Contextual influences on the role of evidence in health policy development: what can we learn from six policies in India and Nigeria?
Mirzoev, Tolib;
Das, Mahua;
Ebenso, Bassey;
Uzochukwu, Benjamin;
Rawat, Bindiya;
Blok, Lucie;
Russo, Giuliano;
Thepthien, Bang-on;
Huss, Reinhard;
(2017)
Contextual influences on the role of evidence in health policy development: what can we learn from six policies in India and Nigeria?
Evidence & Policy: A Journal of Research, Debate and Practice, 13 (1).
pp. 59-79.
ISSN 1744-2648
DOI: https://doi.org/10.1332/174426415x14454407579925
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This study explored macro, meso and micro-level influences on the role of evidence in the development of six health policies in India and Nigeria. Macro-level influences included adoption of international agreements, movement towards evidence-informed policymaking, committed country leadership and resource environment. At meso level, national actors drove policy processes with support from the international actors. Micro-level influences included individual values, interests and evidence preferences. Factors at three levels are interrelated. Greater understanding of contextual influences can provide a platform for adapting to, or managing, these influences to improve the evidence-informed nature of health policymaking.