Abstract
Background This study sought to document and understand facilitators and barriers to producing, translating, and using modeled evidence in decision-making in Burkina Faso, Nigeria, India, and Kenya. We explored researcher-decision-maker engagement mechanisms as key facilitators of evidence use, with a focus on knowledge brokers and boundary organizations. Methods The study used mixed methods drawing on analysis from key informant interviews and surveys, complemented by a rapid desk review to map modeling activities and actors. The survey was conducted online while the qualitative research entailed in-depth interviews with modelers, knowledge brokers, and decision-makers working in a representative variety of health fields, organizations, and levels of government. This study was approved by Health Media Lab IRB (Institutional Review Board) in the United States and a local IRB in each study country and conducted between September 2021 and June 2022. Results Informants interviewed for this study described a range of factors that facilitate and inhibit the use of modeled evidence in public health decision-making at the individual, organizational, and environmental levels. Key themes included the capacity to produce, translate, and use modeled evidence; the timing and relevance of modeling outputs; the existence of communications channels between modelers and decision-makers; the strength of underlying data systems; the role of sustained funding; and the impact of global crises. Conclusion This study highlights the importance of taking an ecosystem approach to supporting modeling activities, considering individual, organizational, and environmental factors and how different actors and interact to inform the production, translation, and use of modeled evidence. Structured interaction that promotes dialogue, debate, and joint sense making between the producers and users of evidence is critical to informing and influencing the use of evidence in decision-making.
Funder
Bill and Melinda Gates Foundation
Subject
Public Health, Environmental and Occupational Health,Health Policy,Immunology and Microbiology (miscellaneous),Biochemistry, Genetics and Molecular Biology (miscellaneous),Medicine (miscellaneous)
Reference11 articles.
1. Increasing the use of evidence in health policy: Practice and views of policy makers and researchers.;D Campbell;Aust New Zealand Health Policy.,2009
2. Four strategies for improving knowledge exchange among scientists and decision-makers.;C Cvitanovic;Integration and Implementation Insights.,2018
3. Using Policy Labs as a process to bring evidence closer to public policymaking: A guide to one approach.;S Hinrichs-Krapels;Palgrave Commun.,2020
4. Matchmaking Challenges for Researchers and Policymakers.;Issues in Science and Technology.,2022
5. Defining brokers, intermediaries, and boundary spanners: A systematic review.;J Neal,2021