Integrating research evidence in humanitarian health responses: analysing power and knowledge negotiation using the adapted Extended Normalization Process Theory

Leresche, E, Singh, N, May, C, de Rubeis, ML, Pellecchia, U, Kazmi, SY, Albertini, M, Suleiman, BA and Hossain, M ORCID: https://orcid.org/0000-0002-1878-8145, 2024. Integrating research evidence in humanitarian health responses: analysing power and knowledge negotiation using the adapted Extended Normalization Process Theory. Social Sciences and Humanities Open, 10: 101064. ISSN 2590-2911

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Abstract

Background: People living in settings affected by conflicts face insecurity and live in fragmented social systems. Conducting research in these settings is essential, however integrating results into practices is complex. Implementation science tools are not used often in such environments. In this paper we explore how a convenience sample of interviewees experienced implementation in these settings, through the lens of the adapted Extended Normalization Process Theory (a-ENPT).

Methods: We conducted in-depth interviews with 26 participants (donors, academics, and humanitarian actors). We assessed what key issues interviewees met and how they negotiated them. We combined an inductive thematic analysis to identify implementation issues, and we applied the a-ENPT deductively to question power imbalances, engaging a group of humanitarian actors as co-authors along the way.

Results: The main challenges met by interviewees related to a) engaging frontline actors to produce knowledge; b) discussing the results critically; c) integrating research results in constrained learning spaces; and d) managing contextual instabilities in settings affected by conflicts. Interviewees negotiated these constraints through an early involvement of frontline actors, an institutional support, a meaningful engagement of communities, and balanced partnerships. Based on these findings we propose a tool to anticipate the power imbalances embedded in the implementation of research results in settings affected by conflicts, rooted in the a-ENPT constructs.

Conclusion: We identified mechanisms that allowed for the negotiation of important challenges and power imbalances, through an implementation science tool. Further research should focus on the perspectives of communities affected themselves.

Item Type:	Journal article
Publication Title:	Social Sciences and Humanities Open
Creators:	Leresche, E., Singh, N., May, C., de Rubeis, M.L., Pellecchia, U., Kazmi, S.Y., Albertini, M., Suleiman, B.A. and Hossain, M.
Publisher:	Elsevier
Date:	2024
Volume:	10
ISSN:	2590-2911
Identifiers:	Number Type 10.1016/j.ssaho.2024.101064 DOI S2590291124002614 Publisher Item Identifier 2196981 Other
Rights:	© 2024 the authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Divisions:	Schools > School of Social Sciences
Record created by:	Jonathan Gallacher
Date Added:	20 Aug 2024 08:01
Last Modified:	20 Aug 2024 08:01
URI:	https://irep.ntu.ac.uk/id/eprint/52048

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