Health Policy and Health Finance Knowledge Hub
WORKING PAPER 23Case studies of policy inuence for the Knowledge Hubs for Health initiative: Design and analytic framework
Case studies of policy inuence have been identiedas 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 inuence, denes the scope anddevelops an analytic framework for conduct of a casestudy on policy inuence; and proposes a template toguide the conduct and documentation of such casestudies.Challenges for measuring policy inuence includethe difculties of objective identication of policychange; establishing causal links between knowledgeor evidence and that policy change; and practicaldifculties 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 identies 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 contextspecic
Communication: method and factors inuencingcommunication
Potential inuence 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 inuence. The template denesthe 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 speciccontext and identify factors which might haveconstrained or facilitated policy inuence.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 inuence 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 renedthrough the conduct of case studies by each of theKnowledge Hubs in their own particular areas.