ReviewHealth research policy and systems2013
Embedding health policy and systems research into decision-making processes in low- and middle-income countries.
Review in Health research policy and systems, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
70 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Access Barriers to Healthcare for Undocumented Migrants in Low- and Middle-Income Countries: A Qualitative Systematic Review.Journal of immigrant and minority health · 2025Pooled it
- National decision-making for the introduction of new vaccines: A systematic review, 2010-2020.Vaccine · 2021Pooled it
- Reporting of conflicts of interest by authors of primary studies on health policy and systems research: a cross-sectional survey.BMJ open · 2020Pooled it
- A systematic review of frameworks for the interrelationships of mental health evidence and policy in low- and middle-income countries.Health research policy and systems · 2018Pooled it
- The Astronomy of Africa's Health Systems Literature During the MDG Era: Where Are the Systems Clusters?Global health, science and practice · 2015Pooled it
- Science-policy translation for Lassa fever control in West Africa: a qualitative synthesis of regional evidence.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2026Article
- What makes embedded implementation research work? A multicountry synthesis of UNICEF-supported initiatives in low- and middle-income countries.Journal of global health · 2026Article
- Facilitating collaboration between public health researchers and policymakers: a scoping review of global practices, barriers and facilitators.Health research policy and systems · 2026Review
- Challenges and opportunities in achieving sustainable development goal 3 in KwaZulu-Natal: reflections from a research institute, South Africa.BMC public health · 2025Review
- Integrating eye health into a child health policy in Tanzania: global and national influences.Health policy and planning · 2025Article
- Organizational and systems-level barriers and facilitators to health professionals' readiness to address domestic and sexualized violence: a qualitative study from Nova Scotia, Canada.Frontiers in reproductive health · 2025Article
- Navigating the complexity of a collaborative, system-wide public health programme: learning from a longitudinal qualitative evaluation of the ActEarly City Collaboratory.Health research policy and systems · 2024Article
- Analysis of funding landscape for health policy and systems research in the Eastern Mediterranean Region: A scoping review of the literature over the past decade.Health research policy and systems · 2024Article
- Household Air Pollution Interventions to Improve Health in Low- and Middle-Income Countries: An Official American Thoracic Society Research Statement.American journal of respiratory and critical care medicine · 2024Article
- "Research ends with publication": a qualitative study on the use of health policy and systems research in Ethiopia.Health research policy and systems · 2024Article
- From knowledge production to knowledge translation: Waterpipe tobacco control research in the Eastern Mediterranean Region.Tobacco prevention & cessation · 2024Article
- From bench to policy: a critical analysis of models for evidence-informed policymaking in healthcare.Frontiers in public health · 2024Review
- Embedding implementation research to cross the quality of care chasm during the covid-19 pandemic and beyond.BMJ (Clinical research ed.) · 2023Article
- Challenges for research uptake for health policymaking and practice in low- and middle-income countries: a scoping review.Health research policy and systems · 2023Article
- Evidence synthesis to policy: development and implementation of an impact-oriented approach from the Eastern Mediterranean Region.Health research policy and systems · 2023Review
10 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Attention is increasingly directed to bridging the gap between the production of knowledge and its use for health decision-making in low- and middle-income countries (LMICs). An important and underdeveloped area of health policy and systems research (HPSR) is the organization of this process. Drawing from an interdisciplinary conception of embeddedness, a literature review was conducted to identify examples of embedded HPSR used to inform decision-making in LMICs. The results of the literature review were organized according to the World Health Organization's Building Blocks Framework. Next, a conceptual model was created to illustrate the arrangement of organizations that produce embedded HPSR and the characteristics that facilitate its uptake into the arena of decision-making. We found that multiple forces converge to create context-specific pathways through which evidence enters into decision-making. Depending on the decision under consideration, the literature indicates that decision-makers may call upon an intricate combination of actors for sourcing HPSR. While proximity to decision-making does have advantages, it is not the position of the organization within the network, but rather the qualities the organization possesses, that enable it to be embedded. Our findings suggest that four qualities influence embeddedness: reputation, capacity, quality of connections to decision-makers, and quantity of connections to decision-makers and others. In addition to this, the policy environment (e.g. the presence of legislation governing the use of HPSR, presence of strong civil society, etc.) strongly influences uptake. Through this conceptual model, we can understand which conditions are likely to enhance uptake of HPSR in LMIC health systems. This raises several important considerations for decision-makers and researchers about the arrangement and interaction of evidence-generating organizations in health systems.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.