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Exploring health systems research and its influence on policy processes in low income countries
BACKGROUND: The interface between research and policymaking in low-income countries is highly complex. The ability of health systems research to influence policy processes in such settings face numerous challenges. Successful analysis of the research-policy interface in these settings requires under...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2007
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2213669/ https://www.ncbi.nlm.nih.gov/pubmed/17974000 http://dx.doi.org/10.1186/1471-2458-7-309 |
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author | Hyder, Adnan A Bloom, Gerald Leach, Melissa Syed, Shamsuzzoha B Peters, David H |
author_facet | Hyder, Adnan A Bloom, Gerald Leach, Melissa Syed, Shamsuzzoha B Peters, David H |
author_sort | Hyder, Adnan A |
collection | PubMed |
description | BACKGROUND: The interface between research and policymaking in low-income countries is highly complex. The ability of health systems research to influence policy processes in such settings face numerous challenges. Successful analysis of the research-policy interface in these settings requires understanding of contextual factors as well as key influences on the interface. Future Health Systems (FHS): Innovations for Equity is a consortium conducting research in six countries in Asia and Africa. One of the three cross-country research themes of the consortium is analysis of the relationship between research (evidence) and policy making, especially their impact on the poor; insights gained in the initial conceptual phase of FHS activities can inform the global knowledge pool on this subject. DISCUSSION: This paper provides a review of the research-policy interface in low-income countries and proposes a conceptual framework, followed by directions for empirical approaches. First, four developmental perspectives are considered: social institutional factors; virtual versus grassroots realities; science-society relationships; and construction of social arrangements. Building on these developmental perspectives three research-policy interface entry points are identified: 1. Recognizing policy as complex processes; 2. Engaging key stakeholders: decision-makers, providers, scientists, and communities; and 3. Enhancing accountability. A conceptual framework with three entry points to the research-policy interface – policy processes; stakeholder interests, values, and power; and accountability – within a context provided by four developmental perspectives is proposed. Potential empirical approaches to the research-policy interface are then reviewed. Finally, the value of such innovative empirical analysis is considered. CONCLUSION: The purpose of this paper is to provide the background, conceptual framework, and key research directions for empirical activities focused on the research-policy interface in low income settings. The interface can be strengthened through such analysis leading to potential improvements in population health in low-income settings. Health system development cognizant of the myriad factors at the research-policy interface can form the basis for innovative future health systems. |
format | Text |
id | pubmed-2213669 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-22136692008-01-25 Exploring health systems research and its influence on policy processes in low income countries Hyder, Adnan A Bloom, Gerald Leach, Melissa Syed, Shamsuzzoha B Peters, David H BMC Public Health Correspondence BACKGROUND: The interface between research and policymaking in low-income countries is highly complex. The ability of health systems research to influence policy processes in such settings face numerous challenges. Successful analysis of the research-policy interface in these settings requires understanding of contextual factors as well as key influences on the interface. Future Health Systems (FHS): Innovations for Equity is a consortium conducting research in six countries in Asia and Africa. One of the three cross-country research themes of the consortium is analysis of the relationship between research (evidence) and policy making, especially their impact on the poor; insights gained in the initial conceptual phase of FHS activities can inform the global knowledge pool on this subject. DISCUSSION: This paper provides a review of the research-policy interface in low-income countries and proposes a conceptual framework, followed by directions for empirical approaches. First, four developmental perspectives are considered: social institutional factors; virtual versus grassroots realities; science-society relationships; and construction of social arrangements. Building on these developmental perspectives three research-policy interface entry points are identified: 1. Recognizing policy as complex processes; 2. Engaging key stakeholders: decision-makers, providers, scientists, and communities; and 3. Enhancing accountability. A conceptual framework with three entry points to the research-policy interface – policy processes; stakeholder interests, values, and power; and accountability – within a context provided by four developmental perspectives is proposed. Potential empirical approaches to the research-policy interface are then reviewed. Finally, the value of such innovative empirical analysis is considered. CONCLUSION: The purpose of this paper is to provide the background, conceptual framework, and key research directions for empirical activities focused on the research-policy interface in low income settings. The interface can be strengthened through such analysis leading to potential improvements in population health in low-income settings. Health system development cognizant of the myriad factors at the research-policy interface can form the basis for innovative future health systems. BioMed Central 2007-10-31 /pmc/articles/PMC2213669/ /pubmed/17974000 http://dx.doi.org/10.1186/1471-2458-7-309 Text en Copyright © 2007 Hyder et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Correspondence Hyder, Adnan A Bloom, Gerald Leach, Melissa Syed, Shamsuzzoha B Peters, David H Exploring health systems research and its influence on policy processes in low income countries |
title | Exploring health systems research and its influence on policy processes in low income countries |
title_full | Exploring health systems research and its influence on policy processes in low income countries |
title_fullStr | Exploring health systems research and its influence on policy processes in low income countries |
title_full_unstemmed | Exploring health systems research and its influence on policy processes in low income countries |
title_short | Exploring health systems research and its influence on policy processes in low income countries |
title_sort | exploring health systems research and its influence on policy processes in low income countries |
topic | Correspondence |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2213669/ https://www.ncbi.nlm.nih.gov/pubmed/17974000 http://dx.doi.org/10.1186/1471-2458-7-309 |
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