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Live Microblogging Of “Evidence-based decision making: who’s counting the evidence…” Tonight At UCL

Follow @mmorabito67 for live microblogging of tonight’s UCL event “Evidence-based decision making: who’s counting the evidence…” 5.15pm GMT in London

And here all the notes as written (oldest note first):

  • Starts right on time – speaker gets audience to move closer – who is the speaker? http://myloc.me/3GHcG
  • It was a Sarah now it’s a Peter Piot of IGH presentation Lost In Translation
  • Evidence means many things. ‘Deadly delay’ from science to global action eg tobacco cancer link 1950 Surgeon General 1964 etc
  • Mentions climate change then antiretroviral prophylaxis for AIDS still only 35%
  • Bridges from evidence to policy to implementation importance of clarity
  • Example of condoms and other methods against Aids different efficacy theoretical vs actual
  • Science comms issue incomprehensible language
  • Policy not just based on evidence alone also preferences politics – progress depends on politics
  • Eg Cardoso of Brazil not stopping provision of Aids drugs
  • Don’t compromise on basic principle but need to pressure the right points
  • Mbeki did not follow advice not a problem of missing information
  • Not evidence-based but evidence-informed policy – don’t leave policy to technocrats
  • Implementation: guidelines simple, right costs and allocated resources
  • Community engagement then also dealing with beliefs eg polio vaccine leading to impotence and infertility
  • Sun-tzu quote shown in Chinese- people might have good reason to be suspicious- don’t get to war, yet to understand all people
  • Now director of NICE, Calypso ?, reader specialist in history of global health probs, senior health advisor Malcolm at DFID
  • Room is uncomfortably hot light comes on then fades first panelist
  • Talks of the way NICE works – on verge of dozing off http://myloc.me/3GJS0
  • Not just what evidence but also whose
  • Problem: need policy-relevant evidence making? No, just evidence alone is not enough
  • Work on legitimacy, needs, values and also better processes
  • Second panelist historian issue of who distributes evidence question for students of international health
  • Social comms is key but whose voices are heard what is the effect of power relations? What voices are not been heard?
  • Invites to avoid generalizations at state levels internal imbalances do matter
  • Polio fear not just sex-related -talk to parents -example of Gates’ DVD reinforcing role of religion by selective translation
  • Guy that gist finished seems to have done his field job now last panelist
  • Claims DFID research strategy mentions already what we have been hearing – move to results-based funding
  • 10% research budget for comms – also capacity building – why so little implementation?
  • Bias against operational research still exists – lack of best practices – mentions prob of award funding to institutions
  • Distribution not just to peers even if some academics not naturals at that
  • Experts use opaque language – funding agencies now more cooperative and less technocratic
  • Panel convenes only 15 mins left – my question first on AGW Cassandras
  • Reply is do implementation research, talk to all, be open and engaging, build network of people with same goal even if different reasons
  • Also do not assume nobody is listening maybe their voices must be looked for and helped to gain prominence
  • Experts are sometimes part of the problem eg with infighting – put aside academic debates when not relevant
  • Suggestion from DFID guy is also to start with demo project taking on all declared constraints
  • Excessive engagement? It’s a developmental process
  • Problem of experts writing too much so stiff is not even read
  • Develop interpersonal and negotiation skills too quiet or aggressive – spread understanding of social sciences
  • Risk, statistics, how to read scientific results also important to learn even before uni
  • They are talking about medical education
  • Last question on bias – suggestion is to handle it rather than avoid – engage all stakeholders – vested interests too
  • Excessive passion and involvement can corrupt science – love/hate relationship with private sector – activist when needed
  • One tool is to threaten publicity – also need regulatory based
  • This is the end – climate and population symposium on March 1

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