Evidence-informed policy-making

From scientific evidence to action at the district level in Burkina Faso

Using EVIPNet tools, the Ministry of Health of Burkina Faso implemented evidence-informed policy options on improving the use of Artemisinin Combined Therapies (ACTs) for malaria treatment. The evidence-brief was developed by the Burkina Faso EVIPNet team and reviewed by participants of a ground-breaking policy dialogue that incorporated the country experience. An operational research used ethnographic rapid assessment methods to evaluate the implementation of the policy options at three Burkinabé districts. The evaluation focused on strategies to engage and motivate community health workers (CHW) for home based management of malaria treatment with ACTs, which was recommended by TDR-WHO. The French acronym for the intervention was called PECADO. The intervention strategies were: 1- the access, provision and distribution of ACT treatment for community health workers 2 – to train 660 community health workers to deliver ACT treatment to treat malaria 3 – to train nurses to manage and deliver ACT treatment at community level 4 – to provide to midwives and nurses training manuals on ACT treatment The assessment found that the implemented strategies were successful in two of the pilot districts. The exception was the Kaya district, where the home based malaria care was not implemented because of the presence of the Save the Children (NGO), which subsidized directly the care to children under 5 years. Among barriers identified were the lack of understanding of the training manual by several CHW and an overuse of the ATC that could potentially lead to resistance.

6th Supporting the Use of Research Evidence for Policy in African Health Systems (SURE) meeting

From 10 to 14 March 2014, the last SURE annual meeting held in Ouagadougou, Burkina Faso and hosted by the Ministry of Health. The Secretariat of the Ministry of health welcomed SURE/EVIPNet teams with Andy Oxman, the coordinator of SURE Project and Salimata KI, coordinator of SURE Burkina Faso project . The Secretariat of the Ministry of Health underlined the importance of the use of evidence in policy-making through the development of tools, which are currently used worldwide and the mutual benefit with the exchange and collaboration between the different African teams.

Progress on Malawi’s Knowledge Translation Platform (KTPMalawi)

In February 2014, KTPMalawi held a week-long training for two new communities of practice, one on supply chain management and the other one on NCD-HIV integration. They will now work over the coming months in the production of two rigorous evidence briefs that will synthesis both global and local evidence. They plan to convene two separate policy dialogues with national policymakers, researchers, practitioners and members of civil society to discuss each evidence brief and their policy implications.

Inter-country capacity building workshop for National Immunization Technical Advisory Groups (NITAGs) on evidence informed policy-making on immunization

EVIPNet and the WHO Collaborating Center for evidence informed immunization policy-making (Health Policy and Institutional Development--HPID Unit, Agence de Médcine Preventive, France), organized on 24 to 27 September 2013 a workshop in Dakar, Senegal to train National Immunization Technical Advisory Groups (NITAGs) on the development of evidence informed recommendations on vaccine and immunization. Eleven participants from African francophone countries (Ivory Coast, Senegal and Benin) were trained. The workshop was led by women facilitators: Antoinette BA-NGUZ from SIVAC, Salimata KI/OUEDRAOGO from Ministry of Health and EVIPNet Burkina Faso, Bineta NDIR DIOP from Ministry of Health (future EVIPNet Senegal) and Isabelle Wachsmuth (EVIPNet WHO Global Secretariat).

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