Evidence map›Paper›PMID 34588002›Full record

ArticleImplementation science communications2021

Closing the know-do gap for child health: UNICEF's experiences from embedding implementation research in child health and nutrition programming.

Debra Jackson, A S M Shahabuddin, Alyssa B Sharkey, Karin Källander, Maria Muñiz, Remy Mwamba, Elevanie Nyankesha, Robert W Scherpbier, Andreas Hasman, Yarlini Balarajan and 3 more

Abstract readLetter
In one paragraph

Article in Implementation science communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
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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

13 authors.

Debra JacksonImplementation Research and Delivery Science Unit, Health Section, Programme Division, UNICEF, New York, New York, USA. Debra.jackson@lshtm.ac.uk.ORCID http://orcid.org/0000-0003-3307-632X
A S M ShahabuddinImplementation Research and Delivery Science Unit, Health Section, Programme Division, UNICEF, New York, New York, USA.
Alyssa B SharkeyImplementation Research and Delivery Science Unit, Health Section, Programme Division, UNICEF, New York, New York, USA.
Karin KällanderImplementation Research and Delivery Science Unit, Health Section, Programme Division, UNICEF, New York, New York, USA.
Maria MuñizHealth Section, East and Southern Africa Regional Office, UNICEF, Nairobi, Nairobi, Kenya.
Remy MwambaImplementation Research and Delivery Science Unit, Health Section, Programme Division, UNICEF, New York, New York, USA.
Elevanie NyankeshaImplementation Research and Delivery Science Unit, Health Section, Programme Division, UNICEF, New York, New York, USA.
Robert W ScherpbierImplementation Research and Delivery Science Unit, Health Section, Programme Division, UNICEF, New York, New York, USA.
Andreas HasmanNutrition Section, Programme Division, UNICEF, New York, New York, USA.
Yarlini BalarajanNutrition Section, Programme Division, UNICEF, New York, New York, USA.
Kerry AlbrightOffice of Research Innocenti, UNICEF, Florence, Florence, Italy.
Priscilla IdeleOffice of Research Innocenti, UNICEF, Florence, Florence, Italy.
Stefan Swartling PetersonOffice of the Associate Director for Health, Programme Division, UNICEF, New York, New York, USA.

Funding

UNICEF NAWellcome Trust
6 · The paper itself

Abstract

UNICEF operates in 190 countries and territories, where it advocates for the protection of children's rights and helps meet children's basic needs to reach their full potential. Embedded implementation research (IR) is an approach to health systems strengthening in which (a) generation and use of research is led by decision-makers and implementers; (b) local context, priorities, and system complexity are taken into account; and (c) research is an integrated and systematic part of decision-making and implementation. By addressing research questions of direct relevance to programs, embedded IR increases the likelihood of evidence-informed policies and programs, with the ultimate goal of improving child health and nutrition.This paper presents UNICEF's embedded IR approach, describes its application to challenges and lessons learned, and considers implications for future work.From 2015, UNICEF has collaborated with global development partners (e.g. WHO, USAID), governments and research institutions to conduct embedded IR studies in over 25 high burden countries. These studies focused on a variety of programs, including immunization, prevention of mother-to-child transmission of HIV, birth registration, nutrition, and newborn and child health services in emergency settings. The studies also used a variety of methods, including quantitative, qualitative and mixed-methods.UNICEF has found that this systematically embedding research in programs to identify implementation barriers can address concerns of implementers in country programs and support action to improve implementation. In addition, it can be used to test innovations, in particular applicability of approaches for introduction and scaling of programs across different contexts (e.g., geographic, political, physical environment, social, economic, etc.). UNICEF aims to generate evidence as to what implementation strategies will lead to more effective programs and better outcomes for children, accounting for local context and complexity, and as prioritized by local service providers. The adaptation of implementation research theory and practice within a large, multi-sectoral program has shown positive results in UNICEF-supported programs for children and taking them to scale.

Indexed as

Child health and well-beingEmbedded implementation researchUNICEF

Identifiers

PMID34588002
PMCPMC8479889

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.