| dc.description.abstract | Background: There is a scarcity of empirical data on African country climates for evidence-informed health system
policymaking (EIHSP) to backup the longstanding reputation that research evidence is not valued enough by health
policymakers as an information input.
Herein, we assess whether and how changes have occurred in the climate for EIHSP before and after the
establishment of two Knowledge Translation Platforms housed in government institutions in Cameroon and
Uganda since 2006.
Methods: We merged content analysis techniques and policy sciences analytical frameworks to guide this
structured review of governmental policy documents geared at achieving health Millennium Development Goals.
We combined i) a quantitative exploration of the usage statistics of research-related words and constructs, citations
of types of evidence, and budgets allocated to research-related activities; and (ii) an interpretive exploration using a
deductive thematic analysis approach to uncover changes in the institutions, interests, ideas, and external factors
displaying the country climate for EIHSP. Descriptive statistics compared quantitative data across countries during
the periods 2001–2006 and 2007–2012.
Results: We reviewed 54 documents, including 33 grants approved by global health initiatives. The usage statistics
of research-related words and constructs showed an increase over time across countries. Varied forms of data,
information, or research were instrumentally used to describe the burden and determinants of poverty and health
conditions. The use of evidence syntheses to frame poverty and health problems, select strategies, or forecast the
expected outcomes has remained sparse over time and across countries. The budgets for research increased over
time from 28.496 to 95.467 million Euros (335%) in Cameroon and 38.064 to 58.884 million US dollars (155%) in
Uganda, with most resources allocated to health sector performance monitoring and evaluation. The consistent
naming of elements pertaining to the climate for EIHSP features the greater influence of external donors through
policy transfer.
Conclusions: This structured review of governmental policy documents illustrates the nascent conducive climate
for EIHSP in Cameroon and Uganda and the persistent undervalue of evidence syntheses. Global and national
health stakeholders should raise the profile of evidence syntheses (e.g., systematic reviews) as an information input
when shaping policies and programmes. | en_US |
