RAISE TSC Evaluation

Background: There is limited evidence describing how to build capacity for health policy and systems research (HSPR) in low- and middle- income countries (LMICs). The WHO HPSR Alliance (The Alliance) developed the Research to Enhance the Adaptation and Implementation of Health Systems Guidelines (RAISE) initiative. The RAISE initiative aims to build capacity for HSPR in LMICs and supports six LMIC research teams using HSPR to adapt and/or implement health systems guidelines within a two-year funding period. The Alliance commissioned the Knowledge Translation (KT) Program at St. Michael's Hospital-Unity Health Toronto to act as a Technical Support Centre (TSC) to provide ongoing scientific support and capacity building for the RAISE teams. Objectives: The objectives of this study are to (1) develop, monitor and evaluate the TSC capacity building program; (2) determine the impact of the TSC activities on research capacity and practice, and impact of the RAISE initiative on stakeholder engagement, guideline adaptation, and implementation; and (3) advance the science on common barriers and facilitators faced by LMICs who aim to adapt and implement health systems guidelines. Methods: The TSC provides interventions to support capacity building, including: in-person workshops, an online webinar series, online discussion boards, in-country visits and ongoing communication and coaching calls with the RAISE teams. Using a mixed methods approach, we will administer surveys, conduct key informant interviews and perform a document review to achieve the study objectives. Outcomes of Interest: We will describe our process of iteratively adapting the support provided based on the needs identified by the RAISE teams. Additionally, we will evaluate the implementation quality of the TSC capacity building program, researchers’ and knowledge users’ self-efficacy in KT research utilization, perceived impact of the RAISE portfolio on stakeholder engagement, guideline adaptation, and implementation, and barriers and facilitators to health systems guideline adaptation and/or implementation in LMICs. Anticipated impact: This research will advance the science on a) capacity building for HSPR and KT and b) common barriers and facilitators to health system guideline implementation in LMICs.

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