Exploring health systems research and its influence on policy processes in low income countries
Abstract
Background
The interface between research and policymaking in low-income countries
is highly complex. The ability of health systems research to influence
policy processes in such settings face numerous challenges. Successful
analysis of the research-policy interface in these settings requires
understanding of contextual factors as well as key influences on the
interface. Future Health Systems (FHS): Innovations for Equity is a
consortium conducting research in six countries in Asia and Africa. One
of the three cross-country research themes of the consortium is analysis
of the relationship between research (evidence) and policy making,
especially their impact on the poor; insights gained in the initial
conceptual phase of FHS activities can inform the global knowledge pool
on this subject.
Discussion
This paper provides a review of the research-policy interface in
low-income countries and proposes a conceptual framework, followed by
directions for empirical approaches. First, four developmental
perspectives are considered: social institutional factors; virtual
versus grassroots realities; science-society relationships; and
construction of social arrangements. Building on these developmental
perspectives three research-policy interface entry points are
identified: 1. Recognizing policy as complex processes; 2. Engaging key
stakeholders: decision-makers, providers, scientists, and communities;
and 3. Enhancing accountability. A conceptual framework with three entry
points to the research-policy interface - policy processes; stakeholder
interests, values, and power; and accountability - within a context
provided by four developmental perspectives is proposed. Potential
empirical approaches to the research-policy interface are then reviewed.
Finally, the value of such innovative empirical analysis is considered.
Conclusion
The purpose of this paper is to provide the background, conceptual
framework, and key research directions for empirical activities focused
on the research-policy interface in low income settings. The interface
can be strengthened through such analysis leading to potential
improvements in population health in low-income settings. Health system
development cognizant of the myriad factors at the research-policy
interface can form the basis for innovative future health systems.
Citation
BMC Public Health (2007) 7:309 [DOI:10.1186/1471-2458-7-309]
Links
Exploring health systems research and its influence on policy processes in low income countries