abstract: 'Background: As many challenges exist for access to diabetes care in

  developing countries, the International Insulin Foundation developed a

  Rapid Assessment tool and implemented this approach to identify barriers

  to care and propose concrete recommendations for decision makers. The

  objective of this paper is to identify the factors that contributed to

  informing and influencing policymakers with regards to this work.

  Methods: A documentary review comprised Stage 1. Stage 2 used an online

  questionnaire to gain insight from users of the Rapid Assessment

  results. Based on Stages 1 and 2, Stage 3 comprised in-depth interviews

  with a total of nine individuals (one individual each from the six

  participating countries; two individuals from the World Health

  Organization; one ``Global Diabetes Advocate{''''}). Interviews were

  analyzed based on a list of themes developed from Stage 2.

  Results: Stage 1 led to the identification of various types of documents

  referring to the results. The online questionnaire had a response rate

  of 33\%. Respondents directly involved in the assessment had a

  ``Good{''''} or ``Very Good{''''} appreciation of most aspects and scored

  these higher than those not directly involved. From the interviews,

  formalized methods and close collaboration between the international

  team and local partners were strengths. Trust and a relationship with

  local partners were also seen as assets. All stakeholders valued the

  results and the credibility of the data generated. Local partners felt

  that more could have been done for dissemination.

  Conclusion: This study shows the importance of specific results from the

  different assessments. In addressing complex issues having external

  experts involved was seen as an advantage. The uptake of results was due

  to the credibility of the research which was influenced by a mix of the

  people involved, past assessments, trusted local partners, and the use

  of the results by knowledge brokers, such as the World Health

  Organization. Through these brokers, others gained ownership of the

  data. The methods used and the fact that this data was grounded in a

  local context also reinforced its value. Despite limitations, this study

  offers a unique perspective where a similar research approach was taken

  in six countries.'
affiliation: 'Beran, D (Corresponding Author), Univ Hosp Geneva, Div Trop \& Humanitarian
  Med, Geneva, Switzerland.

  Beran, David, Univ Hosp Geneva, Div Trop \& Humanitarian Med, Geneva, Switzerland.

  Beran, David, Univ Geneva, Geneva, Switzerland.

  Jaime Miranda, J.; Kathia Cardenas, Maria, Univ Peruana Cayetano Heredia, CRONICAS
  Ctr Excellence Chron Dis, Lima, Peru.

  Bigdeli, Maryam, WHO, Alliance Hlth Syst \& Policy Res, CH-1211 Geneva, Switzerland.'
article-number: '41'
author: Beran, David and Jaime Miranda, J. and Kathia Cardenas, Maria and Bigdeli,
  Maryam
author-email: david.beran@unige.ch
author_list:
- family: Beran
  given: David
- family: Jaime Miranda
  given: J.
- family: Kathia Cardenas
  given: Maria
- family: Bigdeli
  given: Maryam
da: '2023-09-28'
doi: 10.1186/s12961-015-0029-4
files: []
issn: 1478-4505
journal: HEALTH RESEARCH POLICY AND SYSTEMS
keywords: Diabetes; Health systems; Health systems research; Policy
keywords-plus: TRANSLATING RESEARCH; CARE
language: English
month: OCT 1
number-of-cited-references: '49'
orcid-numbers: 'Miranda, J. Jaime/0000-0002-4738-5468

  Beran, David/0000-0001-7229-3920

  CARDENAS, MARIA KATHIA/0000-0002-3173-9284'
papis_id: f6fb1990ae1b56259de4868e0c228277
ref: Beran2015healthsystems
researcherid-numbers: 'Miranda, J. Jaime/A-8482-2008

  Beran, David/E-4422-2013

  '
times-cited: '10'
title: 'Health systems research for policy change: lessons from the implementation
  of rapid assessment protocols for diabetes in low- and middle-income settings'
type: Article
unique-id: WOS:000362064100002
usage-count-last-180-days: '0'
usage-count-since-2013: '7'
volume: '13'
web-of-science-categories: Health Policy \& Services
year: '2015'