ArticleHealth research policy and systems2020
Comparative analysis of country-level enablers, barriers and recommendations to strengthen institutional capacity for evidence uptake in decision-making.
Article in Health research policy and systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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.
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Who cites it
15 citing papers in PubMed.
- Translating one health research evidence into action: co-production of rabies control knowledge in Côte d'Ivoire.Health research policy and systems · 2026Article
- Assessing National Health Research System in a resource-limited setting: Insights from Indonesia.PloS one · 2026Article
- Melatonin in Integrative Oncology: Biological Mechanisms, Therapeutic Evidence and Implementation Strategies.Oncology research · 2026Review
- Barriers and facilitators to the institutionalization and sustainability of knowledge translation platforms in the eastern Mediterranean: a scoping review.Health research policy and systems · 2025Article
- A scoping review of knowledge translation in strengthening health policy and practice: sources, platforms, tools, opportunities, and challenges.Archives of public health = Archives belges de sante publique · 2025Article
- Improving measures of context in process evaluations: development and use of the Context Tracker tool.Trials · 2024Article
- Making health inequality analysis accessible: WHO tools and resources using Microsoft Excel.International journal for equity in health · 2024Review
- Nurses' perception of the hospitals' culture and readiness of evidence-based practise integration in the hospital's system in western Ethiopia.BMC nursing · 2024Article
- Comparing the roles of community health workers for malaria control and elimination in Cambodia and Tanzania.BMJ global health · 2023Review
- Challenges for research uptake for health policymaking and practice in low- and middle-income countries: a scoping review.Health research policy and systems · 2023Article
- Using health policy and systems research to influence national health policies: lessons from Mexico, Cambodia and Ghana.Health policy and planning · 2023Review
- Domains and processes for institutionalizing evidence-informed health policy-making: a critical interpretive synthesis.Health research policy and systems · 2022Review
- A mapping of facilitators and barriers to evidence-based management in health systems: a scoping review study.Systematic reviews · 2021Article
- Strengthening routine health data analysis in Ethiopia: the Operational Research and Coaching for Analysts (ORCA) experience.Global health action · 2021Article
- Six Public Policy Recommendations to Increase the Translation and Utilization of Research Evidence in Public Health Practice.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundEvidence-based decision-making is crucial to leadership in the health sector to identify country-level priorities and generate solutions supported by rigorous research. Barriers and enablers have been explored, but limited evidence about what works to strengthening capacity at individual and institutional levels within countries has been reported, and inconsistent use of evidence to inform policy-making is a persistent challenge and concern.
methodsWe conducted a framework analysis comparing experiences of nine purposively selected countries (Chile, Ethiopia, Ghana, Kyrgyzstan, Lebanon, Mozambique, Rwanda, South Africa and Sri Lanka). We utilised qualitative case studies developed by in-country teams to explore enablers and barriers described across components of a predefined theory of change and then identified six cross-cutting themes and recommendations for relevant stakeholders associated with each theme.
resultsThe cross-cutting themes included (1) leadership and political will, (2) incentives and resources, (3) infrastructure and access to health data, (4) designated structures and processes, (5) interaction and relationships, and (6) capacity strengthening and engagement. While each case country's context and experience was different, common enablers and barriers surfaced across each of these themes, with Ministries of Health and other government agencies having strong roles to play, but also recognising the need for other stakeholders, including researchers, donors and civil society, to serve as essential collaborators in order to strengthen evidence uptake. Substantial and sustained investment in research capacities, able leaders and stronger engagement of civil servants are needed to further this progress and strengthen processes of health decision-making.
conclusionsAll countries represented in this study have made commendable progress in increasing evidence uptake and strengthening supportive systems. Establishing and strengthening necessary structures and the relationships that underpin them takes time as well as resources. Going forward, the findings from this study can help guide and support advocacy to increase domestic funding for health research, especially health policy and systems research, and ensure that civil servants as well as researchers have the capacity and support to collaborate and continue to bolster evidence uptake.
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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.