Using research to influence sexual and reproductive health practice and implementation in Sub-Saharan Africa: a case-study analysis
Identifieur interne : 000796 ( Main/Exploration ); précédent : 000795; suivant : 000797Using research to influence sexual and reproductive health practice and implementation in Sub-Saharan Africa: a case-study analysis
Auteurs : Olivia Tulloch [Royaume-Uni] ; Philippe Mayaud [Royaume-Uni] ; Yaw Adu-Sarkodie [Ghana] ; Baafuor Kofi Opoku [Ghana] ; Nana Oye Lithur [Ghana] ; Eugene Sickle [Afrique du Sud] ; Sinead Delany-Moretlwe [Afrique du Sud] ; Mwita Wambura [Tanzanie] ; John Changalucha [Royaume-Uni] ; Sally Theobald [Royaume-Uni]Source :
- Health Research Policy and Systems [ 1478-4505 ] ; 2011.
Abstract
Research institutions and donor organizations are giving growing attention to how research evidence is communicated to influence policy. In the area of sexual and reproductive health (SRH) and HIV there is less weight given to understanding how evidence is successfully translated into practice. Policy issues in SRH can be controversial, influenced by political factors and shaped by context such as religion, ethnicity, gender and sexuality.
The case-studies presented in this paper analyse findings from SRH/HIV research programmes in sub-Saharan Africa: 1) Maternal syphilis screening in Ghana, 2) Legislative change for sexual violence survivors In Ghana, 3) Male circumcision policy in South Africa, and 4) Male circumcision policy in Tanzania. Our analysis draws on two frameworks, Sumner et al’s synthesis approach and Nutley’s research use continuum.
The analysis emphasises the relationships and communications involved in using research to influence policy and practice and recognises a distinction whereby practice is not necessarily influenced as a result of policy change – especially in SRH – where there are complex interactions between policy actors.
Both frameworks demonstrate how policy networks, partnership and advocacy are critical in shaping the extent to which research is used and the importance of on-going and continuous links between a range of actors to maximize research impact on policy uptake and implementation. The case-studies illustrate the importance of long-term engagement between researchers and policy makers and how to use evidence to develop policies which are sensitive to context: political, cultural and practical.
Url:
DOI: 10.1186/1478-4505-9-S1-S10
PubMed: 21679377
PubMed Central: 3121127
Affiliations:
- Afrique du Sud, Ghana, Royaume-Uni, Tanzanie
- Angleterre, Gauteng, Grand Londres
- Johannesbourg, Londres
- Université du Witwatersrand
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5QA</wicri:noRegion></affiliation></author><author><name sortKey="Mayaud, Philippe" sort="Mayaud, Philippe" uniqKey="Mayaud P" first="Philippe" last="Mayaud">Philippe Mayaud</name><affiliation wicri:level="3"><nlm:aff id="I2">London School of Hygiene & Tropical Medicine, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London School of Hygiene & Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Adu Sarkodie, Yaw" sort="Adu Sarkodie, Yaw" uniqKey="Adu Sarkodie Y" first="Yaw" last="Adu-Sarkodie">Yaw Adu-Sarkodie</name><affiliation wicri:level="1"><nlm:aff id="I3">School of Medical Sciences, Kwame Nkrumah University of Sciences & Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>School of Medical Sciences, Kwame Nkrumah University of Sciences & Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Opoku, Baafuor Kofi" sort="Opoku, Baafuor Kofi" uniqKey="Opoku B" first="Baafuor Kofi" last="Opoku">Baafuor Kofi Opoku</name><affiliation wicri:level="1"><nlm:aff id="I3">School of Medical Sciences, Kwame Nkrumah University of Sciences & Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>School of Medical Sciences, Kwame Nkrumah University of Sciences & Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Lithur, Nana Oye" sort="Lithur, Nana Oye" uniqKey="Lithur N" first="Nana Oye" last="Lithur">Nana Oye Lithur</name><affiliation wicri:level="1"><nlm:aff id="I4">INDEPTH Network, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>INDEPTH Network</wicri:regionArea></affiliation></author><author><name sortKey="Sickle, Eugene" sort="Sickle, Eugene" uniqKey="Sickle E" first="Eugene" last="Sickle">Eugene Sickle</name><affiliation wicri:level="4"><nlm:aff id="I5">The Reproductive Health and HIV Research Unit, University of the Witwatersrand, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>The Reproductive Health and HIV Research Unit, University of the Witwatersrand</wicri:regionArea><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName><orgName type="university">Université du Witwatersrand</orgName></affiliation></author><author><name sortKey="Delany Moretlwe, Sinead" sort="Delany Moretlwe, Sinead" uniqKey="Delany Moretlwe S" first="Sinead" last="Delany-Moretlwe">Sinead Delany-Moretlwe</name><affiliation wicri:level="4"><nlm:aff id="I5">The Reproductive Health and HIV Research Unit, University of the Witwatersrand, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>The Reproductive Health and HIV Research Unit, University of the Witwatersrand</wicri:regionArea><placeName><settlement type="city">Johannesbourg</settlement><region type="region" nuts="2">Gauteng</region></placeName><orgName type="university">Université du Witwatersrand</orgName></affiliation></author><author><name sortKey="Wambura, Mwita" sort="Wambura, Mwita" uniqKey="Wambura M" first="Mwita" last="Wambura">Mwita Wambura</name><affiliation wicri:level="1"><nlm:aff id="I6">National Institute for Medical Research, Mwanza Centre, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>National Institute for Medical Research, Mwanza Centre</wicri:regionArea><wicri:noRegion>Mwanza Centre</wicri:noRegion></affiliation></author><author><name sortKey="Changalucha, John" sort="Changalucha, John" uniqKey="Changalucha J" first="John" last="Changalucha">John Changalucha</name><affiliation wicri:level="1"><nlm:aff id="I1">International Health Research Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>International Health Research Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA</wicri:regionArea><wicri:noRegion>L3 5QA</wicri:noRegion></affiliation></author><author><name sortKey="Theobald, Sally" sort="Theobald, Sally" uniqKey="Theobald S" first="Sally" last="Theobald">Sally Theobald</name><affiliation wicri:level="1"><nlm:aff id="I1">International Health Research Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>International Health Research Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA</wicri:regionArea><wicri:noRegion>L3 5QA</wicri:noRegion></affiliation></author></analytic><series><title level="j">Health Research Policy and Systems</title><idno type="eISSN">1478-4505</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Research institutions and donor organizations are giving growing attention to how research evidence is communicated to influence policy. In the area of sexual and reproductive health (SRH) and HIV there is less weight given to understanding how evidence is successfully translated into practice. Policy issues in SRH can be controversial, influenced by political factors and shaped by context such as religion, ethnicity, gender and sexuality.</p></sec><sec><title>Methods</title><p>The case-studies presented in this paper analyse findings from SRH/HIV research programmes in sub-Saharan Africa: 1) Maternal syphilis screening in Ghana, 2) Legislative change for sexual violence survivors In Ghana, 3) Male circumcision policy in South Africa, and 4) Male circumcision policy in Tanzania. Our analysis draws on two frameworks, Sumner et al’s synthesis approach and Nutley’s research use continuum.</p></sec><sec><title>Results</title><p>The analysis emphasises the relationships and communications involved in using research to influence policy and practice and recognises a distinction whereby practice is not necessarily influenced as a result of policy change – especially in SRH – where there are complex interactions between policy actors.</p></sec><sec><title>Conclusion</title><p>Both frameworks demonstrate how policy networks, partnership and advocacy are critical in shaping the extent to which research is used and the importance of on-going and continuous links between a range of actors to maximize research impact on policy uptake and implementation. The case-studies illustrate the importance of long-term engagement between researchers and policy makers and how to use evidence to develop policies which are sensitive to context: political, cultural and practical.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sumner, A" uniqKey="Sumner A">A Sumner</name></author><author><name sortKey="Crichton, J" uniqKey="Crichton J">J Crichton</name></author><author><name sortKey="Theobald, S" uniqKey="Theobald S">S Theobald</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Court, J" uniqKey="Court J">J Court</name></author><author><name sortKey="Young, J" uniqKey="Young J">J Young</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walt, G" uniqKey="Walt G">G Walt</name></author><author><name sortKey="Gilson, L" uniqKey="Gilson L">L Gilson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nutley, S" uniqKey="Nutley S">S Nutley</name></author><author><name sortKey="Walter, I" uniqKey="Walter I">I Walter</name></author><author><name sortKey="Davies, H" uniqKey="Davies H">H Davies</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Crewe, E" uniqKey="Crewe E">E Crewe</name></author><author><name sortKey="Young, J" uniqKey="Young J">J Young</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Court, J" uniqKey="Court J">J Court</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dickenson, C" uniqKey="Dickenson C">C Dickenson</name></author><author><name sortKey="Buse, K" uniqKey="Buse K">K Buse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gilson, L" uniqKey="Gilson L">L Gilson</name></author><author><name sortKey="Raphaely, N" uniqKey="Raphaely N">N Raphaely</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Greene, D" uniqKey="Greene D">D Greene</name></author><author><name sortKey="David, Jl" uniqKey="David J">JL David</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Auvert, B" uniqKey="Auvert B">B Auvert</name></author><author><name sortKey="Taljaard, D" uniqKey="Taljaard D">D Taljaard</name></author><author><name sortKey="Lagarde, E" uniqKey="Lagarde E">E Lagarde</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gray, H" uniqKey="Gray H">H Gray</name></author><author><name sortKey="Kigozi, G" uniqKey="Kigozi G">G Kigozi</name></author><author><name sortKey="Serwadda, D" uniqKey="Serwadda D">D Serwadda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bailey, Rc" uniqKey="Bailey R">RC Bailey</name></author><author><name sortKey="Moses, S" uniqKey="Moses S">S Moses</name></author><author><name sortKey="Parker, Cb" uniqKey="Parker C">CB Parker</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Urassa, M" uniqKey="Urassa M">M Urassa</name></author><author><name sortKey="Todd, J" uniqKey="Todd J">J Todd</name></author><author><name sortKey="Boerma, Jt" uniqKey="Boerma J">JT Boerma</name></author><author><name sortKey="Hayes, R" uniqKey="Hayes R">R Hayes</name></author><author><name sortKey="Isingo, R" uniqKey="Isingo R">R Isingo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nnko, S" uniqKey="Nnko S">S Nnko</name></author><author><name sortKey="Washija, R" uniqKey="Washija R">R Washija</name></author><author><name sortKey="Urassa, M" uniqKey="Urassa M">M Urassa</name></author><author><name sortKey="Boerma, Jt" uniqKey="Boerma J">JT Boerma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Westercamp, N" uniqKey="Westercamp N">N Westercamp</name></author><author><name sortKey="Bailey, Rc" uniqKey="Bailey R">RC Bailey</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Nutley, S" uniqKey="Nutley S">S Nutley</name></author><author><name sortKey="Walter, I" uniqKey="Walter I">I Walter</name></author><author><name sortKey="Davies, H" uniqKey="Davies H">H Davies</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Shiffman, J" uniqKey="Shiffman J">J Shiffman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Ghana</li><li>Royaume-Uni</li><li>Tanzanie</li></country><region><li>Angleterre</li><li>Gauteng</li><li>Grand Londres</li></region><settlement><li>Johannesbourg</li><li>Londres</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Tulloch, Olivia" sort="Tulloch, Olivia" 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