KIT Royal Tropical Institute, Amsterdam, Netherlands.
Institute for Family Health, King Hussein Foundation, Amman, Jordan.
Glob Health Sci Pract. 2022 Apr 29;10(2). doi: 10.9745/GHSP-D-21-00461. Print 2022 Apr 28.
Translation of knowledge into policy and practice is important to prevent sexual reproductive health and rights (SRHR)-related morbidity and mortality and ensure access to rights. Existing approaches to knowledge translation are often relatively rigid and implicitly assume linear processes, leading to time-consuming processes that are not tailored to countries' needs.
SRHR knowledge platforms designed and implemented a collaborative rapid improvement model for knowledge translation (CRIM-KT) in Burundi, Bangladesh, Indonesia, and Jordan. The approach consisted of learning sessions and action periods aimed at improving policies and practices addressing the prevention of child marriage and teenage pregnancies. To evaluate the approach, a participatory action learning process took place throughout the implementation (September 2017 and January 2019). An end evaluation was conducted using a desk review of project documentation, in-depth interviews, and a focus group discussion to document the process, outcomes, and lessons learned.
In Indonesia, a local government policy was changed that aims to prevent child marriage by avoiding misinterpretation of a local cultural practice. In Jordan, the cabinet endorsed a national action plan to prevent child marriage and changes in practice took place. In Burundi, no tangible changes in policy and practice in SRHR were observed. In Bangladesh, practice changed by strengthening coordination for collaboration and exchange among stakeholders to prevent child marriage. In all countries, the approach considerably strengthened participants' knowledge translation capacities.
The CRIM-KT led to improvements in policy and practice in a relatively short time frame and different contexts. This can be explained by the systematic, structured, and participatory approach, allowing for contextual adaptation and involvement of stakeholders, as well as the cross-learning on 2 levels (international and country collaboration teams). The principles of the CRIM-KT may be further developed and applied in other fields in global health to strengthen knowledge translation processes.
将知识转化为政策和实践对于预防与性生殖健康和权利（SRHR）相关的发病率和死亡率以及确保权利的获取至关重要。现有的知识转化方法通常相对僵化，并隐含地假设线性过程，导致耗时且不符合国家需求的过程。
SRHR 知识平台在布隆迪、孟加拉国、印度尼西亚和约旦设计并实施了一种协作快速改进知识转化（CRIM-KT）模型。该方法包括学习课程和行动期，旨在改善针对预防童婚和少女怀孕的政策和实践。为了评估该方法，在实施过程中（2017 年 9 月至 2019 年 1 月）进行了参与式行动学习过程。使用项目文件的桌面审查、深入访谈和焦点小组讨论来进行最终评估，以记录过程、结果和经验教训。
在印度尼西亚，当地政府政策发生了变化，旨在通过避免对当地文化习俗的误解来防止童婚。在约旦，内阁批准了一项预防童婚的国家行动计划，并且实践发生了变化。在布隆迪，没有观察到 SRHR 政策和实践的实质性变化。在孟加拉国，通过加强利益相关者之间的合作与交流协调来预防童婚，实践发生了变化。在所有国家，该方法极大地增强了参与者的知识转化能力。
CRIM-KT 在相对较短的时间内和不同的背景下导致了政策和实践的改进。这可以解释为系统、结构化和参与式方法，允许适应背景和利益相关者的参与，以及在两个层面上的交叉学习（国际和国家合作团队）。CRIM-KT 的原则可以在全球卫生的其他领域进一步发展和应用，以加强知识转化过程。
