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Int J Health Policy Manag. 2018;7(1): 15-26.
doi: 10.15171/ijhpm.2017.39
PMID: 29325399
PMCID: PMC5745864
  Abstract View: 15
  PDF Download: 10

Original Article

Evaluating the Process and Extent of Institutionalization: A Case Study of a Rapid Response Unit for Health Policy in Burkina Faso

Andre Zida 1,2*, John N. Lavis 3,4, Nelson K. Sewankambo 1, Bocar Kouyate 2, Salimata Ouedraogo Salimata Ouedraogo 2

1 Clinical Epidemiology and Biostatistics Unit, College of Health Sciences, Makerere University, Kampala, Uganda
2 Ministry of Health, Ouagadougou, Burkina Faso
3 McMaster Health Forum, Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON, Canada
4 Department of Health Research Methods, Evidence and Impact, and Department of Political Science, McMaster University, Hamilton, ON, Canada.
*Corresponding Author: *Correspondence to: Andre Zida , Email: zidaandr@yahoo.fr

Abstract

Background: Good decision-making requires gathering and using sufficient information. Several knowledge translation platforms have been introduced in Burkina Faso to support evidence-informed decision-making. One of these is the rapid response service for health. This platform aims to provide quick access for policy-makers in Burkina Faso to highquality research evidence about health systems. The purpose of this study is to describe the process and extent of the institutionalization of the rapid response service.

Methods: A qualitative case study design was used, drawing on interviews with policy-makers, together with documentary analysis. Previously used institutionalization frameworks were combined to guide the analysis. Results: Burkina Faso’s rapid response service has largely reached the consolidation phase of the institutionalization process but not yet the final phase of maturity. The impetus for the project came from designated project leaders, who convinced policy-makers of the importance of the rapid response service, and obtained resources to run a pilot. During the expansion stage, additional policy-makers at national and sub-national levels began to use the service. Unit staff also tried to improve the way it was delivered, based on lessons learned during the pilot stage. The service has, however, stagnated at the consolidation stage, and not moved into the final phase of maturity.

Conclusion: The institutionalization process for the rapid response service in Burkina Faso has been fluid rather than linear, with some areas developing faster than others. The service has reached the consolidation stage, but now requires additional efforts to reach maturity.


Citation: Zida A, Lavis JN, Sewankambo NK, Kouyate B, Ouedraogo S. Evaluating the process and extent of institutionalization: a case study of a rapid response unit for health policy in Burkina Faso. Int J Health Policy Manag. 2018;7(1):15–26. doi:10.15171/ijhpm.2017.39
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Submitted: 18 Jul 2016
Accepted: 15 Mar 2017
ePublished: 10 Apr 2017
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