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How is implementation research applied to advance health in low-income and middle-income countries?
This paper examines the characteristics of implementation research (IR) efforts in low-income and middle-income countries (LMICs) by describing how key IR principles and concepts have been used in published health research in LMICs between 1998 and 2016, with focus on how to better apply these princ...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441291/ https://www.ncbi.nlm.nih.gov/pubmed/30997169 http://dx.doi.org/10.1136/bmjgh-2018-001257 |
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author | Alonge, Olakunle Rodriguez, Daniela Cristina Brandes, Neal Geng, Elvin Reveiz, Ludovic Peters, David H |
author_facet | Alonge, Olakunle Rodriguez, Daniela Cristina Brandes, Neal Geng, Elvin Reveiz, Ludovic Peters, David H |
author_sort | Alonge, Olakunle |
collection | PubMed |
description | This paper examines the characteristics of implementation research (IR) efforts in low-income and middle-income countries (LMICs) by describing how key IR principles and concepts have been used in published health research in LMICs between 1998 and 2016, with focus on how to better apply these principles and concepts to support large-scale impact of health interventions in LMICs. There is a stark discrepancy between principles of IR and what has been published. Most IR studies have been conducted under conditions where the researchers have considerable influence over implementation and with extra resources, rather than in ‘real world’ conditions. IR researchers tend to focus on research questions that test a proof of concept, such as whether a new intervention is feasible or can improve implementation. They also tend to use traditional fixed research designs, yet the usual conditions for managing programmes demand continuous learning and change. More IR in LMICs should be conducted under usual management conditions, employ pragmatic research paradigm and address critical implementation issues such as scale-up and sustainability of evidence-informed interventions. This paper describes some positive examples that address these concerns and identifies how better reporting of IR studies in LMICs would include more complete descriptions of strategies, contexts, concepts, methods and outcomes of IR activities. This will help practitioners, policy-makers and other researchers to better learn how to implement large-scale change in their own settings. |
format | Online Article Text |
id | pubmed-6441291 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-64412912019-04-17 How is implementation research applied to advance health in low-income and middle-income countries? Alonge, Olakunle Rodriguez, Daniela Cristina Brandes, Neal Geng, Elvin Reveiz, Ludovic Peters, David H BMJ Glob Health Practice This paper examines the characteristics of implementation research (IR) efforts in low-income and middle-income countries (LMICs) by describing how key IR principles and concepts have been used in published health research in LMICs between 1998 and 2016, with focus on how to better apply these principles and concepts to support large-scale impact of health interventions in LMICs. There is a stark discrepancy between principles of IR and what has been published. Most IR studies have been conducted under conditions where the researchers have considerable influence over implementation and with extra resources, rather than in ‘real world’ conditions. IR researchers tend to focus on research questions that test a proof of concept, such as whether a new intervention is feasible or can improve implementation. They also tend to use traditional fixed research designs, yet the usual conditions for managing programmes demand continuous learning and change. More IR in LMICs should be conducted under usual management conditions, employ pragmatic research paradigm and address critical implementation issues such as scale-up and sustainability of evidence-informed interventions. This paper describes some positive examples that address these concerns and identifies how better reporting of IR studies in LMICs would include more complete descriptions of strategies, contexts, concepts, methods and outcomes of IR activities. This will help practitioners, policy-makers and other researchers to better learn how to implement large-scale change in their own settings. BMJ Publishing Group 2019-03-07 /pmc/articles/PMC6441291/ /pubmed/30997169 http://dx.doi.org/10.1136/bmjgh-2018-001257 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Practice Alonge, Olakunle Rodriguez, Daniela Cristina Brandes, Neal Geng, Elvin Reveiz, Ludovic Peters, David H How is implementation research applied to advance health in low-income and middle-income countries? |
title | How is implementation research applied to advance health in low-income and middle-income countries? |
title_full | How is implementation research applied to advance health in low-income and middle-income countries? |
title_fullStr | How is implementation research applied to advance health in low-income and middle-income countries? |
title_full_unstemmed | How is implementation research applied to advance health in low-income and middle-income countries? |
title_short | How is implementation research applied to advance health in low-income and middle-income countries? |
title_sort | how is implementation research applied to advance health in low-income and middle-income countries? |
topic | Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441291/ https://www.ncbi.nlm.nih.gov/pubmed/30997169 http://dx.doi.org/10.1136/bmjgh-2018-001257 |
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