Evidence map›Paper›PMID 27067540›Full record

ArticleHealth research policy and systems2016

Analysing key influences over actors' use of evidence in developing policies and strategies in Nigeria: a retrospective study of the Integrated Maternal Newborn and Child Health strategy.

Chinyere O Mbachu, Obinna Onwujekwe, Ifeanyi Chikezie, Nkoli Ezumah, Mahua Das, Benjamin S C Uzochukwu

Abstract read
In one paragraph

Article in Health research policy and systems, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chinyere O MbachuHealth Policy Research Group, College of Medicine, University of Nigeria Enugu campus, Enugu, Nigeria. chinyere23ng@gmail.com.
Obinna OnwujekweHealth Policy Research Group, College of Medicine, University of Nigeria Enugu campus, Enugu, Nigeria.
Ifeanyi ChikezieHealth Policy Research Group, College of Medicine, University of Nigeria Enugu campus, Enugu, Nigeria.
Nkoli EzumahHealth Policy Research Group, College of Medicine, University of Nigeria Enugu campus, Enugu, Nigeria.
Mahua DasNuffield Center for International Health and Development, University of Leeds, Leeds, United Kingdom.
Benjamin S C UzochukwuHealth Policy Research Group, College of Medicine, University of Nigeria Enugu campus, Enugu, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence-informed policymaking has been promoted as a means of ensuring better outcomes. However, what counts as evidence in policymaking lies within a spectrum of expert knowledge and scientifically generated information. Since not all forms of evidence share an equal validity or weighting for policymakers, it is important to understand the key factors that influence their preferences for different types of evidence in policy and strategy development.

methodA retrospective study was carried out at the national level in Nigeria using a case-study approach to examine the Nigerian Integrated Maternal Newborn and Child Health (IMNCH) strategy. Two frameworks were used for conceptualization and data analysis, namely (1) to analyse the role of evidence in policymaking and (2) the policy triangle. They were used to explore the key contextual and participatory influences on choice of evidence in developing the IMNCH strategy. Data was collected through review of relevant national documents and in-depth interviews of purposively selected key policy and strategic decision makers. Thematic analysis was applied to generate information from collected data.

resultsThe breadth of evidence used was wide, ranging from expert opinions to systematic reviews. The choice of different types of evidence was found to overlap across actor categories. Key influences over actors' choice of evidence were: (1) perceived robustness of evidence - comprehensive, representative, recent, scientifically sound; (2) roles in evidence process, i.e. their degree and level of participation in evidence generation and dissemination, with regards to their role in the policy process; and (3) contextual factors such as global agenda and influence, timeline for strategy development, availability of resources for evidence generation, and lessons learnt from previous unsuccessful policies/plans.

conclusionActors' preferences for different types of evidence for policy are influenced not only by the characteristics of evidence itself, but on actors' roles in the evidence process, their power to influence the policy, and the context in which evidence is used.

Indexed as

Child HealthHealth PolicyMaternal HealthPolicy MakingAdministrative PersonnelBiomedical ResearchEvidence-Based MedicineHumansNigeriaRetrospective StudiesActorsEvidenceNigeriaPolicymakingPreference

Identifiers

PMID27067540
PMCPMC4828804

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Registered trials

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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.