Tools
Tools
Witter, Sophie, Regmi, Shophika, Raven, Joanna 
ORCID: https://orcid.org/0000-0002-4112-6959, Nzinga, Jacinta, van der Merwe, Maria, Flores, Walter and D'Ambruoso, Lucia
(2024)
'Learning sites for health systems research: Reflections on five programs in Africa, Asia, and Central America'. Learning Health Systems.
(In Press)
|
Text
lrh2.10475.pdf - Published Version Available under License Creative Commons Attribution. Download (317kB) | Preview |
Abstract
Introduction: Learning sites have supported intervention development and testing in health care, but studies reflecting on lessons relating to their deployment for health policy and system research (HPSR) in low‐ and middle‐income settings are limited.
Methods: This experience report draws from learning over three continents and five research and community engagement programs—the oldest starting in 2010—to reflect on the challenges and benefits of doing embedded HPSR in learning sites, and how those have been managed. Its objective is to generate better understanding of their potential and constraints. The report draws from team members' experiential insights and program publications.
Results: Challenges relating to initial engagement in the sites included building and maintaining trust, managing partner expectations, and negotiating priority topics and stakeholders. Once the embedded research was underway, sustaining engagement, and managing power dynamics within the group, supporting all participants in developing new skills and managing rapidly changing settings were important. Finally, the complexity of reflecting on action and assessing impact are outlined, along with potential approaches to managing all of these challenges and the variety of gains that have been noted across the programs.
Conclusions: We highlight the potential of learning sites to develop relationships, capacities, and local innovations which can strengthen health systems in the long term and some lessons in relation to how to do that, including the importance of stable, long‐term funding as well as developing and recognizing facilitation skills among researchers. Supporting spaces for learning is particularly important when health systems face resource constraints and everyday or acute stressors and shocks.
| Item Type: | Article |
|---|---|
| Subjects: | W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care WA Public Health > WA 30 Socioeconomic factors in public health (General) WA Public Health > Health Administration and Organization > WA 540 National and state health administration |
| Faculty: Department: | Clinical Sciences & International Health > International Public Health Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1002/lrh2.10475 |
| SWORD Depositor: | JISC Pubrouter |
| Depositing User: | JISC Pubrouter |
| Date Deposited: | 17 Dec 2024 16:08 |
| Last Modified: | 17 Dec 2024 16:08 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/25737 |
Statistics
Actions (login required)
 |
Edit Item |