The Danger of a Single Study

2021 ◽  
pp. 137-156
Author(s):  
Promise Nduku ◽  
Nkululeko Tshabalala ◽  
Moshidi Putuka ◽  
Zafeer Ravat ◽  
Laurenz Langer
Keyword(s):  
Decision Making ◽  
Research Policy ◽  
Evidence Base ◽  
Policy And Practice ◽  
Middle Income ◽  
Research And Practice ◽  
Middle Income Countries ◽  
Training Programmes ◽  
Inform Decision Making ◽  
Effective Translation

This chapter outlines how taking a more systematic approach to developing responsive evidence bases that can inform research, policy, and practice on community health worker (CHW) training in low and middle-income countries (LMICs) supports the provision of more effective and equitable CHW programmes. It also explores methodologies and tools to develop such evidence bases and how these can and have been used to inform decision-making. We argue that by focusing on single primary studies rather than the combined body of evidence, research and practice on the training of CHWs in LMICs is overlooking systemic patterns in the evidence base. Decisions on which types of training programmes to implement in LMICs are often based on single evaluations of programmes conducted out of context or informed by general principles for workplace-based learning. Better matching research and practice needs with the available evidence base will facilitate a more effective translation of knowledge on the training of CHWs into practice and policy decisions.

scholarly journals Experiences of menstruation in high income countries: a systematic review, qualitative meta-synthesis and comparison to low- and middle-income countries

2021 ◽  
Author(s):  
Dani Jennifer Barrington ◽  
Hannah Robinson ◽  
Emily Wilson ◽  
Julie Hennegan
Keyword(s):  
Cultural Context ◽  
Research Policy ◽  
Integrated Model ◽  
High Income ◽  
Policy And Practice ◽  
Middle Income ◽  
Negative Experiences ◽  
Middle Income Countries ◽  
Protocol Registration ◽  
Low And Middle Income

Background: There is growing recognition of the importance of menstruation in achieving health, education, and gender equality for all. New policies in high income countries (HICs) have responded to anecdotal evidence that many struggle to meet their menstrual health needs. Qualitative research has explored lived experiences of menstruating in HICs and can inform intervention approaches. Methods and findings: Primary, qualitative studies capturing experiences of menstruation in HICs were eligible for inclusion. Systematic database and hand searching identified 11485 records. Following screening and quality appraisal using the EPPI-Centre checklist, 104 studies (120 publications) detailing the menstrual experiences of over 3800 individuals across sixteen countries were included. We used the integrated model of menstrual experiences developed from studies in low- and middle-income countries (LMICs) as a starting framework and deductively and inductively identified antecedents contributing to menstrual experiences; menstrual experiences themselves and impacts of menstrual experiences. Included studies described consistent themes and relationships that fit well with the LMIC integrated model, with modifications to themes and model pathways identified through our analysis. The socio-cultural context heavily shaped menstrual experiences, manifesting in strict behavioural expectations to conceal menstruation and limiting the provision of menstrual materials. Resource limitations contributed to negative experiences, where dissatisfaction with menstrual practices and management environments were expressed along with feelings of disgust if participants felt they failed to manage their menstruation in a discrete, hygienic way. Physical menstrual factors such as pain were commonly associated with negative experiences, with mixed experiences of healthcare reported. Across studies participants described negative impacts of their menstrual experience including increased mental burden and detrimental impacts on participation and personal relationships. Positive experiences were more rarely reported, although relationships between cis-women were sometimes strengthened by shared experiences of menstrual bleeding. Included studies reflected a broad range of disciplines and epistemologies. Many aimed to understand the constructed meanings of menstruation, but few were explicitly designed to inform policy or practice. Few studies focused on socioeconomically disadvantaged groups relevant to new policy efforts.Conclusions: We developed an integrated model of menstrual experience in HICs which can be used to inform research, policy and practice decisions by emphasising the pathways through which positive and negative menstrual experiences manifestReview protocol registration: The review protocol registration is PROSPERO: CRD42019157618.

scholarly journals Road safety lessons to learn from Low and Middle-Income Countries

2020 ◽  
Vol 31 (3) ◽  
pp. 69-78
Author(s):  
Ray Shuey ◽  
Lori Mooren ◽  
Mark King
Keyword(s):  
Road Safety ◽  
Good Practice ◽  
Holistic Approach ◽  
Evidence Base ◽  
Policy And Practice ◽  
Middle Income ◽  
Middle Income Countries ◽  
Community Outcomes ◽  
High Level ◽  
Low And Middle Income

This paper presents aspects of policy and practice observed in low and middle-income countries (LMICs) and the lessons which can be learned from these and similar initiatives. The role of non-government organisations in capacity building programs and advocacy is identified as a strong foundation for road safety reform. Political will is discussed as a critical component of reform together with the need for a holistic approach to ensure sustainability. The requirement for a strong evidence-base to support evaluation is discussed and the need to ensure strong governance over law enforcement is profiled. Good practice programs are described as well as the importance of harnessing the enthusiasm and dedication of youth in developing and championing initiatives for safer community outcomes. While the lack of resources and financial support may appear as an impediment to some, if viewed as a surmountable challenge, safety outcomes can be achieved. The findings demonstrate that there is a rich environment in LMICs from which to source and undertake key and critical research to stimulate continuous road safety improvement especially in those countries where road trauma remains at a comparatively high level.

Research Supporting Health Policy Development: Contextualizing Evidence for People-Centred Care in Low and Middle Income Countries

2014 ◽  
Vol 3 (4) ◽  
pp. 277-279
Author(s):  
Dheepa Rajan
Keyword(s):  
Health Policy ◽  
Policy Development ◽  
Research Policy ◽  
Ground Level ◽  
Health Policies ◽  
Policy And Practice ◽  
Middle Income ◽  
Middle Income Countries ◽  
Country Level

The three areas of research, policy, and practice seem to work and interact within silos, or independent niches.  Especially for the complex task of reorienting health care and indeed, a health system, towards people-centredness, these niches at both global and country level must be broken down.  Since health policy-making is complex and non-linear, context is crucial for making research for health policies and implementation of health policies (practice) relevant.  The real measure of success is whether the evidence-informed policy has worked and produced results at ground level.  When context is so important, however, evidence (research) is only one piece of the puzzle.  Stakeholder’s views, or simply put, their opinion, is just as decisive.  This paper documents some promising examples in research and practice of bringing together evidence and stakeholder opinion, particularly highlighting a case study on Brazil as well as WHO tools for communities of practice.

scholarly journals Bridging the gaps between research, policy and practice in low- and middle-income countries: a survey of researchers

2010 ◽  
Vol 182 (9) ◽  
pp. E350-E361 ◽  
Author(s):  
J. N. Lavis ◽  
G. E. Guindon ◽  
D. Cameron ◽  
B. Boupha ◽  
M. Dejman ◽  
...  
Keyword(s):  
Research Policy ◽  
Policy And Practice ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Mental health services in the prisons of Bangladesh

2021 ◽  
pp. 1-4
Author(s):  
Al Aditya Khan ◽  
Howard Ryland ◽  
Tayeem Pathan ◽  
Helal Uddin Ahmed ◽  
Amir Hussain ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Research Policy ◽  
Health Conditions ◽  
Policy And Practice ◽  
Middle Income ◽  
Mental Health Conditions ◽  
Middle Income Countries ◽  
Correctional Settings

In this narrative review we consider what is known about mental health conditions in the prison system in Bangladesh and describe the current provision of mental health services for prisoners with mental health needs. We contextualise this within the literature on mental health conditions in correctional settings in the wider sub-continental region and low- and middle-income countries (LMICs) more broadly. We augment findings from the literature with information from unstructured interviews with local experts, and offer recommendations for research, policy and practice.

scholarly journals The burgeoning role of global health diplomacy to alleviate suffering of cancer patients in low- and middle-income countries

2020 ◽  
Vol 12 (3) ◽  
pp. 231-233
Author(s):  
Melissa Adomako ◽  
Alaei Kamiar ◽  
Abdulla Alshaikh ◽  
Lyndsay S Baines ◽  
Desiree Benson ◽  
...  
Keyword(s):  
Global Health ◽  
Evidence Base ◽  
International Affairs ◽  
Global Health Diplomacy ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Diplomacy ◽  
Health Practitioners ◽  
And Control ◽  
Low And Middle Income

Abstract The science of global health diplomacy (GHD) consists of cross-disciplinary, multistakeholder credentials comprised of national security, public health, international affairs, management, law, economics and trade policy. GHD is well placed to bring about better and improved multilateral stakeholder leverage and outcomes in the prevention and control of cancer. It is important to create an evidence base that provides clear and specific guidance for health practitioners in low- and middle-income countries (LMICs) through involvement of all stakeholders. GHD can assist LMICs to negotiate across multilateral stakeholders to integrate prevention, treatment and palliative care of cancer into their commercial and trade policies.

The Impact of Cash Transfers: A Review of the Evidence from Low- and Middle-income Countries

2018 ◽  
Vol 48 (03) ◽  
pp. 569-594 ◽  
Author(s):  
FRANCESCA BASTAGLI ◽  
JESSICA HAGEN-ZANKER ◽  
LUKE HARMAN ◽  
VALENTINA BARCA ◽  
GEORGINA STURGE ◽  
...  
Keyword(s):  
Evidence Base ◽  
Cash Transfers ◽  
Cash Transfer ◽  
Future Research ◽  
Unintended Effects ◽  
Screening Process ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Impact ◽  
Low And Middle Income

AbstractThis article presents the findings of a review of the impact of non-contributory cash transfers on individuals and households in low- and middle-income countries, covering the literature of 15 years, from 2000 to 2015. Based on evidence extracted from 165 studies, retrieved through a systematic search and screening process, this article discusses the impact of cash transfers on 35 indicators covering six outcome areas: monetary poverty; education; health and nutrition; savings, investment and production; work; and empowerment. For most of the studies, cash transfers contributed to progress in the selected indicators in the direction intended by policymakers. Despite variations in the size and strength of the underlying evidence base by outcome and indicator, this finding is consistent across all outcome areas. The article also investigates unintended effects of cash transfer receipt, such as potential reductions in adult work effort and increased fertility, finding limited evidence for such unintended effects. Finally, the article highlights gaps in the evidence base and areas which would benefit from additional future research.

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