: Implications for
evidence informed policymaking and practice. Health Promot
Perspect 2016;6:119‑27.
19. UnekeCJ, SombieI, KeitaN, LokossouV, JohnsonE, Ongolo‑ZogoP,
et al. Improving maternal and child health policymaking processes
in Nigeria: An assessment of policymakers’ needs, barriers and
facilitators of evidence‑informed policymaking. Health Res Policy
Syst 2017;15:48.
20. Langlois EV, Becerril Montekio V, Young T, Song K,
Alcalde‑Rabanal J, Tran N, et al. Enhancing evidence informed
policymaking in complex health systems: Lessons from multi‑site
collaborative approaches. Health Res Policy Syst 2016;14:20.
21. Choi BC, Pang T, Lin V, Puska P, Sherman G, Goddard M, et al.
Can scientists and policy makers work together? J Epidemiol
Community Health 2005;59:632‑7.
22. Uzochukwu B, Onwujekwe O, Mbachu C, Okwuosa C,
Etiaba E, Nyström ME, et al. The challenge of bridging the
gap between researchers and policy makers: Experiences of
a health policy research group in engaging policy makers to
support evidence informed policy making in Nigeria. Global
Health 2016;12:67.
23. Gollust SE, Seymour JW, Pany MJ, Goss A, Meisel ZF, Grande D,
et al. Mutual distrust: Perspectives from researchers and policy
makers on the research to policy gap in 2013 and recommendations
for the future. Inquiry 2017;54:1-11.
24. Deans F, Ademokun A. Investigating Capacity to Use Evidence;
2013. Available from: http://www.inasp.info/uploads/filer_
public/2013/07/04/investigating_capacity_to_use_evidence.
pdf. [Last accessed on 2017 Jul 30].
25. Haahr JH, Shapiro H, Sørensen S. Defining a Strategy for the
Direct Assessment of Skills. Danish Technological Institute;
2004. Available from: http://www.pedz.uni‑mannheim./
edz‑b/gdbk/04/defining_strategy_final.pdf. [Last accessed on
2017 Jul 30].
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