Evidence map›Paper›PMID 37280697›Full record

ReviewHealth research policy and systems2023

Embedding rapid reviews in health policy and systems decision-making: Impacts and lessons learned from four low- and middle-income countries.

Reid C Robson, Sonia M Thomas, Étienne V Langlois, Rhona Mijumbi, Ismael Kawooya, Jesmin Antony, Melissa Courvoisier, Krystle Amog, Robert Marten, Ivdity Chikovani and 10 more

Abstract readReview
In one paragraph

Review in Health research policy and systems, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. Review
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

20 authors.

Reid C Robson *Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, 7th Floor, East Building, Toronto, ON, M5B 1T8, Canada.
Sonia M Thomas *Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, 7th Floor, East Building, Toronto, ON, M5B 1T8, Canada.
Étienne V LangloisPartnership for Maternal, Newborn and Child Health (PMNCH), World Health Organization, Geneva, Switzerland.
Rhona MijumbiThe Center for Rapid Evidence Synthesis (ACRES), Regional East African Policy Initiative, Uganda Node, Makerere University College of Health Sciences, Kampala, Uganda.
Ismael KawooyaThe Center for Rapid Evidence Synthesis (ACRES), Regional East African Policy Initiative, Uganda Node, Makerere University College of Health Sciences, Kampala, Uganda.
Jesmin AntonyKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, 7th Floor, East Building, Toronto, ON, M5B 1T8, Canada.
Melissa CourvoisierKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, 7th Floor, East Building, Toronto, ON, M5B 1T8, Canada.
Krystle AmogKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, 7th Floor, East Building, Toronto, ON, M5B 1T8, Canada.
Robert MartenAlliance for Health Policy and Systems Research, Science Division, World Health Organization (WHO), Geneva, Switzerland.
Ivdity ChikovaniResearch Department, Curatio International Foundation, Tbilisi, Georgia.
Devaki NambiarThe George Institute for Global Health, New Delhi, India.
Rajani R VedBill and Melinda Gates Foundation, New Delhi, India.
Soumyadeep BhaumikMeta-Research & Evidence Synthesis Unit, The George Institute for Global Health, New Delhi, India.
Nur Zahirah Balqis-AliInstitute for Health Systems Research, National Institutes of Health, Ministry of Health, Putrajaya, Malaysia.
Sondi SararaksInstitute for Health Systems Research, National Institutes of Health, Ministry of Health, Putrajaya, Malaysia.
Shakirah Md SharifInstitute for Health Systems Research, National Institutes of Health, Ministry of Health, Putrajaya, Malaysia.
Rugare Abigail KangwendeMinistry of Health and Child Care, Harare, Zimbabwe.
Ronald MunatsiZimbabwe Evidence-Informed Policy Network (ZeipNET), Harare, Zimbabwe.
Sharon E StrausKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, 7th Floor, East Building, Toronto, ON, M5B 1T8, Canada.
Andrea C TriccoKnowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria Street, 7th Floor, East Building, Toronto, ON, M5B 1T8, Canada. Andrea.Tricco@unityhealth.to.ORCID http://orcid.org/0000-0002-4114-8971

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundDemand for rapid evidence-based syntheses to inform health policy and systems decision-making has increased worldwide, including in low- and middle-income countries (LMICs). To promote use of rapid syntheses in LMICs, the WHO's Alliance for Health Policy and Systems Research (AHPSR) created the Embedding Rapid Reviews in Health Systems Decision-Making (ERA) Initiative. Following a call for proposals, four LMICs were selected (Georgia, India, Malaysia and Zimbabwe) and supported for 1 year to embed rapid response platforms within a public institution with a health policy or systems decision-making mandate.

methodsWhile the selected platforms had experience in health policy and systems research and evidence syntheses, platforms were less confident conducting rapid evidence syntheses. A technical assistance centre (TAC) was created from the outset to develop and lead a capacity-strengthening program for rapid syntheses, tailored to the platforms based on their original proposals and needs as assessed in a baseline questionnaire. The program included training in rapid synthesis methods, as well as generating synthesis demand, engaging knowledge users and ensuring knowledge uptake. Modalities included live training webinars, in-country workshops and support through phone, email and an online platform. LMICs provided regular updates on policy-makers' requests and the rapid products provided, as well as barriers, facilitators and impacts. Post-initiative, platforms were surveyed.

resultsPlatforms provided rapid syntheses across a range of AHPSR themes, and successfully engaged national- and state-level policy-makers. Examples of substantial policy impact were observed, including for COVID-19. Although the post-initiative survey response rate was low, three quarters of those responding felt confident in their ability to conduct a rapid evidence synthesis. Lessons learned coalesced around three themes - the importance of context-specific expertise in conducting reviews, facilitating cross-platform learning, and planning for platform sustainability.

conclusionsThe ERA initiative successfully established rapid response platforms in four LMICs. The short timeframe limited the number of rapid products produced, but there were examples of substantial impact and growing demand. We emphasize that LMICs can and should be involved not only in identifying and articulating needs but as co-designers in their own capacity-strengthening programs. More time is required to assess whether these platforms will be sustained for the long-term.

Indexed as

COVID-19Developing CountriesHealth PolicyHumansPolicy MakingSurveys and QuestionnairesCapacity-buildingKnowledge synthesisLow- and middle-income economy countriesPolicy decision-makingRapid reviews

Identifiers

PMID37280697
PMCPMC10243686

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.