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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Bridging the gaps between research, policy and practice in low- and middle-income countries: A survey of researchers
CMAJ. Canadian Medical Association Journal, Volume 182, No. 9, Year 2010
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Description
Background: Many international statements have urged researchers, policy-makers and health care providers to collaborate in efforts to bridge the gaps between research, policy and practice in low- and middle-income countries. We surveyed researchers in 10 countries about their involvement in such efforts. Methods: We surveyed 308 researchers who conducted research on one of four clinical areas relevant to the Millennium Development Goals (prevention of malaria, care of women seeking contraception, care of children with diarrhea and care of patients with tuberculosis) in each of 10 low- and middle-income countries (China, Ghana, India, Iran, Kazakhstan, Laos, Mexico, Pakistan, Senegal and Tanzania). We focused on their engagement in three promising bridging activities and examined system-level, organizational and individual correlates of these activities. Results: Less than half of the researchers surveyed re ported that they engaged in one or more of the three promising bridging activities: 27% provided systematic reviews of the research literature to their target audiences, 40% provided access to a searchable database of research products on their topic, and 43% established or maintained long-term partnerships related to their topic with representatives of the target audience. Three factors emerged as statistically significant predictors of respondents' engagement in these activities: the existence of structures and processes to link researchers and their target audiences predicted both the provision of access to a database (odds ratio [OR] 2.62, 95% CI 1.30-5.27) and the establishment or maintenance of partnerships (OR 2.65, 95% CI 1.25-5.64); stability in their contacts predicted the provision of systematic reviews (OR 2.88, 95% CI 1.35-6.13); and having managers and public (government) policy-makers among their target audiences predicted the provision of both systematic reviews (OR 4.57, 95% CI 1.78-11.72) and access to a database (OR 2.55, 95% CI 1.20-5.43). Interpretation: Our findings suggest potential areas for improvement in light of the bridging strategies targeted at health care providers that have been found to be effective in some contexts and the factors that appear to increase the prospects for using research in policy-making. © 2010 Canadian Medical Association or its licensors.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC2882466/bin/081164_index.html
https://efashare.b-cdn.net/share/pmc/articles/PMC2882466/bin/081164_1.pdf
Authors & Co-Authors
Lavis, John Norman
Canada, Hamilton
Mcmaster University, Faculty of Health Sciences
Canada, Hamilton
Centre for Health Economics and Policy Analysis
Canada, Hamilton
Mcmaster University
Guindon, G. Emmanuel
Canada, Hamilton
Centre for Health Economics and Policy Analysis
Canada, Hamilton
Mcmaster University
Cameron, David
Canada, Hamilton
Centre for Health Economics and Policy Analysis
Canada, Hamilton
Mcmaster University
Boupha, Boungnong
Laos, Vientiane
Ministry of Health Laos
Dejman, Masoumeh
Iran, Tehran
Iranian Ministry of Health and Medical Education
Osei, Eric J.A.
Ghana, Accra
Council for Scientific and Industrial Research Ghana
Sadana, Ritu
Switzerland, Geneva
Organisation Mondiale de la Santé
Statistics
Citations: 95
Authors: 7
Affiliations: 7
Identifiers
Doi:
10.1503/cmaj.081164
ISSN:
08203946
e-ISSN:
14882329
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Case-Control Study
Study Approach
Quantitative
Study Locations
Ghana
Senegal
Tanzania
Participants Gender
Female