Developing evidence briefs for policy: a qualitative case study in Peru and Uganda

1 May, 2020

Citation and abstract below. Full text here:


This study evaluates the use of a workbook to support the contextualization of WHO’s OptimizeMNH guidance in two countries — Peru and Uganda.

CITATION: Developing evidence briefs for policy: a qualitative case study comparing the process of using a guidance-contextualization workbook in Peru and Uganda

Elizabeth Alvarez, John N. Lavis, Melissa Brouwers, Gloria Carmona Clavijo, Nelson Sewankambo, Lely Solari & Lisa Schwartz

Health Research Policy and Systems volume 17, Article number: 89 (2019)


Background: Translating research evidence from global guidance into policy can help strengthen health systems. A workbook was developed to support the contextualization of the WHO’s ‘Optimizing health worker roles to improve maternal and newborn health’ (OptimizeMNH) guidance. This study evaluated the use of the workbook for the development of evidence briefs in two countries — Peru and Uganda. Findings surrounding contextual factors, steps in the process and evaluation of the workbook are presented.

Methods: A qualitative embedded case study was used. The case was the process of using the workbook to support the contextualization of global health systems guidance, with local evidence, to develop evidence briefs. Criterion sampling was used to select the countries, participants for interviews and documents included in the study. A template-organizing style and constant comparison were used for data analysis.

Results: A total of 19 participant-observation sessions and 8 interviews were conducted, and 50 documents were reviewed. Contextual factors, including the cadres, or groups, of health workers available in each country, the way the problem and its causes were framed, potential policy options to address the problem, and implementation considerations for these policy options, varied substantially between Peru and Uganda. However, many similarities were found in the process of using the workbook. Overall, the workbook was viewed positively and participants in both countries would use it again for other topics.

Conclusions: Organizations that produce global guidance, such as WHO, need to consider institutionalizing the application of the workbook into their guidance development processes to help users at the national/subnational level create actionable and context-relevant policies. Feedback mechanisms also need to be established so that the evidence briefs and health policies arising from global guidance are tracked and the findings coming out of such guideline contextualization processes can be taken into consideration during future guidance development and research priority-setting.


Comment: Here is the reference for the workbook: Alvarez E, Lavis J. Implementing Health Systems Guidance: A Workbook to Support the Contextualization of Recommendations at the National or Subnational Level. Hamilton: McMaster Health Forum; 2016.

Best wishes, Neil

Coordinator, HIFA Project on Evidence-Informed Policy and Practice

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