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. 2018 Feb 28;33(4):539–554. doi: 10.1093/heapol/czx194

Table 3.

Influence of KTP activities

Cameroon
Uganda
Improving governance for health district development Scaling up malaria control interventions Task shifting to optimize the roles of health workers Improving access to skilled birth attendance
Direct influence of evidence briefs and stakeholder dialogues on decisions related to policy and research
Decisions
  • Status quo on revising the legal and regulatory framework for decentralization of public health authority to mayors

  • GIZ and MoH funded a nationwide training sessions for members of health district management boards

  • MoH and the World Bank included governance indicators in the performance based financing project

  • Anti Corruption Commission committed more resources to fight petty corruption

  • New treatment guidelines developed and implementation of a seasonal chemoprevention in northern regions

  • Instrumental use of the evidence briefs and the tacit knowledge gathered from deliberations to prepare the successful grant application to Global Fund ATM

  • Status quo on a written policy on task shifting, due to the opposition of health professional and civil society groups during the stakeholder dialogues

  • Further research requested on surgery by medical officers and integrated community case management

  • Government recruited nurses and midwifes

  • Overseas Development agencies mobilized resources for rehabilitating and servicing of health centres III and IV

  • Training schools revised primary healthcare curriculum approaches

  • Further research requested on the servicing of health centres III and IV

Influence of KTPs activities over time through intersections with contextual factors
Institutions
Structures
  • N/A

  • New consortium of NGOs and CBAs in the health sector seating at Global Fund country coordination mechanism

  • The health and social services committee in the Parliament gained more prominence with female members of Parliament becoming more vocal and referring to research evidence

Legacies
  • Mayors and dialogue structures gained prominence in district boards

  • Guidance for operating district management teams and boards

  • Safe-harbor inclusive stakeholder deliberations became common process

  • The health policy analysis unit and the health policy advisory committee changed their understanding of EIHSP and increased their utilization of the rapid response unit

Policy issue networks
  • N/A

  • Cameroon Coalition Against Malaria expanded membership to community-based associations, media professionals and parliamentarians for health issues

  • The Uganda National Health Consumers Organization rallied local political and health authorities to further advocate for more decent working conditions and the recruitment of nurses and midwives for servicing health districts especially health centres III and IV

Interests
  • Conflict between health bureaucrats and municipal authorities relating to health district management and fight against petty corruption resolved

  • Researchers gained visibility and incentives for evidence synthesis

  • Prevailing interests were clarified

  • The medical association and the nurses and midwives council gained more voice and legitimacy

  • Researchers gained visibility and incentives for evidence synthesis

Ideas
Values
  • Fairness and transparency during consultations and equity gained prominence amongst health stakeholders

  • Understanding of good governance and community participation within the framework of decentralization enhanced

  • Norms and regulations of health education, healthcare safety and quality, unacceptable unemployment of trainees and low salaries and, the right-based approach to safe motherhood reinforced

Research evidence
  • Enhanced understanding and improved access to policy-relevant evidence on equity

  • Greater value of systematic reviews in relation to health MDGs and contextual factors

  • Evidence gaps identified in relation to costing of implementation strategies