Knowledge translation: a case study in a public health network in Manguinhos, Brazil

Abstract

Abstract Background This paper presents a post hoc analysis of knowledge translation (KT) actions and strategies implemented by three projects in a sociotechnical network, in Rio de Janeiro, Brazil. In order to assess the actions and practices of knowledge producers (mostly researchers) and knowledge users (residents of Manguinhos) we applied the KT model developed by the Québec Public Health Institute. Methods This case study relied mainly on document analysis (texts produced by the network coordination, meeting minutes and reports, management reports and promotional material), interviews with knowledge producers (N = 10), and focus group with knowledge users (4 participants). Framework analysis was applied to provide clear steps to follow and structured outputs of summarized data. A content analysis of this material used categories such as: project development; KT products elaboration; and interaction between knowledge producers and users. Data were coded based on the KT model to understand whether and how the eight dimensions were implemented. Results The findings reveal that, albeit there were differences among the three cases, the KT dimensions related to the co-construction of knowledge, what to be translated, and how to translate were more extensively implemented. Even though KT was a new concept for most knowledge producers, all three cases had previous practical experience on how to disseminate knowledge in the Territory of Manguinhos. However, dimensions related to KT evaluation and resources were less frequently implemented. Conclusions More attention must be paid to the dimensions involving the feasibility, resources and evaluation of projects. Creating research organizations working together in the KT process with support, infrastructure, theoretical and methodological competences about KT may facilitate the integration of these dimensions. Key messages Through our study, we provide more evidence and progress about how the KT process can be improved in low- and middle-income countries, such as Brazil. We display an overview of the challenges that public health researchers in Brazil have in applying KT strategies to improve the public health care.