Health Research Policy and Systems最新文献

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Co-creation as a knowledge mobilization process in digital health regulation in East Africa: The making of the DigiReg compass. 共同创造作为东非数字卫生监管中的知识动员过程:digiregg指南针的制作。
IF 3.2 2区 医学
Health Research Policy and Systems Pub Date : 2026-05-06 DOI: 10.1186/s12961-026-01488-z
Sharifah Sekalala, Shajoe J Lake, Paul Mbaka, Ryan Nyotu, Emmanuel Muhoza, Alikher Samow, Francis Mbate
{"title":"Co-creation as a knowledge mobilization process in digital health regulation in East Africa: The making of the DigiReg compass.","authors":"Sharifah Sekalala, Shajoe J Lake, Paul Mbaka, Ryan Nyotu, Emmanuel Muhoza, Alikher Samow, Francis Mbate","doi":"10.1186/s12961-026-01488-z","DOIUrl":"https://doi.org/10.1186/s12961-026-01488-z","url":null,"abstract":"<p><p>Regulating digital health in low- and middle-income countries requires policy-makers to organize and use multiple forms of knowledge, including academic research, technical expertise and experiential insights, to make tough decisions under conditions of existential uncertainty. We examine co-creation as a mode of knowledge mobilization in digital health regulation in Kenya, Rwanda and Uganda. Using content analysis and a multi-country stakeholder workshop, we trace how regulators, clinicians, technologists and civil society actors collectively interpreted comparative evidence on existing frameworks and used it to negotiate trade-offs in the institutional design of digital health regulatory frameworks. Through this process, participants co-produced the DigiReg Compass, a tiered heuristic that structures options for legal form, administrative arrangements, expertise, financing, participation and political sponsorship. We show, first, how co-creation can extend regulatory capacity by organizing distributed expertise into a usable evidence base; second, how social learning in such settings reshapes actors' understandings of regulatory problems and solutions; and third, how tools such as the DigiReg Compass can function as knowledge translation mechanisms that link health systems research to regulatory practice. These findings contribute to debates on the organization and use of health research in health systems by illustrating how, in resource-constrained contexts, participatory processes can transform fragmented knowledge into shared guidance for regulatory decision-making.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanisms to enhance the use of living evidence syntheses in health policy: Reflections from key informants globally. 加强在卫生政策中使用活证据综合的机制:来自全球主要举报人的反思。
IF 3.2 2区 医学
Health Research Policy and Systems Pub Date : 2026-04-29 DOI: 10.1186/s12961-026-01480-7
Samantha Chakraborty, Tanya Millard, Tanja Kuchenmüller, Sally Green, Anneliese Synnot, Cristian Mansilla, Victoria Carter, Tari Turner
{"title":"Mechanisms to enhance the use of living evidence syntheses in health policy: Reflections from key informants globally.","authors":"Samantha Chakraborty, Tanya Millard, Tanja Kuchenmüller, Sally Green, Anneliese Synnot, Cristian Mansilla, Victoria Carter, Tari Turner","doi":"10.1186/s12961-026-01480-7","DOIUrl":"https://doi.org/10.1186/s12961-026-01480-7","url":null,"abstract":"<p><strong>Background: </strong>Living evidence syntheses (LES) provide decision-makers with continuously updated, systematically appraised research summaries to inform policy and practice decisions. However, little is known about how to enable effective use of LES in health policy decisions. This study aimed to understand and describe mechanisms that enable the use of LES to inform health policy decisions.</p><p><strong>Methods: </strong>This study used semi-structured, in-depth interviews, followed by roundtables with policy-makers, knowledge intermediaries and researchers, internationally. Interviews explored participants' experiences, challenges and opportunities regarding the use of LES in health policy. Roundtables were held to validate the interview findings and identify potential strategies to enable LES use. Qualitative data were analysed in three steps: First, outcomes representing LES use in health policy were defined using Proctor's Implementation Outcomes Framework. Next, barriers and facilitators influencing these outcomes, and strategies to achieve the outcomes, were grouped using inductive thematic analysis. Finally, mechanisms explaining how the strategies could enable LES use in policy-making were described.</p><p><strong>Results: </strong>A total of 22 participants from all geographic regions participated in the study. Aligning with Proctor's Implementation Outcomes Framework, trust, relevance and communication between policy-makers and LES producers influenced acceptability and appropriateness; limited resources, data and technical capacity constrained feasibility; political will, clarity about uncertainty in evidence and the ability to adapt LES findings to local contexts influenced adoption and fidelity; and finally, ongoing institutional support, relevant and trustworthy LES outputs and stable relationships influenced cost, penetration and sustainability. Mechanisms to enable LES use included understanding the needs of LES users; increasing equitable access to useful LES; increasing reliable access to LES; enhancing capacity to use available LES; enabling health systems to implement policy decisions informed by LES; and building confidence in determining when and how to use LES.</p><p><strong>Conclusions: </strong>Users and producers of LES from global policy contexts identified key influences on LES use in health policy and proposed strategies to enable its use. A systematic assessment of these strategies is necessary to determine their effectiveness across health policy contexts and enable equitable use of LES in health policy decisions.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers and facilitators to knowledge translation in Brazilian health: insights from the Grand Challenges Brazil case study. 巴西卫生领域知识转化的障碍和促进因素:来自巴西大挑战案例研究的见解。
IF 3.2 2区 医学
Health Research Policy and Systems Pub Date : 2026-04-27 DOI: 10.1186/s12961-026-01485-2
Patricia de Campos Couto, Gabriela Bardelini Tavares Melo, Marcos Takashi Obara, Antonia Angulo-Tuesta
{"title":"Barriers and facilitators to knowledge translation in Brazilian health: insights from the Grand Challenges Brazil case study.","authors":"Patricia de Campos Couto, Gabriela Bardelini Tavares Melo, Marcos Takashi Obara, Antonia Angulo-Tuesta","doi":"10.1186/s12961-026-01485-2","DOIUrl":"https://doi.org/10.1186/s12961-026-01485-2","url":null,"abstract":"<p><strong>Background: </strong>Translating scientific evidence into improved health practices remains a challenge. Knowledge translation (KT) aims to bridge the gap between research and real-world implementation in public health. This article examines barriers and facilitators to KT on the basis of a case study from Grand Challenges Brazil, a KT-oriented strategy that adapts international models to Brazil's public health context.</p><p><strong>Methods: </strong>Semistructured interviews were conducted after approval by a research ethics committee (protocol no. 6.540.207), with 22 key informants, including researchers, health system managers and members of the initiative's governance team, from October 2024 to November 2025. Data were analysed using Bardin's content analysis through a manual, iterative coding process validated by peer review and categorized according to the Consolidated Framework for Implementation Research (CFIR).</p><p><strong>Results: </strong>The results reveal individual, institutional and contextual barriers, including distrust and scientific denialism, administrative discontinuity, political influences and funding constraints. Facilitators included collaborative strategies, sufficient resources and technical support, processes that support institutionalization, and targeted funding mechanisms. Findings indicate that KT is not merely a technical exchange but a political process in which evidence competes with institutional power and interests.</p><p><strong>Conclusions: </strong>KT efforts in Brazil continue to encounter complex and interconnected challenges across multiple levels. Strengthening KT requires institutionalizing memory to withstand political turnover and building researcher and manager capacity through structured collaboration and sustainable mechanisms that connect science and practice.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Co-creation, co-design or co-production? Reflections on the development of urban health systems implementation strategies to improve access and quality of primary healthcare services in Bangladesh, Ghana, Nepal and Nigeria. 共同创造、共同设计还是共同制作?关于制定城市卫生系统实施战略以改善孟加拉国、加纳、尼泊尔和尼日利亚初级卫生保健服务的可及性和质量的思考
IF 3.2 2区 医学
Health Research Policy and Systems Pub Date : 2026-04-27 DOI: 10.1186/s12961-026-01467-4
Helen Elsey, Francis Potier, Mahua Das, Sushil Chandra Baral, Rumana Huque, Deepak Joshi, Deepa Barua, Genevieve Aryeetey Okailey, Adanna Nwameme, Chinyere Mbachu, Lauren Jane Wallace, Selase Odopey, Delali Kumapley, Irene Agyepong, Obinna Onwujekwe
{"title":"Co-creation, co-design or co-production? Reflections on the development of urban health systems implementation strategies to improve access and quality of primary healthcare services in Bangladesh, Ghana, Nepal and Nigeria.","authors":"Helen Elsey, Francis Potier, Mahua Das, Sushil Chandra Baral, Rumana Huque, Deepak Joshi, Deepa Barua, Genevieve Aryeetey Okailey, Adanna Nwameme, Chinyere Mbachu, Lauren Jane Wallace, Selase Odopey, Delali Kumapley, Irene Agyepong, Obinna Onwujekwe","doi":"10.1186/s12961-026-01467-4","DOIUrl":"https://doi.org/10.1186/s12961-026-01467-4","url":null,"abstract":"<p><strong>Introduction: </strong>Increasing populations and healthcare demand are leading to a burgeoning of private, nongovernmental and informal health providers addressing gaps left by overstretched public primary care and underresourced local government in urban areas in low and middle-income countries (LMICs). While evidence-based interventions exist to address common conditions in primary care, how to implement these interventions within complex urban health system is less clear. Enabling all relevant actors to feed their views and experiences into the process is seen as a key in co-design literature; however, the complexity of urban contexts makes planning and instigating such processes challenging. To inform future efforts to co-design system-wide approaches to implement existing evidence-based interventions in complex urban environments, we present reflective case studies from four cities in Bangladesh (Dhaka), Ghana (Accra), Nepal (Pokhara) and Nigeria (Enugu).</p><p><strong>Methods: </strong>We used the definitions and domains of co-creation, co-design and co-production from Vargas et al. 2022 to analyse reports of design meetings from each city and conducted four workshops where research teams involved in the design processes developed timelines of design activities and decisions and reflected on their interactions with stakeholders including: city authorities, communities, informal providers, ministry officials and public and private primary care providers. We coded reports and workshop outputs according to domains identified by Vargas et al.: focus, stakeholders involved, their role and level of participation, communication, value creation, resultant initiative and potential outcomes.</p><p><strong>Results: </strong>Key characteristics of co-production, co-design and co-creation were observed, often simultaneously, within each of the health system intervention development process. These categorizations varied by stakeholder (for example, city officials or communities) and at different points in the design process (for example, analysis or material development). The inclusion of locally generated research results was key in shaping and focussing the interventions and implementation strategies to ensure they addressed the realities of local health systems. Intense engagement with local government and health provider stakeholders facilitated their willingness to challenges and find appropriate solutions.</p><p><strong>Conclusions: </strong>Careful consideration of context, hierarchies among professionals, relationships between providers, underlying values and targeted use of locally generated qualitative and quantitative information to highlight gaps and strengths is key to developing implementation strategies to strengthen urban health systems.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancing knowledge translation practices to accelerate change in adolescent and youth sexual and reproductive health practice: a scoping review. 推进知识转化实践以加速青少年和青年性健康和生殖健康实践的变化:范围审查。
IF 3.2 2区 医学
Health Research Policy and Systems Pub Date : 2026-04-21 DOI: 10.1186/s12961-026-01481-6
Abednego Musau, Lindsey Reynolds, Nabeel Petersen, Matthew Wilson, Mary Phillips, Meghan Cutherell
{"title":"Advancing knowledge translation practices to accelerate change in adolescent and youth sexual and reproductive health practice: a scoping review.","authors":"Abednego Musau, Lindsey Reynolds, Nabeel Petersen, Matthew Wilson, Mary Phillips, Meghan Cutherell","doi":"10.1186/s12961-026-01481-6","DOIUrl":"https://doi.org/10.1186/s12961-026-01481-6","url":null,"abstract":"<p><p>More effective knowledge translation (KT) in the field of adolescent sexual and reproductive health (ASRH) could improve the speed at which effective health and behavioural interventions are delivered to young people, improving their overall health and well-being. Given the limited literature on KT for ASRH, this scoping review synthesizes the evidence on the barriers and facilitators to knowledge translation in ASRH in low- and middle-income countries (LMICs). Our review combines a rapid scoping review of relevant published and grey literature on the facilitators and barriers to knowledge translation of ASRH in LMICs, where available, and knowledge translation in health care settings and health policy making more generally, as well as key informant interviews (KIIs) with ASRH implementers, policy-makers and researchers on the factors that shape the translation of evidence to ASRH policy and practice in Africa. Two reviewers systematically used a predetermined search string to retrieve studies in eight databases. After applying exclusion criteria, 53 full-length studies were included. Researchers extracted data on the key areas of interest, including KT approaches, barriers, determinants, facilitators, key lessons and best practices. KIIs were conducted with 22 participants. Interviews were transcribed, summarized for themes and then analysed. Data were then reorganized into categories and key themes organized using the KT framework developed by Jacobson et al. Barriers and facilitators for KT in ASRH mirror those the health sector faces more generally, such as the strength of existing knowledge management practices, the relationship between knowledge producers and consumers, and differences in the needs of knowledge producers and knowledge users. Specific considerations for ASRH identified were an overemphasis on research products and an underemphasis on relationship building, the political nature of adolescent sexuality and the need to engage more diverse voices in knowledge production and translation.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Local government policies restricting unhealthy outdoor food advertising in Australia: stakeholder perspectives identify political willingness is key to overcoming barriers. 澳大利亚限制不健康户外食品广告的地方政府政策:利益相关者的观点确定政治意愿是克服障碍的关键。
IF 3.2 2区 医学
Health Research Policy and Systems Pub Date : 2026-04-20 DOI: 10.1186/s12961-026-01483-4
Alexia Bivoltsis, Frith Klug, Jacinta Francis, Clare Whitton, Gina S A Trapp, Claire E Pulker
{"title":"Local government policies restricting unhealthy outdoor food advertising in Australia: stakeholder perspectives identify political willingness is key to overcoming barriers.","authors":"Alexia Bivoltsis, Frith Klug, Jacinta Francis, Clare Whitton, Gina S A Trapp, Claire E Pulker","doi":"10.1186/s12961-026-01483-4","DOIUrl":"https://doi.org/10.1186/s12961-026-01483-4","url":null,"abstract":"<p><strong>Background: </strong>Unhealthy outdoor food advertising is strongly linked to poor diet, highlighting the need for policies. Western Australian (WA) local governments (LGs) can restrict advertising on their owned infrastructure through their Public Health Plans, but limited policy action has occurred. This study aimed to explore the perspectives of WA LGs and public health organizations (PHOs) on current and potential policies restricting unhealthy outdoor food advertising on LG owned infrastructure to (1) identify barriers and enablers to the policy making process, (2) assess the current level of political willingness (i.e. political want, political can and political must) and (3) inform development of recommendations to support future policy actions.</p><p><strong>Methods: </strong>We undertook 27 individual or small-group interviews between June and October 2024 with WA stakeholders from LGs (n = 22) and PHOs (n = 10). Interviews were conducted online or face-to-face using semi-structured discussion guides. Six researchers designed the discussion guide, collected the data and conducted reflexive thematic analysis.</p><p><strong>Results: </strong>Four main themes were generated which related to barriers: (1) a new area of public health for LGs, (2) uncertainty about the public health policy making process, (3) working with stakeholders is a balancing act, and enablers: (4) local governments can see the gaps and know what needs to be done. Analysis of political willingness found that many LGs lacked resources or perceived the policy to lack relevance in their community (political want). Most LGs and PHOs lacked confidence in their skills and knowledge to undertake the work and described a gap in leadership from state governments (political can). Findings indicate that citizen mobilization in support of such policies will be key to future success (political must).</p><p><strong>Conclusions: </strong>This new area of public health has brought challenges for WA LGs who lack prior experience. The four main themes we generated from the interviews showed that the key elements of political willingness, i.e. political want, political can and political must, are lacking overall. Recommendations to overcome the current state of \"political won't\" include building government understanding and support, developing skills and confidence, resourcing the work required and increasing community pressure to act.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reframing knowledge translation for health policy in Kenya: actors, practices and the constitutive role of context. 为肯尼亚卫生政策重新构建知识转化:行动者、做法和背景的构成作用。
IF 3.2 2区 医学
Health Research Policy and Systems Pub Date : 2026-04-19 DOI: 10.1186/s12961-026-01482-5
Fatuma Hassan Guleid, Edwine Barasa, Gilbert Abotisem Abiiro, Jacinta Nzinga
{"title":"Reframing knowledge translation for health policy in Kenya: actors, practices and the constitutive role of context.","authors":"Fatuma Hassan Guleid, Edwine Barasa, Gilbert Abotisem Abiiro, Jacinta Nzinga","doi":"10.1186/s12961-026-01482-5","DOIUrl":"https://doi.org/10.1186/s12961-026-01482-5","url":null,"abstract":"<p><strong>Background: </strong>Knowledge translation (KT) is regarded as important for supporting evidence-informed health policy-making. While KT models have moved beyond linear understandings of the evidence-policy relationship, they continue to underplay the politics that shape how evidence is produced, framed, interpreted, negotiated and used during policy-making. As a result, KT strategies are often designed for policy processes that bear little resemblance to real-life policy-making.</p><p><strong>Methods: </strong>This study argues for a reframing of KT for policy as an embedded and politically situated process. To inform this reframing, we examined how KT happens during health policy-making in Kenya. We examined who engages in KT, how they do it, in which spaces and the outcomes of these practices. Data were collected through in-depth interviews with a range of policy actors (n = 35), nonparticipant observations (52 h) and document reviews (n = 34). Data analysis was informed by the study's conceptual framework.</p><p><strong>Results: </strong>The findings show that KT was enacted by a range of actors, including policy-makers themselves. These actors practised both so-called structured and fluid forms of KT and mobilized evidence to inform, advocate, justify or contest policy positions. In addition, KT happened in both formal and informal spaces. Strategic framing of evidence and other relational activities were central to mobilizing evidence. The outcomes of these practices were often relational and incremental. Importantly, context constituted KT by shaping what counts as evidence, whose voices were influential, and where action was possible.</p><p><strong>Conclusions: </strong>This study offers a practise-based understanding of KT by reframing it as a contextually-constituted, situated practice that requires adaptive system-oriented approaches.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147722745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the challenges of developing hospital-based health technology assessment in Iran: a qualitative study. 探索在伊朗发展医院卫生技术评估的挑战:一项定性研究。
IF 3.2 2区 医学
Health Research Policy and Systems Pub Date : 2026-04-16 DOI: 10.1186/s12961-026-01475-4
Meysam Behzadifar, Bardia Talebzadeh, Afshin Aalipour, Ahad Bakhtiari, Samad Azari, Mohammad Yarahmadi, Maryam Nematkhah, Aidin Aryankhesal, Banafsheh Darvishi Teli, Masoud Behzadifar, Rok Hren
{"title":"Exploring the challenges of developing hospital-based health technology assessment in Iran: a qualitative study.","authors":"Meysam Behzadifar, Bardia Talebzadeh, Afshin Aalipour, Ahad Bakhtiari, Samad Azari, Mohammad Yarahmadi, Maryam Nematkhah, Aidin Aryankhesal, Banafsheh Darvishi Teli, Masoud Behzadifar, Rok Hren","doi":"10.1186/s12961-026-01475-4","DOIUrl":"https://doi.org/10.1186/s12961-026-01475-4","url":null,"abstract":"<p><strong>Background: </strong>Hospital-based Health Technology Assessment (HB-HTA) is increasingly recognized as a strategy to support evidence-informed decision-making at the hospital level, particularly in resource-constrained settings. This study explored the challenges of developing HB-HTA in Iran from the perspectives of health system experts.</p><p><strong>Methods: </strong>This qualitative descriptive study was conducted from July 2023 to February 2024. Data were collected through in-depth, semi-structured interviews with 26 health system experts selected via purposive sampling and supplemented with snowball sampling. Data were analysed using thematic analysis following Braun and Clarke's six-phase framework, supported by MAXQDA version 10 software. Credibility was enhanced through member checking with five participants outside the research team, investigator triangulation involving four researchers with expertise in health policy and HTA and consensus-based resolution of coding disagreements.</p><p><strong>Results: </strong>Analysis identified five main themes and 12 subthemes describing barriers to HB-HTA development in Iran. The themes included structural and organizational challenges, resource limitations, cultural and attitudinal barriers, knowledge and capacity gaps and external systemic constraints. Findings highlighted the lack of institutionalization of HB-HTA, inadequate policy support, limited trained personnel, resistance among clinicians, weak research culture, centralized governance and poor stakeholder collaboration.</p><p><strong>Conclusions: </strong>The study provides critical insights into the multifaceted challenges hindering HB-HTA in Iran. The findings are valuable for policymakers, hospital managers and healthcare professionals by offering practical guidance to strengthen institutional capacity, improve evidence-informed decision-making and advance HTA integration into hospital systems. Addressing these barriers through targeted reforms and inclusive strategies could enhance efficiency, equity and quality of care.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Political economy of adolescent mental health and well-being globally. 全球青少年心理健康和福祉的政治经济学。
IF 3.2 2区 医学
Health Research Policy and Systems Pub Date : 2026-04-14 DOI: 10.1186/s12961-026-01477-2
Olivia Biermann, Yusra Ribhi Shawar, Jeremy Shiffman, Seika L Brown, Miranda Bain, Ismahan Shire, Sarah Baird, Pamela Y Collins, Jennifer H Requejo, Augustina Mensa-Kwao, Mark Tomlinson, Asha George, Manasi Kumar, Zeus Aranda, Rita Tamambang, Olayinka Omigbodun, Stefan Swartling Peterson, Mariam Claeson
{"title":"Political economy of adolescent mental health and well-being globally.","authors":"Olivia Biermann, Yusra Ribhi Shawar, Jeremy Shiffman, Seika L Brown, Miranda Bain, Ismahan Shire, Sarah Baird, Pamela Y Collins, Jennifer H Requejo, Augustina Mensa-Kwao, Mark Tomlinson, Asha George, Manasi Kumar, Zeus Aranda, Rita Tamambang, Olayinka Omigbodun, Stefan Swartling Peterson, Mariam Claeson","doi":"10.1186/s12961-026-01477-2","DOIUrl":"10.1186/s12961-026-01477-2","url":null,"abstract":"<p><strong>Background: </strong>The current generation of 1.3 billion adolescents (10-19-year-olds), most of whom live in low- and middle-income countries, face large and growing mental health problems. Collective action that could lead to significant improvement in adolescent mental health and well-being (AMH) remains limited. We analyse the factors shaping the global prioritization of AMH for funding and action and reflect on a way forward.</p><p><strong>Methods: </strong>We triangulate data from interviews with key informants knowledgeable in AMH; focus group discussions with youth representatives who are mental health advocates, some with lived experience of mental ill-health; and document review. We collected the qualitative data from 2021 to 2023, followed by thematic analysis and stakeholder consultations.</p><p><strong>Results: </strong>We identify four themes which shape the global prioritization of AMH. First, prevailing interpersonal and institutional stigma and discrimination directed against adolescents with mental health problems hamper attention to AMH. Second, limited data on the burden of mental health problems and evidence of what works have led to the perception among decision-makers that AMH is an intractable problem. Third, diverse ways of framing AMH are often viewed as a sign of weak alignment rather than as opportunities for coalition-building. Fourth, a wide variety and increasing number of stakeholders are involved in AMH, while the stakeholder landscape remains fragmented, inhibiting coalition-building for AMH.</p><p><strong>Conclusions: </strong>To overcome the barriers that currently impede the prioritization of AMH, we recommend that (1) stakeholders conduct an adolescent-led consultative process to develop an \"umbrella framing\", supported by common metrics, (2) advocates use existing global platforms to shape the political priority for AMH, (3) decision-makers, funders and research partners invest in meaningful engagement of adolescents (with lived experience), researchers and implementing partners (4) identify a leadership, governance and accountability structure for a global coalition that could transform AMH and (5) conduct context-specific analyses to inform coalition-building nationally.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"24 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13081288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rapid tool for understanding how knowledge users engage with research findings in research-for-development contexts. 一个快速的工具,用于了解知识使用者如何在研究促进发展的背景下参与研究成果。
IF 3.2 2区 医学
Health Research Policy and Systems Pub Date : 2026-04-11 DOI: 10.1186/s12961-026-01478-1
Steven Lam, Vivian Hoffmann, Lilian Otoigo, Hung Nguyen-Viet
{"title":"A rapid tool for understanding how knowledge users engage with research findings in research-for-development contexts.","authors":"Steven Lam, Vivian Hoffmann, Lilian Otoigo, Hung Nguyen-Viet","doi":"10.1186/s12961-026-01478-1","DOIUrl":"https://doi.org/10.1186/s12961-026-01478-1","url":null,"abstract":"<p><p>Promoting the use of research findings in development projects is essential but often overlooked during study design. Existing frameworks for research use tend to focus on clinical settings and offer questionable applicability to development contexts, which are typically nonlinear, dynamic and cross-sectoral. As a result, there remains a gap in tools that can capture how evidence is intended to be applied by diverse knowledge users in real-world development settings. To address this gap, and drawing on over a decade of experience implementing research-to-action strategies, our objective is to develop a simple research uptake and use tool to better understand and support the use of evidence in research-for-development. We piloted the tool immediately after or 1 month following dissemination workshops, engaging 206 participants across nine sessions in five countries - Kenya, Ethiopia, Bangladesh, Malawi, and Vietnam - to gather insights on which evidence was most relevant, how participants intended to apply it and why they valued it. Although conceptualized with a focus on agriculture and global health research, this framework is broadly applicable across the wider development sector in low- and middle-income countries.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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