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A health knowledge brokering intervention in a district of Burkina Faso: A qualitative retrospective implementation analysis
BACKGROUND: A knowledge brokering (KB) intervention was implemented in Burkina Faso. By creating partnerships with health system actors in one district, the broker was expected to assess their knowledge needs, survey the literature to provide the most recent research evidence, produce various knowle...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660220/ https://www.ncbi.nlm.nih.gov/pubmed/31349363 http://dx.doi.org/10.1371/journal.pone.0220105 |
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author | Mc Sween-Cadieux, Esther Dagenais, Christian Somé, Donmozoun Télesphore Ridde, Valéry |
author_facet | Mc Sween-Cadieux, Esther Dagenais, Christian Somé, Donmozoun Télesphore Ridde, Valéry |
author_sort | Mc Sween-Cadieux, Esther |
collection | PubMed |
description | BACKGROUND: A knowledge brokering (KB) intervention was implemented in Burkina Faso. By creating partnerships with health system actors in one district, the broker was expected to assess their knowledge needs, survey the literature to provide the most recent research evidence, produce various knowledge translation tools, and support them in using research to improve their actions. The purpose of this study was to analyze the key factors that influenced the KB project and to make recommendations for future initiatives. METHODS: The qualitative design involved a single case study in which the KB intervention implementation was evaluated retrospectively. Data came from interviews with the intervention team (n = 4) and with various actors involved in the intervention (n = 16). Data from formative evaluations conducted during the KB implementation and observation data from a two-month field mission were also used. Two conceptual frameworks were combined to guide the analysis: the Consolidated Framework for Implementation Research (Damschroder et al., 2009) and the Ecological Framework (Durlak & DuPre, 2008). RESULTS: Various KB activities were conducted during the first two years of implementation at the local level. The project came to an early end following vain efforts to relocate the intervention at the central level in order to further influence the policy process. Certain shortcomings in the implementation team negatively influenced the implementation: inadequate leadership, no shared vision regarding the reorientation of the intervention, challenges related to the KB role, and lack of frank communications internally. Other impediments to the intervention’s deployment included local actors' lack of decision-making authority, the unavailability of resources and of organizational incentives for involvement in the KB intervention, and contextual challenges in accessing the central level. However, the KB strategy presented several strengths: collaborative development, support provided to local partners by the broker, and training opportunities and support provided to the broker. CONCLUSIONS: More attention must be paid to intervention planning, partners’ engagement, human, financial and technical resources availability, continuous development of skills and of communications within the KB team, and periodic assessment of potential obstacles related to the complexity of the system within which the intervention has been implemented. Using implementation science frameworks when developing KB strategies in the West African context should be promoted. |
format | Online Article Text |
id | pubmed-6660220 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-66602202019-08-07 A health knowledge brokering intervention in a district of Burkina Faso: A qualitative retrospective implementation analysis Mc Sween-Cadieux, Esther Dagenais, Christian Somé, Donmozoun Télesphore Ridde, Valéry PLoS One Research Article BACKGROUND: A knowledge brokering (KB) intervention was implemented in Burkina Faso. By creating partnerships with health system actors in one district, the broker was expected to assess their knowledge needs, survey the literature to provide the most recent research evidence, produce various knowledge translation tools, and support them in using research to improve their actions. The purpose of this study was to analyze the key factors that influenced the KB project and to make recommendations for future initiatives. METHODS: The qualitative design involved a single case study in which the KB intervention implementation was evaluated retrospectively. Data came from interviews with the intervention team (n = 4) and with various actors involved in the intervention (n = 16). Data from formative evaluations conducted during the KB implementation and observation data from a two-month field mission were also used. Two conceptual frameworks were combined to guide the analysis: the Consolidated Framework for Implementation Research (Damschroder et al., 2009) and the Ecological Framework (Durlak & DuPre, 2008). RESULTS: Various KB activities were conducted during the first two years of implementation at the local level. The project came to an early end following vain efforts to relocate the intervention at the central level in order to further influence the policy process. Certain shortcomings in the implementation team negatively influenced the implementation: inadequate leadership, no shared vision regarding the reorientation of the intervention, challenges related to the KB role, and lack of frank communications internally. Other impediments to the intervention’s deployment included local actors' lack of decision-making authority, the unavailability of resources and of organizational incentives for involvement in the KB intervention, and contextual challenges in accessing the central level. However, the KB strategy presented several strengths: collaborative development, support provided to local partners by the broker, and training opportunities and support provided to the broker. CONCLUSIONS: More attention must be paid to intervention planning, partners’ engagement, human, financial and technical resources availability, continuous development of skills and of communications within the KB team, and periodic assessment of potential obstacles related to the complexity of the system within which the intervention has been implemented. Using implementation science frameworks when developing KB strategies in the West African context should be promoted. Public Library of Science 2019-07-26 /pmc/articles/PMC6660220/ /pubmed/31349363 http://dx.doi.org/10.1371/journal.pone.0220105 Text en © 2019 Mc Sween-Cadieux et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Mc Sween-Cadieux, Esther Dagenais, Christian Somé, Donmozoun Télesphore Ridde, Valéry A health knowledge brokering intervention in a district of Burkina Faso: A qualitative retrospective implementation analysis |
title | A health knowledge brokering intervention in a district of Burkina Faso: A qualitative retrospective implementation analysis |
title_full | A health knowledge brokering intervention in a district of Burkina Faso: A qualitative retrospective implementation analysis |
title_fullStr | A health knowledge brokering intervention in a district of Burkina Faso: A qualitative retrospective implementation analysis |
title_full_unstemmed | A health knowledge brokering intervention in a district of Burkina Faso: A qualitative retrospective implementation analysis |
title_short | A health knowledge brokering intervention in a district of Burkina Faso: A qualitative retrospective implementation analysis |
title_sort | health knowledge brokering intervention in a district of burkina faso: a qualitative retrospective implementation analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6660220/ https://www.ncbi.nlm.nih.gov/pubmed/31349363 http://dx.doi.org/10.1371/journal.pone.0220105 |
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