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'Maybe We Can Turn the Tide': An Explanatory Mixed-Methods Study to Understand How Knowledge Brokers Mobilise Health Evidence in Low- and Middle-Income Countries

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Title: 'Maybe We Can Turn the Tide': An Explanatory Mixed-Methods Study to Understand How Knowledge Brokers Mobilise Health Evidence in Low- and Middle-Income Countries
Language: English
Authors: Norton, Theresa C. (ORCID 0000-0001-6716-9749), Rodriguez, Daniela C. (ORCID 0000-0003-2523-1123), Howell, Catherine, Reynolds, Charlene, Willems, Sara (ORCID 0000-0002-6349-7785)
Source: Evidence & Policy: A Journal of Research, Debate and Practice. Feb 2021 17(1):9-28.
Availability: Policy Press. University of Bristol, 1-9 Old Park Hill, Bristol BS2 8BB, UK. Tel: +44-117-954-5940; e-mail: pp-info@policypress.co.uk; Web site: https://policypress.co.uk/journals/evidence-and-policy
Peer Reviewed: Y
Page Count: 20
Publication Date: 2021
Sponsoring Agency: USAID
Contract Number: AIDOAAA1400028
Document Type: Journal Articles
Reports - Research
Descriptors: Developing Nations, Foreign Countries, Research Utilization, Public Health, Evidence, Research and Development, Theory Practice Relationship
Geographic Terms: Africa, North America, South America, Asia, Europe
DOI: 10.1332/174426419X15679622689515
ISSN: 1744-2648
Abstract: Background: Little is known about how knowledge brokers (KBs) operate in low- and middle-income countries (LMICs) to translate evidence for health policy and practice. These intermediaries facilitate relationships between evidence producers and users to address public health issues. Aims and objectives: To increase understanding, a mixed-methods study collected data from KBs who had acted on evidence from the 2015 Global Maternal Newborn Health Conference in Mexico. Methods: Of the 1000 in-person participants, 252 plus 72 online participants (n=324) from 56 countries completed an online survey, and 20 participants from 15 countries were interviewed. Thematic analysis and application of knowledge translation (KT) theory explored factors influencing KB actions leading to evidence uptake. Descriptive statistics of respondent characteristics were used for cross-case comparison. Findings: Results suggest factors supporting the KB role in evidence uptake, which include active relationships with evidence users through embedded KB roles, targeted and tailored evidence communication to fit the context, user receptiveness to evidence from a similar country setting, adaptability in the KB role, and action orientation of KBs. Discussion and conclusions: Initiatives to increase evidence uptake in LMICs should work to establish supportive structures for embedded KT, identify processes for ongoing cross-country learning, and strengthen KBs already showing effectiveness in their roles.
Abstractor: As Provided
Entry Date: 2021
Accession Number: EJ1284716
Database: ERIC
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  Data: <searchLink fieldCode="AR" term="%22Norton%2C+Theresa+C%2E%22">Norton, Theresa C.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-6716-9749">0000-0001-6716-9749</externalLink>)<br /><searchLink fieldCode="AR" term="%22Rodriguez%2C+Daniela+C%2E%22">Rodriguez, Daniela C.</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-2523-1123">0000-0003-2523-1123</externalLink>)<br /><searchLink fieldCode="AR" term="%22Howell%2C+Catherine%22">Howell, Catherine</searchLink><br /><searchLink fieldCode="AR" term="%22Reynolds%2C+Charlene%22">Reynolds, Charlene</searchLink><br /><searchLink fieldCode="AR" term="%22Willems%2C+Sara%22">Willems, Sara</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-6349-7785">0000-0002-6349-7785</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Evidence+%26+Policy%3A+A+Journal+of+Research%2C+Debate+and+Practice%22"><i>Evidence & Policy: A Journal of Research, Debate and Practice</i></searchLink>. Feb 2021 17(1):9-28.
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  Data: Policy Press. University of Bristol, 1-9 Old Park Hill, Bristol BS2 8BB, UK. Tel: +44-117-954-5940; e-mail: pp-info@policypress.co.uk; Web site: https://policypress.co.uk/journals/evidence-and-policy
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  Data: 10.1332/174426419X15679622689515
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  Data: Background: Little is known about how knowledge brokers (KBs) operate in low- and middle-income countries (LMICs) to translate evidence for health policy and practice. These intermediaries facilitate relationships between evidence producers and users to address public health issues. Aims and objectives: To increase understanding, a mixed-methods study collected data from KBs who had acted on evidence from the 2015 Global Maternal Newborn Health Conference in Mexico. Methods: Of the 1000 in-person participants, 252 plus 72 online participants (n=324) from 56 countries completed an online survey, and 20 participants from 15 countries were interviewed. Thematic analysis and application of knowledge translation (KT) theory explored factors influencing KB actions leading to evidence uptake. Descriptive statistics of respondent characteristics were used for cross-case comparison. Findings: Results suggest factors supporting the KB role in evidence uptake, which include active relationships with evidence users through embedded KB roles, targeted and tailored evidence communication to fit the context, user receptiveness to evidence from a similar country setting, adaptability in the KB role, and action orientation of KBs. Discussion and conclusions: Initiatives to increase evidence uptake in LMICs should work to establish supportive structures for embedded KT, identify processes for ongoing cross-country learning, and strengthen KBs already showing effectiveness in their roles.
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