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Moving evidence to policy: sharing experience on challenges

Emilie Robert
Emilie Robert

This presentation was given at the School of Public Health of the University of Western Cape (South Africa) in the frame of the Emerging Voices 2014 (September 2014).

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EVIDENCE TO POLICY Sharing experience on challenges Emilie Robert Universit辿 de Montr辿al 1 息 E. Robert, 2014
Some definitions Policy oa definite course or method of action selected from among alternatives and in light of given conditions to guide and determine present and future decisions (MerriamWebster) 2 息 E. Robert, 2014
Some definitions Policy oa definite course or method of action selected from among alternatives and in light of given conditions to guide and determine present and future decisions (MerriamWebster) 3 息 E. Robert, 2014
Some definitions Policy oa definite course or method of action selected from among alternatives and in light of given conditions to guide and determine present and future decisions (MerriamWebster) Policy vs. politics oPolicy is mostly about the design and implementation of a particular intervention. Politics is about how the decision was made. (C. Tyler) 4 息 E. Robert, 2014
Some definitions Policy-maker oa person responsible for or involved in formulating policies, especially in politics. (Oxford Dictionaries) 5 息 E. Robert, 2014
Some definitions Policy-maker oa person responsible for or involved in formulating policies, especially in politics. (Oxford Dictionaries) othe invisible man (E. Robert) 6 息 E. Robert, 2014
Two planets: different objectives and constraints 7 息 E. Robert, 2014
Two planets: different objectives and constraints Researchers are from Venus Publish or perish Get funding Conduct research Teach Supervise students Present in conferences Etc. 8 息 E. Robert, 2014
Two planets: different objectives and constraints Researchers are from Venus Publish or perish Get funding Conduct research Teach Supervise students Present in conferences Etc. Policy-makers are from Mars Negociate with stakeholders Ensure accountability to population / electorate Comply with existing agenda Integrate policy recommendations from hierarchy Etc. 9 息 E. Robert, 2014
Two planets: different objectives and constraints Researchers are from Venus Publish or perish Get funding Conduct research Teach Supervise students Present in conferences Etc. Policy-makers are from Mars Negociate with stakeholders Ensure accountability to population / electorate Comply with existing agenda Integrate policy recommendations from hierarchy Etc. Move evidence to policy Use evidence for policy 10 息 E. Robert, 2014
Entering the policy arena 11 息 E. Robert, 2014
Entering the policy arena 12 息 E. Robert, 2014
Entering the policy arena Opacity and complexity of the policy process Several layers of policy-makers A more or less shifting policy landscape Presence of gate keepers Contestants 13 息 E. Robert, 2014
Entering the policy arena Opacity and complexity of the policy process Several layers of policy-makers A more or less shifting policy landscape Presence of gate keepers Contestants 14 息 E. Robert, 2014
No one-size fits all strategy 15 息 E. Robert, 2014
No one-size fits all strategy 16 息 E. Robert, 2014
No one-size fits all strategy Congruence with policy-makers How do we deal with obesity? Cancer prevalence is high. preoccupations 17 息 E. Robert, 2014
No one-size fits all strategy How do we deal with obesity? Cancer prevalence is high. User fees finance our health system User fees are a threat to health. Congruence with policy-makers preoccupations Congruence with policy-makers ideas 18 息 E. Robert, 2014
No one-size fits all strategy How do we deal with obesity? Cancer prevalence is high. Networks User fees finance our health system User fees are a threat to health. Congruence with policy-makers preoccupations Congruence with policy-makers ideas 19 息 E. Robert, 2014
No one-size fits all strategy How do we deal with obesity? Cancer prevalence is high. Networks User fees finance our health system User fees are a threat to health. Congruence with policy-makers preoccupations Congruence with policy-makers ideas Timing 20 息 E. Robert, 2014
No one-size fits all strategy How do we deal with obesity? Cancer prevalence is high. Networks User fees finance our health system User fees are a threat to health. Congruence with policy-makers preoccupations Congruence with policy-makers ideas Timing 21 息 E. Robert, 2014
In practice Example 1 Aboriginal communities (Canada) Mandate from the regional health authority Research objective: To understand successes and challenges of implementing intervention Evaluation objective: To improve the intervention in communities where it is already implemented. To provide lessons for scaling up the intervention 22 息 E. Robert, 2014
In practice Example 1 Facilitators Challenges 23 息 E. Robert, 2014
In practice Example 2 Realist review on user fee exemption policies in sub-Sahara Africa Hot topics since 2005 Sexy method since 2012 Doctoral research (Ph.D.) at the University of Montreal starting 2008 24 息 E. Robert, 2014
In practice Example 2 New hot topics (UHC, Low PBF) 束 It seems fair to say that at least in terms of involvement of policy-makers Long research process Missed opportunity? retrospective studies on the formulation and implementation of country fee exemption policies, we are reaching a data saturation point. 損 (B. Meessen, 2013) Health Policy and Planning Debated 束 Producing evidence on the complexity of user fees abolition interventions is crucial to support the implementation of universal coverage () Calling all young researchers, emerging voices and other people-centred scientists! Could we see some potential solutions at the Third Global Symposium on Health Systems Research? 損 (V. Ridde and E. Robert, 2014) 25 息 E. Robert, 2014
Take home messages When there is a will, there is a way... The way is far from straightforward... and it is very context-dependent. Moving evidence to policy is like fishing You never know if youll catch the fish, but there are hints to approach your goal. 26 息 E. Robert, 2014
Emilie Robert is a Ph.D. candidate in public health at the University of Montreal. She is also an evaluation and KT consultant. Contact: emilierobert.udem@gmail.com 27

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Moving evidence to policy: sharing experience on challenges

  • 1. EVIDENCE TO POLICY Sharing experience on challenges Emilie Robert Universit辿 de Montr辿al 1 息 E. Robert, 2014
  • 2. Some definitions Policy oa definite course or method of action selected from among alternatives and in light of given conditions to guide and determine present and future decisions (MerriamWebster) 2 息 E. Robert, 2014
  • 3. Some definitions Policy oa definite course or method of action selected from among alternatives and in light of given conditions to guide and determine present and future decisions (MerriamWebster) 3 息 E. Robert, 2014
  • 4. Some definitions Policy oa definite course or method of action selected from among alternatives and in light of given conditions to guide and determine present and future decisions (MerriamWebster) Policy vs. politics oPolicy is mostly about the design and implementation of a particular intervention. Politics is about how the decision was made. (C. Tyler) 4 息 E. Robert, 2014
  • 5. Some definitions Policy-maker oa person responsible for or involved in formulating policies, especially in politics. (Oxford Dictionaries) 5 息 E. Robert, 2014
  • 6. Some definitions Policy-maker oa person responsible for or involved in formulating policies, especially in politics. (Oxford Dictionaries) othe invisible man (E. Robert) 6 息 E. Robert, 2014
  • 7. Two planets: different objectives and constraints 7 息 E. Robert, 2014
  • 8. Two planets: different objectives and constraints Researchers are from Venus Publish or perish Get funding Conduct research Teach Supervise students Present in conferences Etc. 8 息 E. Robert, 2014
  • 9. Two planets: different objectives and constraints Researchers are from Venus Publish or perish Get funding Conduct research Teach Supervise students Present in conferences Etc. Policy-makers are from Mars Negociate with stakeholders Ensure accountability to population / electorate Comply with existing agenda Integrate policy recommendations from hierarchy Etc. 9 息 E. Robert, 2014
  • 10. Two planets: different objectives and constraints Researchers are from Venus Publish or perish Get funding Conduct research Teach Supervise students Present in conferences Etc. Policy-makers are from Mars Negociate with stakeholders Ensure accountability to population / electorate Comply with existing agenda Integrate policy recommendations from hierarchy Etc. Move evidence to policy Use evidence for policy 10 息 E. Robert, 2014
  • 11. Entering the policy arena 11 息 E. Robert, 2014
  • 12. Entering the policy arena 12 息 E. Robert, 2014
  • 13. Entering the policy arena Opacity and complexity of the policy process Several layers of policy-makers A more or less shifting policy landscape Presence of gate keepers Contestants 13 息 E. Robert, 2014
  • 14. Entering the policy arena Opacity and complexity of the policy process Several layers of policy-makers A more or less shifting policy landscape Presence of gate keepers Contestants 14 息 E. Robert, 2014
  • 15. No one-size fits all strategy 15 息 E. Robert, 2014
  • 16. No one-size fits all strategy 16 息 E. Robert, 2014
  • 17. No one-size fits all strategy Congruence with policy-makers How do we deal with obesity? Cancer prevalence is high. preoccupations 17 息 E. Robert, 2014
  • 18. No one-size fits all strategy How do we deal with obesity? Cancer prevalence is high. User fees finance our health system User fees are a threat to health. Congruence with policy-makers preoccupations Congruence with policy-makers ideas 18 息 E. Robert, 2014
  • 19. No one-size fits all strategy How do we deal with obesity? Cancer prevalence is high. Networks User fees finance our health system User fees are a threat to health. Congruence with policy-makers preoccupations Congruence with policy-makers ideas 19 息 E. Robert, 2014
  • 20. No one-size fits all strategy How do we deal with obesity? Cancer prevalence is high. Networks User fees finance our health system User fees are a threat to health. Congruence with policy-makers preoccupations Congruence with policy-makers ideas Timing 20 息 E. Robert, 2014
  • 21. No one-size fits all strategy How do we deal with obesity? Cancer prevalence is high. Networks User fees finance our health system User fees are a threat to health. Congruence with policy-makers preoccupations Congruence with policy-makers ideas Timing 21 息 E. Robert, 2014
  • 22. In practice Example 1 Aboriginal communities (Canada) Mandate from the regional health authority Research objective: To understand successes and challenges of implementing intervention Evaluation objective: To improve the intervention in communities where it is already implemented. To provide lessons for scaling up the intervention 22 息 E. Robert, 2014
  • 23. In practice Example 1 Facilitators Challenges 23 息 E. Robert, 2014
  • 24. In practice Example 2 Realist review on user fee exemption policies in sub-Sahara Africa Hot topics since 2005 Sexy method since 2012 Doctoral research (Ph.D.) at the University of Montreal starting 2008 24 息 E. Robert, 2014
  • 25. In practice Example 2 New hot topics (UHC, Low PBF) 束 It seems fair to say that at least in terms of involvement of policy-makers Long research process Missed opportunity? retrospective studies on the formulation and implementation of country fee exemption policies, we are reaching a data saturation point. 損 (B. Meessen, 2013) Health Policy and Planning Debated 束 Producing evidence on the complexity of user fees abolition interventions is crucial to support the implementation of universal coverage () Calling all young researchers, emerging voices and other people-centred scientists! Could we see some potential solutions at the Third Global Symposium on Health Systems Research? 損 (V. Ridde and E. Robert, 2014) 25 息 E. Robert, 2014
  • 26. Take home messages When there is a will, there is a way... The way is far from straightforward... and it is very context-dependent. Moving evidence to policy is like fishing You never know if youll catch the fish, but there are hints to approach your goal. 26 息 E. Robert, 2014
  • 27. Emilie Robert is a Ph.D. candidate in public health at the University of Montreal. She is also an evaluation and KT consultant. Contact: emilierobert.udem@gmail.com 27

Editor's Notes

  • #11: Parler aussi du timing !
  • #23: Quest-ce contexte signifie ? Some challenges you know beforehand given the context
  • #24: Quest-ce contexte signifie ? Some challenges you know beforehand given the context
  • #25: Quest-ce contexte signifie ? Some challenges you know beforehand given the context
  • #26: Quest-ce contexte signifie ? Some challenges you know beforehand given the context