Skip to main content Accessibility help
×
Home

NATIONAL FRAMEWORK FOR THE SUSTAINABILITY OF HEALTH KNOWLEDGE TRANSLATION INITIATIVES IN UGANDA

  • Robert Basaza (a1) (a2), Alison Kinegyere (a1), Boniface Mutatina (a1) and Nelson Sewankambo (a1)

Abstract

Objectives: The aim of this study was to provide evidence about the design and implementation of policies for advancing the sustainability of knowledge translation (KT) initiatives and policies in Uganda's health system.

Methods: We searched for and reviewed evidence about KT sustainability issues in Uganda, the impacts of options, barriers to implementing these options, and implementation strategies to address such barriers. In instances where the systematic reviews provided limited evidence, these were supplemented with relevant primary studies. Documents such as the government reports and unpublished literature were also included in the search. Key informant interviews and a policy dialogue were conducted, and an expert working group guided the study.

Results: The KT sustainability issues identified were: the absence of a specific unit within the health sector to coordinate and synthesize research; health worker not familiar with KT activities and not often used. Furthermore, Uganda lacks a mechanism to sustain its current national health frameworks or platforms, and does not have a system to ensure the sustained coordination of existing national health KT platforms. The policy options proposed include: (i) the identification of a KT champion; (ii) the establishment of an operational KT framework; (iii) KT capacity building for researchers and research users, as well as policy and decision makers.

Conclusions: The sustainability of KT will be influenced by the prevailing context and concerns within healthcare both in Uganda and internationally. Furthermore, the availability of resources for KT advocacy, communication, and program design will impact on the sustainability of Uganda's KT activities.

Copyright

References

Hide All
1. Graham, ID, Tetroe, JM. Getting evidence into policy and practice: Perspective of a health research funder. J Can Acad Child Adolesc Psychiatry. 2009;18:46-50.
2. United Nations University Institute of Water. Concept paper & case studies expanding our understanding of K* (Kt, KE, Ktt, KMb, KB, KM, etc.). A concept paper emerging from the K*; Ontario, Canada, Ontario: United Nations University Institute of Water; 2012.
3. Gruen, RL, Elliott, JH, Nolan, M, et al. Sustainability science: An integrated approach for health-programme planning. Lancet. 2008;372:1579-1589.
4. Schell, S, Luke, D, Schooley, M. et al. Public health program capacity for sustainability: A new framework. Implement Sci. 2013;8:15.
5. Calhoun, A, Mainor, A, Moreland-Russell, S, Maier, RC, Brossart, L, Luke, DA. Using the program sustainability assessment tool to assess and plan for sustainability. Prev Chronic Dis. 2014;11:130185.
6. Ministry of Health Uganda. Health Sector Development Plan 2015/16-19/20. Kampala: Ministry of Health Uganda; 2015.
7. Cordero, C. Funding agencies in low- and middle-income countries: Support for knowledge translation. Bull Word Health Organ. 2008;86:524-534.
8. Treading Economics.com. (2017). http://www.tradingeconomics.com/uganda/health-expenditure-total-percent-of-gdp-wb-data.html (accessed February 15, 2017).
9. Uganda National Health Research Organization. National Health Research Strategic Plan 2015/16-2019/20. Entebbe, Uganda: Uganda National Health Research Organization; 2015.
10. LaRocca, R, Yost, J, Dobbins, M, et al. The effectiveness of knowledge translation strategies used in public health: A systematic review. BMC Public Health. 2012;12:751.
11. Lavis, J, Robertson, D, Woodside, J, et al. How can research organizations more effectively transfer research knowledge to decision makers? Milbank Q. 2003;81:221-248.
12. Lavis, J, Oxman, A, Denis, J, et al. Towards systematic reviews that inform healthcare management and policy-making. J Health Serv Res Policy. 2005;10:35-48.
13. Dobbins, M, Hanna, SE, Ciliska, D, et al. Randomized controlled trial evaluating the impact of knowledge translation and exchange strategies. Implement Sci. 2009;4:61.
14. Straus, SE, Brouwers, M, Johnson, D, et al. Core competencies in the science and practice of knowledge translation: Description of a Canadian strategic training initiative. Implement Sci. 2011;6:127.
15. Coe, GA, Banta, D. Healthcare technology transfer in Latin America and the Caribbean. Int J Technol Assess Healthcare. 1992;8:255-267.
16. World Health Organization. Evidence-informed policy-making. 2017. http://www.who.int/evidence/sure/en/ (accessed 20 March 20, 2017).
17. Ongolo-Zogo, P, Lavis, JN, Tomson, G, Sewankambo, NK. Initiatives supporting evidence informed health system policymaking in Cameroon and Uganda: A comparative historical case study. BMC Health Serv Res. 2014;14:612. doi:10.1186/s12913-014-0612-3.
18. Mijumbi, RM, Oxman, AD, Panisset, U, Sewankambo, NK. Feasibility of a rapid response mechanism to meet policymakers’ urgent needs for research evidence about health systems in a low income country: A case study. Implement Sci. 2014;9:114. doi:10.1186/s13012-014-0114-z.
19. Mutatina, B, Basaza, R, Obuku, E, Lavis, JN, Sewankambo, N. Identifying and characterising health policy and system-relevant documents in Uganda: A scoping review to develop a framework for the development of a one-stop shop. Health Res Policy Syst. 2017;15:17. doi:10.1186/s12961-017-0170-3.
20. Arksey, H, O'Malley, L Scoping studies: Towards a methodological framework. Int J Soc Res Methodol. 2005;8:19-32.
21. Robb, M, Shellenbarger, T. Strategies for searching and managing evidence-based practice resources. J Contin Educ Nurs. 2014;45:461-466.
22. Basaza, R, Nabudere, H, Sewankambo, N. Terms of reference for evidence brief. Kampala, Uganda; Kampala, Makerere University College of Health Sciences; 2012.
23. Ssengooba, F, Atuyambe, L, Kiwanuka, SN, et al. Research translation to inform national health policies: Learning from multiple perspectives in Uganda. BMC Int Health Hum Rights. 2011;11 (Suppl 1):S13.
24. Bowen, S, Zwi, AB. Pathways to “evidence-informed” policy and practice: A framework for action. PLoS Med. 2005;2:e166.
25. Lavis, JN, Lomas, J, Hamid, M, Sewankambo, NK. Assessing country-level efforts to link research to action. Bull World Health Org. 2006;84:620-628.
26. Ellen, ME, Lavis, JN, Ouimet, M, et al. Determining research knowledge infrastructure for healthcare systems: A qualitative study. Implement Sci. 2011;6:60.
27. Lavis, J. Funding of knowledge translation activities. McMaster Health Forum. Ontario Canada (Personal communication, 2013).
28. Jacobson, N, Butterill, D, Goering, P. Development of a framework for knowledge translation: Understanding user context. J Health Serv Res Policy. 2003;8:94-99.
29. Holmes, B, Scarrow, G, Schellenberg, M. Translating evidence into practice: The role of health research funders. Implement Sci. 2012;7:39.
30. World Health Organization. The Algiers Declaration of Ministerial Conference on research for health in the African Region. Brazzaville: World Health Organization Regional Office for Africa; 2008.
31. National Institute of Healthcare and Excellence. About National Institute of Healthcare and Excellence: National Institute of Healthcare and Excellence 2013. http://www.nice.org.uk/ (accessed March 23, 2017).

Keywords

Type Description Title
WORD
Supplementary materials

Basaza et al. supplementary material 1
Basaza et al. supplementary material

 Word (24 KB)
24 KB

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed