Knowledge Management for Public Health

Knowledge management (KM) provides a systematic approach to ensure that public health practitioners have access to the latest research and that they apply that research to public health programs at all levels of the health system—from the global, regional, and national levels down to the front lines. KM is an intentional process that includes identifying the knowledge needs of a particular audience and then generating, curating, and sharing relevant knowledge to help programs and organizations succeed.

Public health organizations that adopt KM strategies and practices can improve performance of health care workers and programs and contribute to reaching the end goal of improving health outcomes among communities. Using KM, public health programs can:

  • Promote collaboration and learning
  • Inform policy and advocacy
  • Improve programs, practice, and research
  • Enhance health training and education programs

KM programs are supported by three key components: people, processes, and technology.

  • People generate, store, and share knowledge and can help cultivate an environment that encourages knowledge sharing and use of KM systems.
  • Processes are the methods used to capture, curate, and share knowledge. These formal and informal processes must be embraced and integrated into an organization’s daily work flow to be most successful.
  • Use of technology that is appropriate to the context can expedite knowledge storage, retrieval, and exchange.

KM has particular relevance for low- and middle-income country settings. It can address human resource issues related to retaining organizational knowledge and can provide mechanisms for purposefully exchanging needed knowledge in real time. Implementing a KM system can ensure that relevant health knowledge—data, research findings, best practices, programmatic guidance—flows up and down the health system, from national to district to community levels and back up again. KM approaches also facilitate the exchange of information across a given level of the health system, improving the effectiveness and efficiency of public health programs.

To learn more about how to integrate KM into your program:

 

  • Publications & Resources

    This report presents the results of an evaluation carried out during May-June 2011 that analyzed the planning, implementation, and outcomes of the K4Health Malawi Project. The 18-month project was designed to address gaps in how information on family planning and reproductive health (FP/RH) and HIV/AIDS is generated, shared, and used at all levels of the health system in Malawi. The report also makes recommendations to inform the design of future knowledge sharing programs.

  • Blog post

    It’s not possible to carry hundreds of DHS (Demographic and Health Surveys) reports to every meeting, or even sort through all of those PDFs on your laptop. Many program managers and policymakers in developing countries don’t have a full library of DHS reports or reliable access to an Internet connection to visit the MEASURE DHS website. Yet the expectation is that policy- and program-related decisions be data-driven, based on the evidence provided through research like the Demographic and Health Surveys.

    The MEASURE DHS Mobile App

    The MEASURE DHS Mobile App

    Luckily the rapidly growing use of mobile phones, including smart phones, has opened up a new channel for reaching DHS data users, both in Washington, DC, and in developing countries across the world. According to Pingdom, 15% of Africa’s internet browsing in May 2012 came from mobile devices, an increase of more than 150% from 2010. Now these users have an easy tool for accessing the most basic DHS information: the MEASURE DHS Mobile app.

    MEASURE DHS mobile provides national-level data for 25 key indicators across 90 countries, including fertility, family planning use, vaccination, childhood mortality, nutrition, HIV testing and prevalence, maternal health, ITN use, and some basic background data such as literacy, education, and access to electricity. The data can be viewed in a chart or a table to compare across countries or over time in countries that have had more than one DHS survey. These key indicators can also be viewed on a map.

  • Blog post

    In previous blog posts, I’ve written about the importance of continuous learning and how eLearning, mLearning, and blended learning allow training to be delivered through new and innovative ways to audiences with limited access to traditional education. Training tools using these methods include quick courses, refreshers, checklists, FAQs, references, and job aids.

    App for Contraceptive Eligibility

    The App for Contraceptive Eligibility, available for Android.

    A job aid is a repository for information, processes, or perspectives, external to the individual, which supports work and activity and directs, guides, and enlightens performance (Rossett and Gauier-Downes, 1991).

    On my trip last month to Abuja, Nigeria, I had the opportunity to test a mobile job aid with family planning providers. The Application for Contraceptive Eligibility (ACE) mobile phone app was developed by my K4Health colleagues in fall 2011 for Android phones and updated in May 2012. A new update is scheduled for 2013.

    Testing the usability of the app centered on determining if it was easy to learn how to operate, identifying problems to inform improvements, and exploring additional features. Scenarios were crafted depicting fictional family planning clients such as the one below:

    Imagine you are helping a family planning client decide on an appropriate contraceptive method. She has heard good things about hormonal implants and wants to use this method herself. Her medical history reveals the following: She is 35 years old, has 3 children between the ages of 2 and 7, and has high blood pressure. Use the ACE app to check whether she is medically eligible to use implants.

  • Blog post

    K4Health is excited to announce the addition of a Case Studies tab on the Knowledge Management for Health and Development Toolkit. The new tab features a collection of two- to four-page stories that document knowledge management (KM) activities and programs. The purpose of these case studies is to supplement the tools and resources in the Knowledge Management for Health and Development Toolkit with real life experiences.  

    Collected, written, and reviewed by members of the Global Health Knowledge Collaborative, these case studies highlight activities that are relevant and useful to KM practitioners. They also offer information about strategies, challenges, successes, lessons learned, and recommendations for others

    The following case studies are now available:

  • Blog post

    On October 24 at the Global Health Collaborative (GHKC) meeting, I had the pleasure of attending a presentation titled “Beyond Best Practices: How adoption of new strategies really happens” by Lisa Kimball of Group Jazz.

    Lisa spoke about using the theory of positive deviance to address problems requiring behavior change. The premise of this approach is that “in every community there are certain individuals whose uncommon practices/behaviors enable them to find better solutions to problems than their neighbors who have access to the same resources”. This approach’s best practice can be summed up as “the process of solving the problem NOT the solution to the problem”.

  • Blog post

    One thing I enjoy about visiting Nigeria and working with our partners who regulate and promote laboratory science is helping institute change to the Nigerian health system. In an article from the Nigeria Tribune, the Association of Medical Laboratory Scientists of Nigeria (AMLSN) points out that according to the 2011 Mo Ibrahim African Governance Index, Nigeria’s health service ranks 51st out of the 54 countries in Africa.

  • Blog post

    The Social Media for Global Health working group met last week in Washington, DC, to hear from Beth Kanter, the go-to leader of social media for social change. As members of the group went around the room to introduce themselves, two things were clear: Beth’s persistent influence on social media users in the global health field and the group’s motivation to use social media effectively.

  • Blog post

    No matter which health system building block you are trying to improve, you need specific data, information, and knowledge to inform your decision-making process—this is where good knowledge management comes in handy.

    The Intersection of Knowledge Management and Health Systems Strengthening: Implications from the Malawi Knowledge for Health Demonstration Project” provides an interesting case study of the connection between improved knowledge management and health systems strengthening.  Even though the K4Health Malawi project was focused on improving gaps in the FP/RH and HIV/AIDS information pathway (specifically links between information use and performance), we saw wider heath system improvements as a result of the KM improvements implemented. A happy turn of events!

    K4Health Knowledge Management/Health Systems Strengthening Conceptual Framework

    K4Health Knowledge Management/Health Systems Strengthening Conceptual Framework

    The project’s evaluation (report forthcoming) highlights 10 ways that this project improved health system performance across five of the six building blocks: health information; health workforce; medicines, vaccines, and technology; service delivery; and leadership and governance. The 6th building block, health financing, was not directly affected, though we can see already ways that KM could improve health financing in other programs.

  • Publications & Resources

    This technical brief explores the value of integrating knowledge management (KM) into health systems strengthening (HSS) efforts, through the lens of the Malawi K4Health Demonstration Project. It is written for health program designers and implementers to build their awareness of the value of KM and to provide a model of how KM approaches can support HSS efforts.

  • Blog post

    This week is Open Access Week—an annual global event to promote adoption of Open Access as a new norm in scholarly research. At K4Health, we are pleased to contribute to the Open Access movement particularly through our new peer-reviewed, open-access online journal, Global Health: Science and Practice (GHSP), which we’re expecting to launch in January 2013.

    Open Access Logo

    Open Access is a simple concept: Make results of research and other scholarly works freely available online and allow readers to use and reuse that information without restriction.

    The goal of Open Access is rational: Reducing barriers to accessing information has the potential to speed up the pace of scientific discovery and encourage innovation. In some places, where there is a shortage of up-to-date and accurate information as in many low- and middle-income countries, removing those access barriers can literally mean the difference between life and death.

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