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Exploring knowledge translation mechanisms in the Western Cape Provincial Health System

The persistent gap between health research, policy and practice has led to a burgeoning interest in the field of knowledge translation (KT). However, there remains little clarity on what KT mechanisms work in different contexts, particularly in low and middle-income countries. Using mixed methodolog...

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Main Author: Edwards Amanda
Other Authors: Olivier, Jill
Format: Thesis
Language:English
Published: Health Policy and Systems Division 2024
Subjects:
Health Systems
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access_status_str Open Access
author Edwards Amanda
author2 Olivier, Jill
author_browse Edwards Amanda
Olivier, Jill
author_facet Olivier, Jill
Edwards Amanda
author_sort Edwards Amanda
collection Thesis
description The persistent gap between health research, policy and practice has led to a burgeoning interest in the field of knowledge translation (KT). However, there remains little clarity on what KT mechanisms work in different contexts, particularly in low and middle-income countries. Using mixed methodology this project explores KT mechanisms, barriers, facilitators and outcomes as they function in South Africa’s Western Cape provincial health system. Document review and key informant interviews with health system researchers and provincial health policymakers were synthesised with findings from a random sample of provincial study protocols registered on the National Health Research Database. An evidence-mapping of the literature on KT in African settings complemented this data. Findings indicate variations in the use of health-related research by provincial policymakers and diversity in the mechanisms employed for KT. The important role of organisations, characteristics of available research, relationships and networks play a facilitating role for KT in this context. Resource constraints, system conflicts and politics served as notable barriers. These findings have implications for health researchers and provincial policymakers seeking to “do” KT in the Western Cape health system – including the need for recognition of the important role of context, of the ethical dilemmas within KT processes, and the need for a more systematic approach to KT that includes embedded learning systems.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:31:41.113Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2024
publishDateRange 2024
publishDateSort 2024
publisher Health Policy and Systems Division
publisherStr Health Policy and Systems Division
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/40279 Exploring knowledge translation mechanisms in the Western Cape Provincial Health System Edwards Amanda Olivier, Jill Zweigenthal, Virginia Health Systems The persistent gap between health research, policy and practice has led to a burgeoning interest in the field of knowledge translation (KT). However, there remains little clarity on what KT mechanisms work in different contexts, particularly in low and middle-income countries. Using mixed methodology this project explores KT mechanisms, barriers, facilitators and outcomes as they function in South Africa’s Western Cape provincial health system. Document review and key informant interviews with health system researchers and provincial health policymakers were synthesised with findings from a random sample of provincial study protocols registered on the National Health Research Database. An evidence-mapping of the literature on KT in African settings complemented this data. Findings indicate variations in the use of health-related research by provincial policymakers and diversity in the mechanisms employed for KT. The important role of organisations, characteristics of available research, relationships and networks play a facilitating role for KT in this context. Resource constraints, system conflicts and politics served as notable barriers. These findings have implications for health researchers and provincial policymakers seeking to “do” KT in the Western Cape health system – including the need for recognition of the important role of context, of the ethical dilemmas within KT processes, and the need for a more systematic approach to KT that includes embedded learning systems. 2024-07-04T13:41:43Z 2024-07-04T13:41:43Z 2018 2019-01-28T07:02:59Z Thesis / Dissertation Masters MPH http://hdl.handle.net/11427/40279 eng application/pdf Health Policy and Systems Division Faculty of Health Sciences University of Cape Town
spellingShingle Health Systems
Edwards Amanda
Exploring knowledge translation mechanisms in the Western Cape Provincial Health System
thesis_degree_str Master's
title Exploring knowledge translation mechanisms in the Western Cape Provincial Health System
title_full Exploring knowledge translation mechanisms in the Western Cape Provincial Health System
title_fullStr Exploring knowledge translation mechanisms in the Western Cape Provincial Health System
title_full_unstemmed Exploring knowledge translation mechanisms in the Western Cape Provincial Health System
title_short Exploring knowledge translation mechanisms in the Western Cape Provincial Health System
title_sort exploring knowledge translation mechanisms in the western cape provincial health system
topic Health Systems
url http://hdl.handle.net/11427/40279
work_keys_str_mv AT edwardsamanda exploringknowledgetranslationmechanismsinthewesterncapeprovincialhealthsystem

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