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Case studies of policy influence for the Knowledge Hubs for Health initiative: Design and analytic framework

Case studies of policy influence for the Knowledge Hubs for Health initiative: Design and analytic framework

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Case studies of policy influence have been identified as a potential method for monitoring and evaluating the impact of knowledge communications produced
by the Knowledge Hubs for Health Initiative on policy. This paper reviews the challenges of identifying and measuring policy influence, defines the scope and develops an analytic framework for conduct of a case study on policy influence; and proposes a template to
guide the conduct and documentation of such case studies.
Case studies of policy influence have been identified as a potential method for monitoring and evaluating the impact of knowledge communications produced
by the Knowledge Hubs for Health Initiative on policy. This paper reviews the challenges of identifying and measuring policy influence, defines the scope and develops an analytic framework for conduct of a case study on policy influence; and proposes a template to
guide the conduct and documentation of such case studies.

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Categories:Types, Research
Published by: Nossal Institute for Global Health on Jun 26, 2013
Copyright:Attribution Non-commercial

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 AusAID KNOWLEDGE HUBS FOR HEALTHHEALTH POLICY & HEALTH FINANCE KNOWLEDGE HUB
N 23, DC 2012
Case studies o policy infuence or theKnowledge Hubs or Health initiative:Design and analytic ramework 
Krha Hrt
Nossal Institute for Global Health, University of Melbourne
Ptr Aar
Nossal Institute for Global Health, University of Melbourne
 
Case studies o policy infuence or the KnowledgeHubs or Health initiative: Design and analyticramework
First draft – December 2012
Corresponding author:
Krishna Hort,Nossal Institute for Global Health,University of Melbourne
khort@unimelb.edu.au
 This Working Paper represents the views of its author/sand does not represent any ofcial position of theUniversity of Melbourne, AusAID or the AustralianGovernment.
ABOUT THIS SERIES
 This Working Paper is produced by the Nossal Institutefor Global Health at the University of Melbourne, Australia. The Australian Agency for International Development(AusAID) has established four Knowledge Hubs for Health, each addressing different dimensions of thehealth system: Health Policy and Health Finance;Health Information Systems; Human Resources for Health; and Women’s and Children’s Health.Based at the Nossal Institute for Global Health, theHealth Policy and Health Finance Knowledge Hub aimsto support regional, national and international partnersto develop effective evidence-informed policy making,particularly in the eld of health nance and healthsystems. The Working Paper series is not a peer-reviewed journal; papers in this series are works-in-progress. Theaim is to stimulate discussion and comment amongpolicy makers and researchers. The Nossal Institute invites and encourages feedback.We would like to hear both where corrections areneeded to published papers and where additional work would be useful. We also would like to hear suggestionsfor new papers or the investigation of any topics thathealth planners or policy makers would nd helpful. Toprovide comment or obtain further information aboutthe Working Paper series please contact; ni-info@unimelb.edu.au with “Working Papers” as the subject.For updated Working Papers, the title page includesthe date of the latest revision.
 
1
Health Policy and Health Finance Knowledge Hub
WORKING PAPER 23Case studies of policy inuence for the Knowledge Hubs for Health initiative: Design and analytic framework 
SUMMARY
Case studies of policy inuence have been identiedas a potential method for monitoring and evaluatingthe impact of knowledge communications producedby the Knowledge Hubs for Health Initiative on policy. This paper reviews the challenges of identifying andmeasuring policy inuence, denes the scope anddevelops an analytic framework for conduct of a casestudy on policy inuence; and proposes a template toguide the conduct and documentation of such casestudies.Challenges for measuring policy inuence includethe difculties of objective identication of policychange; establishing causal links between knowledgeor evidence and that policy change; and practicaldifculties of collecting and documenting evidence. Thecase study methodology has a number of advantagesfor this type of situation, but also brings its own issuesof credibility and dependability of ndings. The analytic framework developed identies thefollowing elements as requiring consideration in thecase studies:
•
Policy context: type of decision; political context;policy maker interest in evidence & relation with theresearcher;
•
Knowledge or evidence input: type of knowledgeand extent to which this is generalizable or contextspecic
•
Communication: method and factors inuencingcommunication
•
Potential inuence on policy: ranging from changesin attitudes of policy makers to proceduralchanges, and changes in policy content or policyimplementation.Based on a consideration of these elements, the paper proposes a template for collection and documentationof case studies of policy inuence. The template denesthe objectives of the case studies as to:(1) identify and describe policy changes (or wherechanges did not occur);(2) identify and describe research or knowledgeevidence provided through Hub activities; and(3) evaluate the extent to which research or knowledgeinputs are related to policy change in the speciccontext and identify factors which might haveconstrained or facilitated policy inuence.It provides some criteria to assist in selection of casestudies, and then lists questions to consider for thefollowing aspects: policy issue; policy context; researchinputs; communications; policy inuence or change;and implications. To assist in describing the policycontext, the annex contains tables of characteristicsof stages of the policy cycle and relationships betweenresearchers and policy makers.It is hoped that the template can be tested and renedthrough the conduct of case studies by each of theKnowledge Hubs in their own particular areas.

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