16
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      From Kisiizi to Baltimore: cultivating knowledge brokers to support global innovation for community engagement in healthcare

      letter

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Reverse Innovation has been endorsed as a vehicle for promoting bidirectional learning and information flow between low- and middle-income countries and high-income countries, with the aim of tackling common unmet needs. One such need, which traverses international boundaries, is the development of strategies to initiate and sustain community engagement in health care delivery systems.

          Objective

          In this commentary, we discuss the Baltimore “Community-based Organizations Neighborhood Network: Enhancing Capacity Together” Study. This randomized controlled trial evaluated whether or not a community engagement strategy, developed to address patient safety in low- and middle-income countries throughout sub-Saharan Africa, could be successfully applied to create and implement strategies that would link community-based organizations to a local health care system in Baltimore, a city in the United States. Specifically, we explore the trial’s activation of community knowledge brokers as the conduit through which community engagement, and innovation production, was achieved.

          Summary

          Cultivating community knowledge brokers holds promise as a vehicle for advancing global innovation in the context of health care delivery systems. As such, further efforts to discern the ways in which they may promote the development and dissemination of innovations in health care systems is warranted.

          Trial registration

          Trial Registration Number: NCT02222909. Trial Register Name: Reverse Innovation and Patient Engagement to Improve Quality of Care and Patient Outcomes (CONNECT). Date of Trial’s Registration: August 22, 2014.

          Related collections

          Most cited references14

          • Record: found
          • Abstract: found
          • Article: not found

          The emergence of global attention to health systems strengthening.

          After a period of proliferation of disease-specific initiatives, over the past decade and especially since 2005 many organizations involved in global health have come to direct attention and resources to the issue of health systems strengthening. We explore how and why such attention emerged. A qualitative methodology, process-tracing, was used to construct a case history and analyse the factors shaping and inhibiting global political attention for health systems strengthening. We find that the critical factors behind the recent burst of attention include fears among global health actors that health systems problems threaten the achievement of the health-related Millennium Development Goals, concern about the adverse effects of global health initiatives on national health systems, and the realization among global health initiatives that weak health systems present bottlenecks to the achievement of their organizational objectives. While a variety of actors now embrace health systems strengthening, they do not constitute a cohesive policy community. Moreover, the concept of health systems strengthening remains vague and there is a weak evidence base for informing policies and programmes for strengthening health systems. There are several reasons to question the sustainability of the agenda. Among these are the global financial crisis, the history of pendulum swings in global health and the instrumental embrace of the issue by some actors.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            A description of a knowledge broker role implemented as part of a randomized controlled trial evaluating three knowledge translation strategies

            Background A knowledge broker (KB) is a popular knowledge translation and exchange (KTE) strategy emerging in Canada to promote interaction between researchers and end users, as well as to develop capacity for evidence-informed decision making. A KB provides a link between research producers and end users by developing a mutual understanding of goals and cultures, collaborates with end users to identify issues and problems for which solutions are required, and facilitates the identification, access, assessment, interpretation, and translation of research evidence into local policy and practice. Knowledge-brokering can be carried out by individuals, groups and/or organizations, as well as entire countries. In each case, the KB is linked with a group of end users and focuses on promoting the integration of the best available evidence into policy and practice-related decisions. Methods A KB intervention comprised one of three KTE interventions evaluated in a randomized controlled trial. Results KB activities were classified into the following categories: initial and ongoing needs assessments; scanning the horizon; knowledge management; KTE; network development, maintenance, and facilitation; facilitation of individual capacity development in evidence informed decision making; and g) facilitation of and support for organizational change. Conclusion As the KB role developed during this study, central themes that emerged as particularly important included relationship development, ongoing support, customized approaches, and opportunities for individual and organizational capacity development. The novelty of the KB role in public health provides a unique opportunity to assess the need for and reaction to the role and its associated activities. Future research should include studies to evaluate the effectiveness of KBs in different settings and among different health care professionals, and to explore the optimal preparation and training of KBs, as well as the identification of the personality characteristics most closely associated with KB effectiveness. Studies should also seek to better understand which combination of KB activities are associated with optimal evidence-informed decision making outcomes, and whether the combination changes in different settings and among different health care decision makers.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Developed-developing country partnerships: Benefits to developed countries?

              Developing countries can generate effective solutions for today’s global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis. Of 227 articles retained through initial screening, 65 were included in the final analysis. The results were two-fold: some articles pointed to intangible benefits accrued by developed country partners, but the majority of information pointed to developing country innovations that can potentially inform health systems in developed countries. This information spanned all six WHO health system components. Ten key health areas where developed countries have the most to learn from the developing world were identified and include, rural health service delivery; skills substitution; decentralisation of management; creative problem-solving; education in communicable disease control; innovation in mobile phone use; low technology simulation training; local product manufacture; health financing; and social entrepreneurship. While there are no guarantees that innovations from developing country experiences can effectively transfer to developed countries, combined developed-developing country learning processes can potentially generate effective solutions for global health systems. However, the global pool of knowledge in this area is virgin and further work needs to be undertaken to advance understanding of health innovation diffusion. Even more urgently, a standardized method for reporting partnership benefits is needed—this is perhaps the single most immediate need in planning for, and realizing, the full potential of international cooperation between developed and developing countries.
                Bookmark

                Author and article information

                Contributors
                443-287-4270 , cibe2@jhu.edu
                lbasu1@jhmi.edu
                rachelmgooden@outlook.com
                syeds@who.int
                viva.dadwal@gmail.com
                lbone1@jhu.edu
                pephraim@jhu.edu
                cweston1@jhu.edu
                awu@jhu.edu
                Journal
                Global Health
                Global Health
                Globalization and Health
                BioMed Central (London )
                1744-8603
                9 February 2018
                9 February 2018
                2018
                : 14
                : 19
                Affiliations
                [1 ]ISNI 0000 0001 2171 9311, GRID grid.21107.35, Center for Health Services & Outcomes Research, Department of Health Policy and Management, , Johns Hopkins University Bloomberg School of Public Health, ; Baltimore, USA
                [2 ]ISNI 0000 0001 2171 9311, GRID grid.21107.35, Johns Hopkins University School of Medicine, Division of General Internal Medicine, ; 2024 East Monument Street, Room 2-514, Baltimore, MD 21287 USA
                [3 ]ISNI 0000000121633745, GRID grid.3575.4, World Health Organization Service Delivery & Safety Department, ; Geneva, Switzerland
                [4 ]ISNI 0000 0001 2182 2255, GRID grid.28046.38, Centre on Governance, , University of Ottawa, ; Ottawa, Canada
                [5 ]ISNI 0000 0001 2171 9311, GRID grid.21107.35, Department of Health Behavior and Society, , Johns Hopkins University Bloomberg School of Public Health, ; Baltimore, USA
                [6 ]ISNI 0000 0001 2171 9311, GRID grid.21107.35, Department of Epidemiology, , Johns Hopkins Bloomberg School of Public Health, ; Baltimore, USA
                [7 ]ISNI 0000 0001 2171 9311, GRID grid.21107.35, Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, ; Baltimore, USA
                Article
                339
                10.1186/s12992-018-0339-8
                5807858
                29426345
                cb52a19d-70b1-4762-be69-2d626feab2b0
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 18 August 2015
                : 26 January 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100006093, Patient-Centered Outcomes Research Institute (US);
                Award ID: 4948
                Award Recipient :
                Categories
                Commentary
                Custom metadata
                © The Author(s) 2018

                Health & Social care
                reverse innovation,bidirectional innovation,knowledge brokerage,community knowledge brokers,community engagement

                Comments

                Comment on this article