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Table 2 Summary of perceived barriers to EIDM and potential solutions

From: Integrating evidence from research into decision-making for controlling endemic tropical diseases in South East Nigeria: perceptions of producers and users of evidence on barriers and solutions

Barriers to EIDMPotential solutions to identified barriers
Weak linkage and networking between researches and users of evidenceCreation of networks that will ensure a strong linkage between producers and users of evidence
• Involvement of both producers and users of evidence in research conceptualisation, evidence generation and dissemination
• Users of evidence communicating identified problems to producers of evidence
• Creation of knowledge exchange forum among users and producers of evidence
• Institutionalising exchange programmes and feedback strategy through meetings and workshops
• Collaborating with existing research institutions such as the Health Policy Research Group
Poor demand and support for research evidenceCreation of a supportive research evidence environment
• Advocacy for demand and supply-driven research
• Collaboration between research institutions and users of evidence
• Increased uptake of research findings by users of evidence (to motivate producers)
Promulgate legislative back up for integrating research evidence in decision-making
• Developing and implementing an evidence-based framework in SMoH
Weak capacity to undertake and use research evidenceContinuous and sustainable capacity-building on EIDM
• Sustainable capacity-building workshops on EIDM
• Continuous training on data management for officers for M&E, HMIS and planning officers
Moribund research unit in Department for PRSRevival of the research unit in Department of PRS
• Recruitment of health systems researchers and health economists in the department to enable translational research
• Conducting research and evaluation of implemented programmes
• Periodic/annual research review meetings
Non-existence of SHRECInstitutionalisation of SHREC
• Ensure and coordinate ethical conduct in health research in the state among other functions
• Constitution of a technical working group for research
Lack of fundsFund generation
• State budgetary allocation for health research and programme evaluation
• Advocating/sourcing funds for health research from donor agencies, philanthropists, etc.
Weak HMISCreation of ICT research centre for strengthening HMIS
• Creating a functional database for storing health data and research evidence
• Establishing a central evidence repository website
• Recruitment and training of medical record officers in health facilities
• Harmonising facility data collection tools across health facilities
Political interferenceMinimise political interference
• Media sensitisation on a need to reduce the occurrence and consequences of political inference and nepotism in the health sector
Limited decision space of users of evidenceAdopting/developing an evidence-based framework in SMoH
  1. EIDM evidence-informed decision-making, HMIS health management information system, ICT information communication and technology, M&E monitoring and evaluation, PRS Planning Research and Statistics, SHREC State Health Research Ethics Committee, SMoH State Ministry of Health