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Related Experiment Video

Updated: Jun 20, 2026

Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy (NIRS) Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa

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Published on: February 2, 2018

Evidence-based policy-making: the implications of globally-applicable research for context-specific problem-solving

Dominique Behague¹, Charlotte Tawiah, Mikey Rosato

¹Department of Epidemiology & Population Health, London School of Hygiene & Tropical Medicine, London, UK. dominique.behague@lshtm.ac.uk

Social Science & Medicine (1982)

|September 29, 2009

Summary

Evidence-based policy-making (EBPM) faces challenges in developing countries due to political contexts favoring uniformity over diverse, context-specific research. Global interests often overshadow national evidence, limiting EBPM's impact on local programmatic policy.

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Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy (NIRS) Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa

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Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

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Published on: June 6, 2020

Area of Science:

Public Health Policy
Evidence-Based Practice
Global Health

Background:

The institutionalization of Evidence-Based Medicine (EBM) has led to the adoption of Evidence-Based Policy-Making (EBPM) in non-clinical arenas.
The global diffusion of EBM principles has raised epistemological questions about the definition of science in policy contexts.
EBPM aims to shift policy development from political ideologies to scientifically validated approaches.

Purpose of the Study:

To explore the effects of divergent views on science and policy on EBPM in developing countries.
To analyze why EBPM has had a limited impact on context-specific policy development and implementation.
To examine the influence of global versus national/sub-national policy-making demands on EBPM.

Main Methods:

Ethnographic case study focusing on the maternal and neonatal subfield.
Analysis of EBPM in five developing countries: Bangladesh, Burkina Faso, Ghana, Malawi, and Nepal.
Qualitative data collection through informant interviews exploring policy contexts and research interpretation.

Main Results:

Political contexts promote uniform methodological and policy approaches, despite calls for disciplinary diversity in public health.
National EBPM initiatives have limited influence against global policy interests, which may be legitimized rather than informed by evidence.
Donor-driven priorities and resource allocation shape research interpretations, emphasizing generalizable findings over localized needs.
Divisions between senior and junior experts hinder national research agendas from empowering knowledge production.

Conclusions:

Diverse research forms are needed to effectively address context-specific problems in policy-making.
While diversity may increase conflict, it can foster critical insight and localized change in EBPM.
Current EBPM practices are constrained by political contexts, donor priorities, and internal expert dynamics, limiting their effectiveness in developing nations.