John N. Lavis, MD, PhD Professor and Canada Research Chair in Knowledge Transfer and Exchange McMaster University Program in Policy Decision-Making McMaster.

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John N. Lavis, MD, PhD Professor and Canada Research Chair in Knowledge Transfer and Exchange McMaster University Program in Policy Decision-Making McMaster University 30 October 2009 Policy Briefs Workshop: Engaging Stakeholders in Policy Dialogues EVIPNet Policy Briefs Workshop Santiago, Chile

2 To become familiarized a list of questions to consider when organizing a policy dialogue Objectives for This Session

3 Policy dialogues allow research evidence to be brought together with the views, experiences and tacit knowledge of those who will be involved in, or affected by, future decisions about a high-priority issue Policy dialogues enable interactions between policymakers and researchers, which has been found to be one of the factors associated with the use of research evidence in policymaking Policy Dialogues

4 Increasing interest in the use of policy dialogues has been fuelled by a number of factors Need for locally contextualised ‘decision support’ for policymakers and stakeholders Research evidence is only one input into the decision- making processes of policymakers and stakeholders Many stakeholders can add significant value to these processes Many stakeholders can take action to address high- priority issues, and not just policymakers Policy Dialogues (2)

5 Policy Dialogues (3) DialogueDebate CollaborativeOppositional Common groundWinning Enlarges perspectivesAffirms perspectives Searches for agreementSearches for differences Causes introspectionCauses critique Looks for strengthsLooks for weaknesses Re-evaluates assumptionsDefends assumptions Listening for meaningListening for countering Remains open-endedImplies a conclusion

6 1.Does the dialogue address a high-priority issue? 2.Does the dialogue provide opportunities to discuss the problem, options for addressing the problem, and key implementation considerations? 3.Is the dialogue informed by a pre-circulated policy brief and by a discussion about the full range of factors that can influence the policymaking process? 4.Does the dialogue ensure fair representation among those who will be involved in, or affected by, future decisions related to the issue? 5.Does the dialogue engage a facilitator, follow a rule about not attributing comments to individuals, and not aim for consensus? 6.Are outputs produced and follow-up activities undertaken to support action? Questions

7 Does the dialogue address a high-priority issue? Issue has to be on the governmental agenda and be widely perceived by many, if not all, stakeholders as a priority (same criterion as for the policy brief that was prepared to inform the policy dialogue) Q1: Priority

8 Does the dialogue provide opportunities to discuss the problem, options for addressing the problem, and key implementation considerations? Agenda has to include separate deliberations about o Problem o Each option o Implementation considerations o Possible next steps for different constituencies Q2: Agenda

9 Is the dialogue informed by a pre-circulated policy brief and by a discussion about the full range of factors that can influence the policymaking process? Policy brief has to be circulated at least ten days before the policy dialogue and is ‘taken as read’ Discussion has to address the full range of factors that influence the policymaking process o Institutional constraints o Interest group pressure o Values and beliefs o External factors (e.g., economy, donors) Q3: Evidence and Other Considerations

10 Does the dialogue ensure fair representation among those who will be involved in, or affected by, future decisions related to the issue? Stakeholder mapping exercise has to generate a list of policymakers, stakeholders (district managers, professional leaders, civil society group leaders) and researchers who will be involved in, or affected by, future decisions related to the issue Dialogue participants have to be chosen based on o Ability to articulate the views and experiences of a particular constituency on the issue, while constructively engaging at the same time with participants drawn from other constituencies and learning from them o Ability to champion the actions that will address the issue within their constituencies Q4: Fair Representation

11 Does the dialogue engage a facilitator, follow a rule about not attributing comments to individuals, and not aim for consensus? Facilitator has to be perceived as skilled, knowledgeable, and neutral A rule has to be established about attributing comments o “Participants are free to use the information received during the meeting, but neither the identity nor the affiliation of the speaker(s), nor that of any other participant, may be revealed.” Goal for the dialogue has to be made clear o Aiming for consensus or not (but embracing it if it emerges spontaneously) Q5: Facilitator, Attributions, and Goal

12 Are outputs produced and follow-up activities undertaken to support action? Dialogue summary (without attributing comments) has to be produced and disseminated widely Optional o Personalized briefings to key policymakers? o Media interviews with dialogue participants? o Video interviews with dialogue participants (for posting on YouTube)? o Year-long evidence service? Q6: Next Steps

13 Engaging title for the policy dialogue Invitation letter Organizers and their affiliations Steering Committee members and their affiliations (if applicable) Funders Formative evaluation Survey needs to be adapted so that the questions match the design features of each policy dialogue Core team will check in with you periodically to assist with this Other Considerations