Acting on the Evidence: The Challenges Facing Policy and Practice; Comment on “Barriers and Opportunities for WHO “Best Buys” Non-Communicable Disease Policy Adoption and Implementation From a Political Economy Perspective: A Complexity Systematic Review

Articles in Press

Document Type : Commentary

Author

Newcastle University, Newcastle, UK

Abstract

Even in situations where there exists robust evidence on what works and what needs to change to tackle deep-seated and persistent public health challenges, the lack of sustained progress across polities globally remains a cause for concern. Adopting a political economy perspective to better understand why the adoption and implementation of policies to tackle non-communicable diseases (NCDs) continues to be deficient, Loffreda and colleagues’ systematic review of facilitating and inhibiting factors sheds valuable light on the subject. The adoption of a political economy approach is long overdue since it gets to the nub of identifying enablers and barriers to change and how to tackle the latter while strengthening the former. However, whether such an approach will be welcomed by policy-makers or be rejected merits further exploration if research is going to stand any chance of being heeded and acted upon. 

Keywords

References

  1. World Health Organization (WHO). Commercial Determinants of Noncommunicable Diseases in the WHO European Region. Copenhagen: WHO; 2024.
  2. Loffreda G, Arakelyan S, Bou-Orm I, et al. Barriers and opportunities for WHO "best buys" non-communicable disease policy adoption and implementation from a political economy perspective: a complexity systematic review. Int J Health Policy Manag. 2024;13:7989. doi:34172/ijhpm.2023.7989
  3. Horton R. Offline: making obesity matter. Lancet. 2025;405(10475):284. doi:1016/s0140-6736(25)00132-1
  4. World Health Organization (WHO). Systems Thinking for Noncommunicable Disease Prevention Policy: Guidance to Bring Systems Approaches into Practice. Copenhagen: WHO; 2022.
  5. de Savigny D, Adam T. Systems Thinking for Health Systems Strengthening. Geneva: Alliance for Health Policy and Systems Research, WHO; 2009.
  6. Best A, Holmes B. Systems thinking, knowledge and action: towards better models and methods. Evid Policy. 2010;6(2):145-159. doi:1332/174426410x502284
  7. Hunter DJ. Role of politics in understanding complex, messy health systems: an essay by David J Hunter. BMJ. 2015;350:h1214. doi:1136/bmj.h1214
  8. Mooney G. Neoliberalism is bad for our health. Int J Health Serv. 2012;42(3):383-401. doi:2190/HS.42.3.b
  9. Littlejohns P, Hunter DJ, Weale A, Johnson J, Khatun T. Making Health Public: A Manifesto for a New Social Contract. Bristol: Policy Press; 2024.
  10. Pollitt C, Harrison S, Hunter DJ, Marnoch G. No hiding place: on the discomforts of researching the contemporary policy process. J Soc Policy. 1990;19(2):169-190. doi:1017/s0047279400001987
  11. Illsley R. Professional or Public Health? Sociology in Health and Medicine. The Rock Carling Fellowship. London: Nuffield Provincial Hospitals Trust; 1980.
  12. Holmes BJ, Best A, Davies H, et al. Mobilising knowledge in complex health systems: a call to action. Evid Policy. 2017;13(3):539-560. doi:1332/174426416x14712553750311
  13. Smith R, Hunter DJ, Kingston P, Lodge H. Between COVID-19, Brexit, and New Trade Deals, A Non-Communicable Disease Storm is Brewing. BMJ; 2020. https://blogs.bmj.com/bmj/2020/11/23/between-covid-19-brexit-and-new-trade-deals-a-non-communicable-disease-storm-is-brewing/.
  14. The Lancet. Unravelling the commercial determinants of health. Lancet. 2023;401(10383):1131. doi:1016/s0140-6736(23)00590-1
  15. Sanders M. Debate: what can academia contribute to public administration? Public Money Manag. 2025;45(4):277-278. doi:1080/09540962.2024.2445397
  16. Hunter DJ. Meeting the challenge of the "know-do" gap: Comment on "CIHR health system impact fellows: reflections on 'driving change' within the health system". Int J Health Policy Manag. 2019;8(8):498-500. doi:15171/ijhpm.2019.37
  17. Cheetham M, Redgate S, van der Graaf P, Humble C, Hunter D, Adamson A. ‘What I really want is academics who want to partner and who care about the outcome’: findings from a mixed-methods study of evidence use in local government in England. Evid Policy. 2023;19(1):74-94. doi:1332/174426421x16535820632215
  18. Kitson A, Powell K, Hoon E, Newbury J, Wilson A, Beilby J. Knowledge translation within a population health study: how do you do it? Implement Sci. 2013;8:54. doi:1186/1748-5908-8-54
International Journal of Health Policy and Management

Articles in Press, Corrected Proof
Available Online from 11 May 2025

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History

  • Receive Date: 07 February 2025
  • Revise Date: 30 April 2025
  • Accept Date: 07 May 2025
  • First Publish Date: 11 May 2025

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