experiences from a rapid response service in uganda · 1 experiences from a rapid response service...
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EXPERIENCES FROM A RAPID RESPONSE SERVICE IN UGANDA
RHONA MIJUMBI-DEVE, RESEARCH SCIENTIST
IS RESEARCH EVIDENCE ACTUALLY USED FOR POLICY?
GLOBAL EVIDENCE SUMMIT SESSION ON KNOWLEDGE MANAGEMENT
15 SEPTEMBER, 2017
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• REACH-PI - founded in 2005 as a result of a KT process following research findings from TEHIP
• Ugandan country node is at Makerere University • Is a partner of WHO’s EVIPNet • Work funded by EU among others and currently IDRC
• Has done significant work in developing and evaluating knowledge translation strategies
• Piloted the first known rapid response service in low and middle income countries • Has also contributed to the better understanding of work around evidence briefs for
policy and deliberative dialogues, clearing houses for evidence
• Involved in • Scaling up KT strategies and KT platforms • Building capacity for KT • Burkina Faso, Cameroon, Kenya, Malawi, Lebanon, EVIPNet Europe member
countries, Brazil, Canada
MY BACKGROUND
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• EU-funded SURE project (2009-2014) - Rapid Response Service pilot lead
• IDRC funded- UsEvidence project (2015-2018) - Principal Investigator
1. Rhona Mijumbi-Deve and Fadi El-Jardali. How can we foster the conduct and use of rapid reviews in LMICs? In World Health Organization guide on rapid reviews for Health Policy and Systems Research. Sept 2017
2. Mijumbi-Deve R, Rosenbaum SE, Oxman AD, Lavis JN, Sewankambo NK. Policymaker experiences with rapid response briefs to address health-system and technology questions in Uganda. Health Research Policy and Systems. 2017;15 (1):37.
3. Kizza Bohlin, R and Mijumbi R. (2015). Child and Adolescent Mental Health Disorders: Organization and Delivery of Care. Optimizing Treatment for Children in the Developing World. S. Macleod, S. Hill, G. Koren and A.Rane. Cham, Springer International Publishing: 279-289.
4. Nabudere H, Asiimwe D, Mijumbi R. (2011) Task shifting to Improve the Delivery of Maternal and Child Healthcare. Saarbrucken, Germany: LAP Lambert Academic Publishing
5. Mijumbi-Deve R, Sewankambo NK. A Process Evaluation to Assess Contextual Factors Associated With the Uptake of a Rapid Response Service to Support Health Systems’ Decision-Making in Uganda. International journal of health policy and management. 2017 6(x), 1–11
6. Rhona Mijumbi-Deve, Ingabire MG, Sewankambo NK. Complexities of knowledge brokering: reflections from REACH-PI Uganda’s rapid response mechanism. (2017) Special edited collection by the Institute for Development Studies and the Economic and Social Research Council’s The Impact Initiative.
SPECIFIC WORK
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1. Susan Kingston, Vicki Erickson, Rhona Mijumbi, Tanja Kuchenmüller. (2016). Evidence-Informed Policy-making: Using Research in the EVIPNet Framework. A facilitator’s guide.
2. Rhona Mijumbi-Deve, Suzanne Kiwanuka Ssennyonjo. Enhancing the Use of Evidence for Decision Making for Universal Health Coverage in Influencing Policy Development and Implementation for Universal Health Coverage in Uganda. In press
3. Juliet Nabyonga-Orem and Rhona Mijumbi. Evidence for informing health policy development in Low-Income Countries (LICs): perspectives of policy actors in Uganda. Int J Health Policy Manag. 2015 May; 4(5): 285–293.
4. Juliet Nabyonga-Orem, Freddie Ssengooba, Rhona Mijumbi, Christine Kirunga Tashobya, Bruno Marchal and Bart Criel. Uptake of evidence in policy development: the case of user fees for health care in public health facilities in Uganda. BMC Health Serv Res. 2014; 14: 639.
5. Rhona M. Mijumbi, Andrew D. Oxman, Ulysses Panisset, Nelson K. Sewankambo. Feasibility of a rapid response mechanism to meet policymakers’ urgent needs for research evidence about health systems in a low income country: a case study. Implement Sci. 2014; 9:114.
6. Harriet Nabudere, Delius Asiimwe, Rhona Mijumbi. April 2011. Task shifting in maternal and child health care: An evidence brief for Uganda. International Journal of Technology Assessment in Health Care, Vol: 27, Iss. 02 pp 173-179
SPECIFIC WORK
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EXAMPLE 1: INFLUENCING THE LARVICIDING POLICY IN UGANDA
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EXAMPLE 2: DUAL EMPLOYMENT IN UGANDA
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EXAMPLE 2: DUAL EMPLOYMENT IN UGANDA
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• Institutionalization vs Sustainability Does institutionalization automatically lead to sustainability? Can you have one without the other?
• Human Resources Supply side – right mix of skills Demand side
• A general paucity of ‘local’ research
• Considerably more interference in the process by different actors
other than the recognized policy making persons and institutions
• The policymaking process is also influenced a lot by the culture - the politics of affection
CHALLENGES
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LESSONS LEARNED
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1. The policymakers do use the evidence once it is timely and relevant (in this case it was used instrumentally, conceptually and symbolically)
2. The process will proceed with or without our input (to a certain end) therefore timeliness at the time you are needed is important
3. Timing (when do you come in?)
4. Evidence does meet and compete with the politics (and may win)
5. Policymakers need skills to be able to use evidence
LESSONS LEARNED
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Rhona Mijumbi-Deve
Makerere University, College of Health Sciences
UsEvidence Project