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Related Experiment Videos

Systematic reviews and knowledge translation.

Peter Tugwell1, Vivian Robinson, Jeremy Grimshaw

  • 1Centre for Global Health, Institute of Population Health, University of Ottawa, Ottawa, Ontario, Canada.

Bulletin of the World Health Organization
|August 19, 2006
PubMed
Summary
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Effective health interventions reach poorer populations less often. A new framework guides equitable knowledge translation to improve access and effectiveness for disadvantaged groups, ensuring health equity.

Area of Science:

  • Global Health
  • Health Equity
  • Knowledge Translation

Background:

  • Effective interventions exist to meet global health goals, but their uptake is significantly lower in the poorest populations.
  • A "staircase" effect of reduced coverage, diagnostic accuracy, provider compliance, and consumer adherence diminishes intervention effectiveness in disadvantaged groups.

Purpose of the Study:

  • To propose an evidence-based framework for equity-oriented knowledge translation.
  • To enhance the community effectiveness of interventions and promote health equity.

Main Methods:

  • Developed a cascade framework to systematically assess and prioritize barriers to intervention uptake.
  • Tailored knowledge translation strategies for diverse audiences including the public, patients, practitioners, policymakers, press, and the private sector.

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  • Included evaluation, monitoring, and sharing of implementation strategies.

    • Main Results:

    • The framework provides a systematic method for decision-makers to apply evidence-based knowledge in disadvantaged populations.
    • Illustrated framework application using insecticide-treated bednets for malaria prevention and childhood immunization.
    • Highlighted the need for empirical validation and evaluation of the framework's usefulness.

    Conclusions:

    • The proposed framework offers a guide for researchers and implementers to plan equitable knowledge translation strategies.
    • Encourages policymakers and health managers to utilize the framework for implementing effective interventions in diverse settings.
    • Emphasizes the importance of addressing disparities to achieve universal health goals.