This analysis shows how evidence was used to adapt new interventions proven elsewhere into the Uganda health system policy and programme context, and how this led not only to an adapted intervention but also to rapid policy adaptation and scale-up of components of UNEST while the study was still going on.
Energy data can in fact be exploited both in long-term policy adaptation and in shorter term habits modification, providing the basis for stable improvements of the overall efficiency of buildings and dwellings.
Interest in fire research has become global and interdisciplinary due to influences, interactions, and feedbacks among fire, terrestrial, and atmospheric systems in the context of human health [4], climate dynamics [5], and policy adaptation [6].
Given the policy environment in SA (35), an inflexible mechanism for policy adaptation can be expected if no exceptional provisions are made, although a lot will depend on the personalities involved.
Local-level policy adaptation by, for example, shifting to non-residential training to cut costs, was more likely to occur under strong leadership [Malindi (K ], further increasing district capacity to roll out IMCI.
The researchers believed that the involvement of all stakeholders throughout research planning and design, conduct of research and result dissemination gave them ownership of the research and thus increased the likelihood of policy adaptation and implementation.
Collectively, these different examples highlight the value of cross-country comparative study approaches, where comparisons between similar (and different) country contexts can help disentangle generalizable from country context-specific effects in policy adaptation, evolution and implementation.
Key factors allowing the first two districts to perform better were: strong district leadership and personal commitment to IMCI, which facilitated access to external funding and encouraged local-level policy adaptation; sensitization and training of district health managers; and lower staff turnover.
We intend to pass it to the new team, since most policy adaptations would take place on their watch.
Examination of the knowledge triangle efficiency policy is essential for designing appropriate policy adaptations leading to transformation towards the knowledge-based economy.
