Making Evidence-Informed Decisions: Communities of Practice

Jarret Cassaniti

JHU∙CCP | Communications Specialist

A question from the audience at the HIV Medical Association’s Community & Science Speak booth at the International AIDS Conference yesterday focused on what degree our government respects science and evidence-based interventions.  It reminded me of part of the Vision for the Conference that appeared in the information guide had read earlier in the morning. In several places, reference was made to evidence-informed interventions, strategies and responses. This was a new term for me as I was used to seeing the term evidence-based

The World Health Organization uses this definition of evidence-informed in the context of policy:

Evidence-informed health policy-making is an approach to policy decisions that aims to ensure that decision making is well-informed by the best available research evidence. It is characterised by the systematic and transparent access to, and appraisal of, evidence as an input into the policy-making process.

Where there is no scientific evidence, action is best based on expert opinion as outlined in the hierarchy of evidence pyramid. The Communities of Practice that K4Health hosts in the IBP Knowledge Gateway consist of hundreds of discussions by health providers and development practitioners. In these discussions, many of them moderated, successes and lessons learned are shared leading to new knowledge and, sometimes, best practices that are adopted far and wide. I invite you to visit these communities (focused on HIV, family planning and many other topics) when you have questions about the direction of your intervention, strategy or response that the evidence-base cannot answer. 

Comments

Hi again, I just wanted to follow up with an article I saw today in the June edition of CDC's Journal: Preventing Chronic Disease.  In Tools for Implementing an Evidence-Based Approach in Public Health Practice the authors discuss the process of public health decision making including the incorporation of the research evidence. 

Despite the benefits and efficiencies associated with evidence-based programs or policies, many public health interventions are implemented on the basis of political or media pressures, anecdotal evidence, or “the way it’s always been done” (8,9). Barriers such as lack of funding, skilled personnel, incentives, and time, along with limited buy-in from leadership and elected officials, impede the practice of EBPH (8-12). The wide-scale implementation of EBPH requires not only a workforce that understands and can implement EBPH efficiently but also sustained support from health department leaders, practitioners, and policy makers.

The article provides details on several training programs developed to meet evidence based public health training needs, including free online resources.   

Hello is evidence informed public health different from evidence based public health.

Mwapoleni Ba Musonda.Thank you for your message. Evidence informed public health is very similar to evidence based public health. Both strive to implement programs that are based in science. As discussed in the post above, when no scientific evidence exists to help guide program staff, action is best based on expert experience and opinion, which itself is a form of evidence. If you have additional questions or comments, I would be happy to help.Best,Jarret 

Thanks jarret 

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