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Transforming Operational Research into Health Policy: A Case Study on TB Control in Malawi Prisons

This work explores the essential steps needed to translate operational research findings into impactful health policies and practices. Based on a study conducted in Zomba Central Prison from May to July 1996, the research highlights the high prevalence of TB among inmates and its strong association with HIV. It outlines four key steps towards policy change: disseminating findings, integrating TB control into health programs, establishing robust monitoring systems, and publicizing efforts to ensure continued support and implementation.

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Transforming Operational Research into Health Policy: A Case Study on TB Control in Malawi Prisons

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  1. From operational research to policy and practice The Union, Paris, France MSF, Brussels, Belgium

  2. Operational Research: improving medical care and practice

  3. Operational Research:showing feasibility of interventions

  4. Operational Research: advocating for policy change

  5. What are the principles of getting research into policy and practice?

  6. TB control in Malawi Prisons

  7. Important preparation for research and potential policy change Obtain agreement of the Chief Commissioner of Prisons and other relevant authorities to:- • conduct the study • present the findings on completion

  8. Study in Zomba Central Prison:20 May – 26 July 1996

  9. Conclusion • High prevalence of TB in the central prison • Strong association with HIV • No TB control system in prison

  10. Four main steps towards change in policy and practice

  11. Step 1: write up and disseminate findings

  12. Move fast at the end of the study with writing up Ensure dissemination to the people who make decisionsPublish in a peer-reviewed journal – improves credibility of the findings Activities

  13. Step 2: ensure TB prison control is an important part of TB Programme Objectives

  14.  Ensure topic is integrated into Disease Programme planning and objectives  Identify funding lines to support activities  Ensure there is leadership and clarity at all levels so that the new programme work commences well Activities

  15. Step 3: Build monitoring and evaluation and accountability into the new activity

  16. Support the new programme work through routine activities and monitor the outputs Activities

  17. Step 4: publicise the new programme work at meetings and in papers Int J Tuberc Lung Dis 2003; 8: 614-617

  18. Summary of the basic steps for getting research into policy and practice

  19. Before you start the research, think ahead to… • What you would like to see happen • How you think your vision can be made sustainable • Who you will need for support • Who you will need to validate any policy changes • Who you will need to put policy changes into practice

  20. Then, after the study…. • Write up and disseminate findings • Ensure the topic becomes an important part of the programme objectives • Build monitoring and evaluation, and accountability into the new activity • Publicise new programme work in meetings and as articles

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