The contribution of demographic and health survey data to population and health policymaking: evidence from three developing countries

  • Laura B Nolan Mathematica Policy Research, Oakland, CA,
  • Rachel Lucas U.S. Agency for International Development, Washington, DC,
  • Yoonjoung Choi Johns Hopkins University, Baltimore, MD,
  • Madeleine Short Fabic U.S. Agency for International Development, Washington, DC,
  • Jacob A Adetunji U.S. Agency for International Development, Washington, DC
Keywords: Health policy, population health, survey data, developing countries

Abstract

This paper investigates how and why DHS data were used in select health policy decision-making processes and how best the use of evidence can be supported in future. We use data from in-depth interviews with 22 professionals working in health and policy think-tanks, government agencies, foundations, survey research, and non-government organizations. We undertake a cross-case thematic analysis of the interview content and available documents to develop three case studies (Malawi, India, and Rwanda) of evidence-based policymaking. These case studies outline the way in which DHS data were used in a variety of policymaking contexts and how it facilitated policymakers’ appreciation of the scope of problems, highlighted mismatch between population health needs and service provision, supported advocacy efforts, provided concise and compelling issue framing, and catalyzed high-level political commitments. The paper presents a framework that can be used to understand the use of evidence in health policy decision-making in developing countries. 

Author Biographies

Laura B Nolan, Mathematica Policy Research, Oakland, CA,
Mathematica Policy Research15
Rachel Lucas, U.S. Agency for International Development, Washington, DC,
Office of HIV/AIDS
Yoonjoung Choi, Johns Hopkins University, Baltimore, MD,
Department of Population, Family, and Reproductive Health
Madeleine Short Fabic, U.S. Agency for International Development, Washington, DC,
Office of Population and Reproductive Health
Jacob A Adetunji, U.S. Agency for International Development, Washington, DC
Office of Population and Reproductive Health
Published
2017-06-05