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Drimie and Quinlan Health Research Policy and Systems 2011, 9(Suppl 1):S11
http://www.biomedcentral.com/1478-4505/9/S1/S11




 RESEARCH                                                                                                                                       Open Access

Playing the role of a ‘boundary organisation’:
getting smarter with networking
Scott Drimie1*†, Tim Quinlan2†
From Strengthening the research to policy and practice interface: Exploring strategies used by research
organisations working on Sexual and Reproductive Health and HIV and AIDS
Liverpool, UK. 18-19 May, 2009


  Abstract
  Background: This paper discusses the practices of organisations that cross the boundary between research and
  politics, to promote evidence-based policies and programmes.
  Methods: It uses the experience of a network of organisations in Africa to describe the methodology, challenges
  and successes of efforts to promote utilisation of research on the inter-connections between HIV/AIDS, food
  security and nutrition in South Africa. It emphasises that crossing the boundary between science and politics can
  be done systematically and is inevitable for any attempt that seeks influence policy making.
  Results: The paper reveals the complexity of the research-policy making interface and identifies key lessons for the
  practice of networking and engaging policy and decision-makers.
  Conclusion: The concept of boundary organisation is a helpful means to understand the methodological
  underpinnings of efforts to get research into policy and practice and to understand the ‘messy’ process of doing
  so.


Introduction                                                                           application of the concept is well established internation-
This paper examines researchers’ practices to promote the                              ally. For instance, agencies such as the UNAIDS plays this
utilisation of research. We use the concept of “boundary                               role; illustrated by its international consultative meetings
organisations”, signifying organisations that cross the                                on large public health issues that include researchers, poli-
boundary between science and politics and draw on the                                  ticians, activists and NGOs. Their role in southern Africa
interests and knowledge of agencies on both sides to facili-                           has been to facilitate research on behalf of organisations
tate evidence-based and socially beneficial policies and                               such as the Southern African Network of People Living
programmes [1]. The term, to our knowledge, gained cur-                                with HIV to inform the messages imparted to their mem-
rency in the USA in the 1990s following efforts to com-                                bers. Likewise, the World Health Organisation (WHO)
bine climate research and weather forecasting, which led                               increasingly plays this role as reflected in its public profile
to the establishment of organisations that could speak to,                             during early phases of the ‘swine flu’ epidemic and its sup-
and work with different agencies for the purpose of ensur-                             port for a global symposium in 2010 on health systems
ing reliable seasonal climate forecasts [2,3]. The term may                            research.
be relatively new but the concept has a longer heritage; for                              Our contention is that organisations which cross the
example, the linking of agricultural research to agricultural                          boundary between science and politics, consciously and
extension services to enhance national farm production in                              systematically, play a deliberate role to facilitate evidence-
the USA early in the 20 th century [4]. Furthermore,                                   based and socially beneficial policies and programmes and
                                                                                       they draw on a range of strategies to achieve this. Net-
* Correspondence: s.drimie@cgiar.org                                                   working may be one of these strategies but networks alone
† Contributed equally                                                                  may not achieve the intended outcomes. Other strategies
1
 International Food Policy Research Institute (IFPRI
Full list of author information is available at the end of the article
                                                                                       are needed such as building the confidence and capacity of

                                          © 2011 Drimie and Quinlan; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative
                                          Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and
                                          reproduction in any medium, provided the original work is properly cited.
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different individuals and agencies over time such that they            research topics which are likely to interest policy makers
can actively make changes in their work. Similarly various             in the near and medium-term future. The operational
communications strategies are needed to draw on the                    ethos is that the process of developing networks is both a
interests and knowledge of agencies on both sides. Innova-             means and an end. Networking is necessary to create
tive ways are also needed to ensure that bridges are built             channels for identifying socio-economic challenges, for
and maintained between different sectors.                              determining appropriate investigation, and for sustaining
  The focus here is on the collaboration of the Regional               communication and information flows during research
Network on AIDS, Livelihoods and Food security                         and during discussions on the potential and actual uses
(RENEWAL), a programme that engages government                         of research.
officials on research that could and should inform poli-                 This paper assesses the concept of a boundary organi-
cies and programmes to address population vulnerability                sation in relation to RENEWAL’s agenda outlined above
(food insecurity and HIV/AIDS) in South Africa. The                    and the theoretical and methodological literature on pol-
paper examines the experiences of building networks and                icy making processes and the research-policy interface.
facilitating interactions with ‘champions’ in government               This means of analysis allows for key lessons to emerge
departments to encourage greater use of research evi-                  in terms of where and how RENEWAL has had an
dence in departmental development programmes; the                      impact on policy making processes in South Africa and,
underlying dynamics of boundary crossing; and the                      with regard to methodology, on the role of networking
experience of getting research into policy or practice.                within efforts to get research into policy and practice.
  The purpose is to draw out lessons from these pro-
cesses with regard to engaging and influencing policy/                 Methods
decision-makers to good effect.                                        The following section is divided into two parts. The first
                                                                       introduces the process and approach of the RENEWAL
Background                                                             network in order to present operational challenges and
RENEWAL is a regional network-of-networks. Active in                   successes in promoting utilisation of research on the inter-
Kenya, Malawi, South Africa, Uganda, and Zambia,                       connections between HIV/AIDS, food security and nutri-
RENEWAL comprises national and regional networks of                    tion in South Africa. The second part conceptualises
food and nutrition-focused organisations and HIV/AIDS                  boundary organisations in terms of using appropriate lit-
and public health organisations. These networks are                    erature to give substance to the analysis in the subsequent
based on previous financing of research studies in those               sections. The method section as a whole emphasises that
countries by RENEWAL (a total of 17 studies between                    crossing the boundary between science and politics can be
2001 and 2007) and the development of conceptual                       done systematically and is inevitable for any attempt that
frameworks, methodologies and indicators relating to                   seeks influence policy making.
HIV and vulnerability (http://www.ifpri.org/renewal).                    RENEWAL South Africa is facilitated by the Health
RENEWAL’s agenda is to enhance understanding of the                    Economics and HIV/AIDS Research Division (HEARD)
intersections and links between HIV/AIDS and food and                  at the University of KwaZulu-Natal in consultation with
nutrition security (the ‘HIV-Hunger nexus’), and to facili-            the International Food Policy Research Institute (IFPRI).
tate interventions.                                                    RENEWAL established a NAP consisting of representa-
  In order to perform as a boundary organisation                       tives of government departments engaged in food secur-
RENEWAL has systematically set out to do more than be                  ity and HIV/AIDS policy-making, HEARD and the
a network. Within each country of operation, locally-                  Medical Research Council. This was done in view of
prioritised action research, capacity strengthening, and               these issues being themes within the projects that
communications have enabled the networking approach                    RENEWAL supported in the country. For South Africa,
to build relationships and trust that have allowed deci-               the NAP was conceived as a ’light’ panel in the sense of
sion makers to access evidence for policy dialogue.                    having few people and to be no more than a loose affilia-
Furthermore, in each country, RENEWAL has facilitated                  tion of agencies who would engage on these issues in a
the establishment of ‘National Advisory Panels’ (NAPs)                 spirit of finding common ground. This was to avoid over-
consisting of senior government officials, NGOs and aca-               burdening hard-pressed officials and, as importantly, to
demics with interests in the type of research being sup-               accommodate political sensitivities associated with HIV/
ported in that country. The NAPs take different forms                  AIDS, poverty and nutrition at the time. In brief, there
but, they are channels to review and spread information                was an attitude described as “AIDS denialism at the high-
from the research projects to relevant other officials and             est level” of government [5]. In practice the NAP
decision-making fora within the country. They also guide               attracted middle to senior level officials whose profes-
RENEWAL on which facets of current research projects                   sional responsibilities were to oversee programmes deal-
are of interest to policy makers in that country as well as            ing with vulnerability and food insecurity.
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   The primary objectives of RENEWAL South Africa                      have a distinctive role that would be difficult or impossi-
were to reduce gaps in knowledge on the relationship of                ble for organisations in either community to play.
livelihoods and food security with HIV and AIDS. Con-                    The concept of boundary organisations helps practi-
sequently, there were practical expressions of this                    tioners and researchers to consider how blurring the
agenda. For example, RENEWAL supported several                         boundaries between science and politics, rather than
research projects that adopted an action-research meth-                maintaining their separation (which is often advocated
odology while HEARD conveyed the agenda in terms of                    and practiced), can lead to more productive decision-
actively influencing interventions to be based on sound                making. This is a field in which there is a growing body
research and, conversely, to undertake research that                   of related investigations which, together, affirms the crea-
served the design of effective strategies and policies.                tion of new knowledge and innovative ideas that come
   HEARD defines itself overtly as a ‘learning organisa-               from sharing diverse perspectives. To illustrate, this
tion’ which has been expressed via various practical                   ranges from the field of environmental research and
initiatives over time; for example, internally, through                management, including impacts on health [10-14], to
articulation of its organisational values, elaboration of              explorations of the ‘learning ethos’ within the scientific
mentoring mechanisms and reflexive review of network-                  community [15,16], development sector [17,18] and
ing and its networks; and externally through collabora-                NGO communities [19], to methodological exegeses by
tive research projects that emphasised mutual capacity                 scientists [20,21 and trans-disciplinary research [22,23].
building and partnerships with other African research                    A successful boundary organisation serves two sets of
organisations.                                                         agents and is itself the agency which bridges the boundary
   Although this approach of setting up a “boundary                    between them. To fulfil this role, a boundary organisation
organisation” was based on a practical response to “brid-              must have credibility on both sides of the boundary which,
ging the divide” in South Africa, experiences of bound-                in the first instance, is achieved on the basis of engage-
ary organisations elsewhere provide a useful way to                    ment and inclusion of interested parties. Thereafter, cred-
interrogate the successes and challenges of RENEWAL.                   ibility is maintained by the boundary organisation being
The second part of the methods section sets up key                     acknowledged as an arbiter of the quality and utility of
arguments based on “boundary organisation” literature                  relevant research and its facilitation of an effective flow of
in order to provide detailed results from the RENEWAL                  information. Adopting a flexible, adaptive approach is
experience.                                                            essential for a boundary organisation; hence, a ‘network’
   The Overseas Development Institute (ODI) acknowl-                   presents itself as one appropriate form for a boundary
edges that many policy making processes are weakly                     organisation.
informed by research-based evidence [7,8]. Policy-                       Networks (and partnerships) are a more common term
makers tend to be influenced by their own values,                      than boundary organisation for the work of agencies that
experience and judgement, lobbyists and pressure                       promote information flow, knowledge sharing and com-
groups, and pragmatism. For example, at an ODI Con-                    munication between actors who might otherwise not be
ference, a former decision-maker in the UK argued that                 in touch [24]. However, as we indicated in the back-
researchers and policy-makers have a completely differ-                ground section, networks entail a range of strategies and
ent understanding of what constitutes good evidence:                   actions to build and maintain. It is the dynamic and
   “Researchers only consider their results to be reliable             organic nature of networking and networks, respectively,
if they are proven scientifically and underpinned by the-              which pose challenges for ensuring that they function to
ory, and are reluctant to say anything until it is. Even               good effect; hence, as we have indicated above, the need
then, they tend to wrap their results up in caveats and                to appreciate their methodological underpinnings. In
qualifications. Policy-makers will take more or less any-              turn, it is this understanding which enables critical
thing that can help them to make a decision that seems                 assessment of the value and utility of any network in a
reasonable, has a clear message and is available at the                particular context as we discuss below.
right time” [9].                                                         The work undertaken by RENEWAL in the period
   Accordingly, researchers need to be cognisant of these              2006 to 2009 is analysed below using the concepts and
factors. Investigating and working with the strategic                  approaches laid out. In particular five main areas of
demarcation between political and scientific tasks has                 work will be investigated. Firstly an analysis of how
been called “boundary work” [1]. Boundary organisations                RENEWAL attempted to get stakeholders to understand
involve the participation of actors from both sides of the             partnerships drawing on two research projects in South
boundary, as well as individuals and organisations who                 Africa. Secondly, the politics and practice of boundary
play a mediating role but they have distinct lines of                  crossing is explored. Thirdly, the need for making space
accountability to each. In other words, boundary organi-               for opportunities for action is assessed. Fourthly, the
sations perform tasks that are useful to both sides, but               extractive nature of science is analysed, as experienced
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by RENEWAL. Finally, experiences of capacity strength-                 agreed in principle by all, the process faltered due to lack
ening are reviewed.                                                    of engagement by health officials with the opportunities to
  The data described in the article were largely collected             modify health care procedures [29].
by the authors as “insiders” to the RENEWAL process.                      Another project that explored the interactions between
Both played key roles in establishing and facilitating the             hunger, HIV and TB, culminated in a workshop in an
network, overseeing the research components and working                urban settlement where the results were shared with
with different stakeholders to set up a “research-policy”              research participants, residents, local officials and NGOs.
interface. A review was undertaken of project documenta-               The research results showed widespread co-infection and
tion from this period including three annual donor                     stimulated vocal criticisms amongst the participants and
reports, various outputs from four research projects con-              residents about the lack of effective health service support
ducted in South Africa including final research reports                (e.g. slow time for diagnosis, inexperienced doctors). Sub-
and formal publications, and email correspondence                      sequently, one workshop resolution was that the project
between members of the network. Some discussions were                  had a responsibility to articulate and demand for better
held with key members of the advisory group established                services. Furthermore, community representatives felt
to facilitate the interface mentioned above. These discus-             strongly that all should march to the offices and homes of
sions were held in 2009 as part of a review process that               local politicians to highlight their concerns. However,
fed into the proposal for a subsequent phase of                        some of the researchers raised concerns that the study was
RENEWAL. Records of these discussions were reviewed                    being used for a larger political agenda which went beyond
and where necessary follow up questions provided to the                the actual focus and results of the study. Nonetheless there
respondents.                                                           was a realisation amongst the researchers that their
                                                                       research had the power to evoke responses much greater
Results                                                                than originally expected. In short, this was a case of
Here, we discuss RENEWAL’s operational successes and                   researchers coming face to face with the difference
challenges in South Africa between 2006 and 2009. The                  between the dissemination and the utilisation of research.
common denominator of the successes and challenges is                     Both cases provide a salutary lesson for researchers.
the articulation of trust which underpins a set of mutual              They highlight the fact that the position of a researcher is
interests and support, which has long been recognised as a             frequently one without power to cause material change.
key factor in the operation of networks and partnerships               Both cases reveal the how evidence alone, generated by
[25-28] and which a boundary organisation seeks to hold                researchers is insufficient to bring change. Other agencies
amongst a range of organisations. This is in distinction to            have that capacity, for instance advocacy or civil society
the instrumental purpose of networking and formal part-                organisations. Hence the instrumental value of research
nership contracts.                                                     and the credibility of the researcher lies ironically in their
                                                                       ‘powerlessness’: in the perceived ‘objectivity’ and ’neutral-
Getting ‘stakeholders’ to understand ‘partnerships’                    ity’ of the researcher (and his/her attention to experiences
A recurring challenge has been to manage the ‘messiness’               of people) amongst other parties with different interests in
of engaging with different organisations and the political             a project. The capacity of the researcher to influence
vagaries of changing political conditions for researchers              change lies in working with other parties that do have
and policy/decision-makers. Frequently, the challenge has              power, in ways that support them to use their power
been to convince principal agencies (funders, research                 constructively.
management committees, and partner organisations), to
appreciate that ‘stakeholder consultation’ prior to research           The politics and practice of boundary crossing
and dissemination of results via ‘feedback workshops’ are              Another challenge for RENEWAL was dealing with the
principles (and activities with various ramifications), which          politics within science. RENEWAL and HEARD’s research
need to be applied throughout the research process. They               strategies endorsed crossing disciplinary boundaries. Inter-
are not discrete events that once done can be ticked off as            disciplinary research can be initiated with relative ease;
‘best practice’.                                                       collaboration begins by working with like-minded indivi-
   To illustrate, one RENEWAL-funded project in South                  duals and organisations. However, as researchers work
Africa that addressed the challenges of improving rural                together, particularly in arenas as complex as the HIV-
livelihoods, health and nutritional security, obtained sup-            Hunger nexus, challenging questions emerge with regard
port from the Department of Health officials and clinics in            to what is credible and salient knowledge; how does the
the study locality at the start and during the course of the           means of generating this knowledge give it validity; and
research. However, once the opportunities for collabora-               what type of knowledge should take precedence over
tive intervention by different government agencies, NGOs               others? In other words, researchers have to confront chal-
and community organisations had been identified and                    lenges both ways - to the empiricist foundations of science
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and, from those foundations, to constructivist approaches              Making space for opportunities to be taken
[30].                                                                  RENEWAL South Africa has benefited from the active
  The RENEWAL strategy has been to adopt an ‘in-                       facilitation of discussions amongst researchers and gov-
reach’ as opposed to an ‘outreach’ approach when start-                ernment officials by HEARD, the Centre for the Study of
ing projects. ‘Outreach’ implicitly emphasises difference              AIDS at the University of Pretoria (CSA) and the Nutri-
and boundaries between different agencies. ‘In-reach’                  tion Directorate in the National Department of Health.
implicitly acknowledges common concerns of different                   These discussions have stimulated ideas for projects that
agencies and the scope for reaching in to the source of                support government interests. There is work-in-progress
those concerns. The actions to that end were not unu-                  with the Africa Centre for Food Security at the University
sual. Establishing and engaging with a National Advisory               of KwaZulu-Natal on building the capacity of young
Panel has been a means to ensure ongoing consultation                  researchers and government officials on vulnerability
with stakeholders, to identify research priorities and                 assessments and to co-ordinate different government
changing political interests and perspectives on them.                 departments’ programmes on HIV and nutrition. A rela-
Means to strengthen consideration of the complexity of                 tionship with the Geography Department at the Univer-
the HIV-Hunger nexus include regular interaction of                    sity of Witwatersrand has provided opportunities to work
RENEWAL’s co-ordinators with each other and, in each                   with food security specialists including part-funding of a
country, with all members of research teams, between                   PhD candidate. Recently funded projects include one into
senior team members from different institutions with                   the role of the environment as a safety net in the context
each other in the case of cross-organisational studies, and            of high HIV prevalence; another on migration, food
between the principals of RENEWAL projects in different                security and HIV in an urban-rural links project in
countries. These interactions are designed to ensure                   Johannesburg; and a further study into the health
cross-site comparability in the design of projects and pol-            requirements of a comprehensive strategy for dealing
icy relevance, and they are a conduit for ongoing advo-                with migrants in Johannesburg after the recent criminal
cacy. With regard to advocacy, the various activities are a            and xenophobic violence.
rich source of ideas and information for development                      RENEWAL has also made itself available to the Food
and elaboration of communications and marketing stra-                  Security Directorate at the National Department of Agri-
tegies and outputs. In other words, ‘research communica-               culture and the Food Insecurity and Vulnerability Infor-
tion’ is not simply dissemination of research results but              mation Management System (FIVIMS). Engagement with
can incorporate activities ranging from capacity building              the Department of Agriculture has been a long stop-start
in the form of mentoring on writing for different media                process, however, as a result of the latter’s own complex,
and training to write ‘issues briefs’, to using different              internal politics that is symptomatic of the heavily politi-
media for different purposes as a project progresses, and              cised HIV/AIDS debate during the presidency of Thabo
ultimately, to packaging and disseminating the form of                 Mbeki. RENEWAL has stepped carefully, particularly
the research as well as the results in imaginative ways.               when working with Directorates in the Departments of
  The ‘in-reach’ agenda is to maximise ownership, sus-                 Agriculture and Health, whose personnel were often lim-
tainability and influence of the work from the outset, and             ited in what they could say or do.
to ensure national, regional and international relevance
of the results. In essence, it encourages the flow of                  The extractive nature of research
knowledge in many directions thereby blurring further                  A common criticism of researchers generally is that they
the distinctions between ‘pure’ and ‘applied’ research [6].            remove information from communities to feed into
Nonetheless, there have been practical challenges to                   research reports and policy dialogues that never return to
ensure this flow. The NAP, for example, is a means for                 the local level. Through the leadership of HEARD,
practitioners and policy-makers to become more than                    RENEWAL has demonstrated how a continuous feedback
recipients of scientific knowledge and to help configure               process back to respondents not only contributes back to
research on the HIV-Hunger nexus. However, research                    community and household level development in AmaJuba
budgets are predetermined and controlled by the IFPRI                  District in KwaZulu-Natal but also validates and strength-
in Washington which has led to tensions about ‘who sets                ens the research findings and its relevance.
the (budgeted) agenda’. As the NAPs began to fulfil their                RENEWAL encourages on-going critical commentary
roles, there were many demands on the RENEWAL bud-                     and interpretation of research findings as they emerge
get. Funding commitments needed to be modified yet                     by different parties, and engagement of researchers with
reconciled with donor contracts and the original proposal              that process, as a means to strengthen the validity of
developed by IFPRI. In sum, creating the links can take                final analyses and to ensure utilisation of them. How-
time to bear fruit but the costs cannot always be pre-                 ever, other researchers do not always acknowledge this
dicted precisely.                                                      rationale within RENEWAL’s facilitation of various
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modes of communication, including training workshops.                  Nonetheless the RENEWAL experience has highlighted
RENEWAL has found on occasion that its workshops                       out four main operational challenges.
and training courses have been viewed as means for                        The first challenge is the nature of politics and political
researchers to write more creatively yet, still, to dissemi-           engagement. RENEWAL in South Africa has deliberately
nate their findings when they have completed analyses                  focused on supporting government officials who have
and to avoid engaging with the political facets of their               been interested in evidence to inform programmes. How-
work.                                                                  ever, these officials have been constrained by the peculiar
  These challenges are often offset by successes that                  politics of HIV/AIDS in the country that prevented open
demonstrate how the slow task of building trust and                    dialogue within the government. In addition, labyrinthine
strengthening relationships can result in a positive shift             departmental politics has, in some cases, stymied planned
in mindsets. For instance, RENEWAL was approached to                   meetings between officials and RENEWAL’s network of
support civil society organisations and the government in              researchers. In hindsight, the NAP could have been
their understanding and conceptualisation of food and                  pushed to promote the RENEWAL agenda more fre-
nutrition security following revitalisation of the South               quently in their own circles. However, real constraints
African National AIDS Framework (SANAF) in 2007.                       influenced this in terms of focusing on sustaining the
Similarly, in 2008, following persistent engagement with               relationship and seeing this as a necessary focus until
the Department of Health, RENEWAL was invited to                       such time that the NAP broached discussion on a more
help facilitate a mini-conference organised by senior offi-            active role.
cials who wanted to stimulate wider discussion within                     The second challenge is the maintenance of the integ-
government about the HIV-Hunger nexus. Likewise,                       rity of the interactive research agenda. This involves
ongoing discussion with representatives of the Integrated              adherence to principles of science whilst maintaining
Food Security Strategy (IFSS), which part monitors food                close relationships with those with political authority and
insecurity in the country, has led to consideration of a               also ensuring accountability to the communities within
training workshop on HIV and food insecurity indicators.               which the research is conducted. Key premises for jug-
                                                                       gling these matters are, to think and act constructively in
Strengthening capacity                                                 terms of the “powerlessness” of the researcher and to
RENEWAL has made a general distinction between                         “reach-in” to what individuals and organisations share
training on scientific practice and training on thematic               rather than to focus on differences.
knowledge. This is one way of indicating that there are                   The third challenge is selecting and nurturing ‘cham-
steps between conducting research and using the results.               pions’ in government departments and in scientific organi-
Material has been developed by IFPRI in collaboration                  sations. Senior officials regularly move to new posts in and
with the RENEWAL team and training modules have                        beyond government; hence, selecting and nurturing
been made available through the Africa Centre for Food                 ‘champions’ is an ongoing process. Researchers have a
Security.                                                              ‘natural’ reticence against the communication and use of
  Initiatives include online courses on proposal writing               their research reports and publications in different forms
and scientific writing for publications. Members of the                and ways. Some struggle with the idea, let alone the prac-
Advisory Panel and researchers linked to the network                   tice, of engaging in critical commentary and interpretation
attended an intensive training course which contained                  of research findings with different ‘non-science’ parties, to
modules on research methodologies and building and ana-                strengthen the validity of final analyses and to ensure utili-
lysing networks, as well as opportunities to exchange work             sation of them. RENEWAL’s response has been to support
experiences and advice from IFPRI researchers, and ses-                training on various forms of communications and explora-
sions to develop communication techniques, specifically                tion of the interactive research agenda by postgraduate
writing, and skills such as leadership and management of               students involved in RENEWAL projects. As Kees Swaans
projects. In 2009, the programme began to offer, at the                wrote in his doctoral thesis [29]:
request of the country networks, training workshops on                    “I especially welcome the [RENEWAL] program for its
mapping the policy environment and writing policy briefs.              willingness to move beyond understanding the relation
                                                                       between HIV/AIDS and agriculture, and that it actually
Discussion                                                             stimulates new types of inter-disciplinarity and action-
The paper has discussed how and why ‘boundary work’                    orientated research to gain more insight in how to
may be an important concept and approach in attempts                   respond to the HIV/AIDS pandemic”
to facilitate evidence-based policies and programmes. A                   The fourth challenge is the seemingly interminably
network or set of networks is one basis on which                       slow process of influencing policy/decision-makers which
researchers and policy makers can influence each other                 requires a long-term perspective and ‘knowing’ that this
and, hence, be a source of evidence-based interventions.               will bear fruit in due course. A simple lesson learned is
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that a functioning boundary organisation needs to be                   strengthening the capacity of certain individuals and
persistent; more precisely, to adopt an informed, suppor-              groups to use that evidence, to consolidate relationships
tive, flexible and adaptive approach. The gradual                      that could drive a policy agenda and to provide a back-
strengthening of networks allows trust to be built while               ground source of support available to decision makers
bringing in and securing diverse representatives is a key              at various levels. The most pertinent is the support pro-
source of legitimacy and, hence, influence.                            vided to civil society organisations and government in
   These considerations have led RENEWAL to pay due                    their understanding and conceptualisation of food and
attention to the communication of research. The impera-                nutrition security through the South African National
tive of IFPRI and HEARD has been to secure the credibil-               AIDS Framework. Similarly, the invitation to help facili-
ity and legitimacy of RENEWAL on the basis of the                      tate a mini-conference organised by the Department of
quality of the evidence gained from scientific research.               Health to stimulate wider discussion within government
Enabling ongoing critical commentary of research find-                 about the HIV-Hunger nexus. These, and others,
ings by different parties has involved learning to package             demonstrate how RENEWAL as a boundary organisa-
and present evidence in different ways. New information                tion has been able to play different supporting roles in
and communication technologies are increasingly vital                  policy-making processes.
for that purpose. Nonetheless, developing more pathways                  RENEWAL has made a contribution through research
within the network and from the NAP into government,                   projects informed by the networking approach to build
as well as combining opportunities for thematic debates                bridges between actors, which have fed into broader pro-
in training courses have been equally important. In sum,               cesses that have led to changes. Examples reveal that
the integration of research and communications is a criti-             researchers have to build relationships with actors that
cal endeavour for a boundary organisation.                             have the capacity to make changes, whether they be civil
                                                                       society or government, which reveals the instrumental
Conclusion                                                             value of research and the credibility of the research teams.
Reflecting on the use of the concept of a boundary orga-               Thus there is a strong argument for groups hoping to
nisation in framing the experience of RENEWAL in                       influence policy making to utilise the concept of a bound-
South Africa, a number of conclusions can be reached.                  ary organisation, particularly as it helps break down the
  A key argument has been that policy processes are                    linear approach to such processes, and helps the under-
rarely logical, particularly in a terrain as fraught as that           standing of how “messy” processes can be engaged
of HIV and food security in South Africa. In order to                  through networks and alliances.
engage the diversity of actors involved, RENEWAL set
up a “safe space” for mid-level civil servants, civil society
                                                                       Acknowledgements and funding
and research and academia to engage these issues – and                 This paper represents a reflexive assessment of collaborative activities
ultimately to build confidence and expertise to shift pol-             conducted by the IFPRI’s RENEWAL programme and HEARD. It was not
icy as it became politically feasible. This reflected a key            specifically funded but has benefited from funding provided by IFPRI and
                                                                       HEARD for co-ordinated work.
lesson that acting as a boundary organisation involves                 This article has been published as part of Health Research Policy and Systems
adopting an attitude of becoming a “policy entrepre-                   Volume 9 Supplement 1, 2011: Strengthening the research to policy and
neur” with a long-term view.                                           practice interface: exploring strategies used by research organisations
                                                                       working on sexual and reproductive health and HIV/AIDS. The full contents
  Building on this, another important lesson was that                  of the supplement are available online at http://www.health-policy-systems.
RENEWAL played the role of a boundary organisation                     com/supplements/9/S1.
through a networking approach. As emphasised through-
                                                                       Author details
out the paper, boundary organisations involve the partici-             1
                                                                        International Food Policy Research Institute (IFPRI. 2Health Economics and
pation of actors from both sides of the boundary, as well              HIV/AIDS Research Division (HEARD), University of KwaZulu-Natal.
as individuals and organisations who play a mediating role
                                                                       Authors’ contributions
with distinct lines of accountability to each. This was                The authors contributed equally to the manuscript
never formalised largely as a result of wanting to retain an
element of informal exchange and support, which in retro-              Authors’ information
                                                                       Scott Drimie, PhD, is the Regional Co-ordinator of the Regional Network on
spect may have been a limiting factor when the political               AIDS, Livelihoods and Food security (RENEWAL), a programme of the
opportunities to shift policy emerged. Thus a boundary                 International Food Policy research Institute (IFPRI).
organisation must be alert to changing its emphasis parti-             Tim Quinlan, PhD is the Research Director of the Health Economics and HIV/
                                                                       AIDS Research Division (HEARD) at the University of KwaZulu-Natal.
cularly when the policy dialogue shifts.
  RENEWAL has not claimed to have directly shifted                     Competing interests
policy. It has rather seen itself as contributing to                   This article critically reflects on a research project in which the authors have
                                                                       been involved.”
broader processes of policy change that have involved
building the evidence available to policy makers,                      Published: 16 June 2011
Drimie and Quinlan Health Research Policy and Systems 2011, 9(Suppl 1):S11                                                                            Page 8 of 8
http://www.biomedcentral.com/1478-4505/9/S1/S11




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Playing the role of a boundary organisation getting smarter with networking

  • 1. Drimie and Quinlan Health Research Policy and Systems 2011, 9(Suppl 1):S11 http://www.biomedcentral.com/1478-4505/9/S1/S11 RESEARCH Open Access Playing the role of a ‘boundary organisation’: getting smarter with networking Scott Drimie1*†, Tim Quinlan2† From Strengthening the research to policy and practice interface: Exploring strategies used by research organisations working on Sexual and Reproductive Health and HIV and AIDS Liverpool, UK. 18-19 May, 2009 Abstract Background: This paper discusses the practices of organisations that cross the boundary between research and politics, to promote evidence-based policies and programmes. Methods: It uses the experience of a network of organisations in Africa to describe the methodology, challenges and successes of efforts to promote utilisation of research on the inter-connections between HIV/AIDS, food security and nutrition in South Africa. It emphasises that crossing the boundary between science and politics can be done systematically and is inevitable for any attempt that seeks influence policy making. Results: The paper reveals the complexity of the research-policy making interface and identifies key lessons for the practice of networking and engaging policy and decision-makers. Conclusion: The concept of boundary organisation is a helpful means to understand the methodological underpinnings of efforts to get research into policy and practice and to understand the ‘messy’ process of doing so. Introduction application of the concept is well established internation- This paper examines researchers’ practices to promote the ally. For instance, agencies such as the UNAIDS plays this utilisation of research. We use the concept of “boundary role; illustrated by its international consultative meetings organisations”, signifying organisations that cross the on large public health issues that include researchers, poli- boundary between science and politics and draw on the ticians, activists and NGOs. Their role in southern Africa interests and knowledge of agencies on both sides to facili- has been to facilitate research on behalf of organisations tate evidence-based and socially beneficial policies and such as the Southern African Network of People Living programmes [1]. The term, to our knowledge, gained cur- with HIV to inform the messages imparted to their mem- rency in the USA in the 1990s following efforts to com- bers. Likewise, the World Health Organisation (WHO) bine climate research and weather forecasting, which led increasingly plays this role as reflected in its public profile to the establishment of organisations that could speak to, during early phases of the ‘swine flu’ epidemic and its sup- and work with different agencies for the purpose of ensur- port for a global symposium in 2010 on health systems ing reliable seasonal climate forecasts [2,3]. The term may research. be relatively new but the concept has a longer heritage; for Our contention is that organisations which cross the example, the linking of agricultural research to agricultural boundary between science and politics, consciously and extension services to enhance national farm production in systematically, play a deliberate role to facilitate evidence- the USA early in the 20 th century [4]. Furthermore, based and socially beneficial policies and programmes and they draw on a range of strategies to achieve this. Net- * Correspondence: s.drimie@cgiar.org working may be one of these strategies but networks alone † Contributed equally may not achieve the intended outcomes. Other strategies 1 International Food Policy Research Institute (IFPRI Full list of author information is available at the end of the article are needed such as building the confidence and capacity of © 2011 Drimie and Quinlan; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 2. Drimie and Quinlan Health Research Policy and Systems 2011, 9(Suppl 1):S11 Page 2 of 8 http://www.biomedcentral.com/1478-4505/9/S1/S11 different individuals and agencies over time such that they research topics which are likely to interest policy makers can actively make changes in their work. Similarly various in the near and medium-term future. The operational communications strategies are needed to draw on the ethos is that the process of developing networks is both a interests and knowledge of agencies on both sides. Innova- means and an end. Networking is necessary to create tive ways are also needed to ensure that bridges are built channels for identifying socio-economic challenges, for and maintained between different sectors. determining appropriate investigation, and for sustaining The focus here is on the collaboration of the Regional communication and information flows during research Network on AIDS, Livelihoods and Food security and during discussions on the potential and actual uses (RENEWAL), a programme that engages government of research. officials on research that could and should inform poli- This paper assesses the concept of a boundary organi- cies and programmes to address population vulnerability sation in relation to RENEWAL’s agenda outlined above (food insecurity and HIV/AIDS) in South Africa. The and the theoretical and methodological literature on pol- paper examines the experiences of building networks and icy making processes and the research-policy interface. facilitating interactions with ‘champions’ in government This means of analysis allows for key lessons to emerge departments to encourage greater use of research evi- in terms of where and how RENEWAL has had an dence in departmental development programmes; the impact on policy making processes in South Africa and, underlying dynamics of boundary crossing; and the with regard to methodology, on the role of networking experience of getting research into policy or practice. within efforts to get research into policy and practice. The purpose is to draw out lessons from these pro- cesses with regard to engaging and influencing policy/ Methods decision-makers to good effect. The following section is divided into two parts. The first introduces the process and approach of the RENEWAL Background network in order to present operational challenges and RENEWAL is a regional network-of-networks. Active in successes in promoting utilisation of research on the inter- Kenya, Malawi, South Africa, Uganda, and Zambia, connections between HIV/AIDS, food security and nutri- RENEWAL comprises national and regional networks of tion in South Africa. The second part conceptualises food and nutrition-focused organisations and HIV/AIDS boundary organisations in terms of using appropriate lit- and public health organisations. These networks are erature to give substance to the analysis in the subsequent based on previous financing of research studies in those sections. The method section as a whole emphasises that countries by RENEWAL (a total of 17 studies between crossing the boundary between science and politics can be 2001 and 2007) and the development of conceptual done systematically and is inevitable for any attempt that frameworks, methodologies and indicators relating to seeks influence policy making. HIV and vulnerability (http://www.ifpri.org/renewal). RENEWAL South Africa is facilitated by the Health RENEWAL’s agenda is to enhance understanding of the Economics and HIV/AIDS Research Division (HEARD) intersections and links between HIV/AIDS and food and at the University of KwaZulu-Natal in consultation with nutrition security (the ‘HIV-Hunger nexus’), and to facili- the International Food Policy Research Institute (IFPRI). tate interventions. RENEWAL established a NAP consisting of representa- In order to perform as a boundary organisation tives of government departments engaged in food secur- RENEWAL has systematically set out to do more than be ity and HIV/AIDS policy-making, HEARD and the a network. Within each country of operation, locally- Medical Research Council. This was done in view of prioritised action research, capacity strengthening, and these issues being themes within the projects that communications have enabled the networking approach RENEWAL supported in the country. For South Africa, to build relationships and trust that have allowed deci- the NAP was conceived as a ’light’ panel in the sense of sion makers to access evidence for policy dialogue. having few people and to be no more than a loose affilia- Furthermore, in each country, RENEWAL has facilitated tion of agencies who would engage on these issues in a the establishment of ‘National Advisory Panels’ (NAPs) spirit of finding common ground. This was to avoid over- consisting of senior government officials, NGOs and aca- burdening hard-pressed officials and, as importantly, to demics with interests in the type of research being sup- accommodate political sensitivities associated with HIV/ ported in that country. The NAPs take different forms AIDS, poverty and nutrition at the time. In brief, there but, they are channels to review and spread information was an attitude described as “AIDS denialism at the high- from the research projects to relevant other officials and est level” of government [5]. In practice the NAP decision-making fora within the country. They also guide attracted middle to senior level officials whose profes- RENEWAL on which facets of current research projects sional responsibilities were to oversee programmes deal- are of interest to policy makers in that country as well as ing with vulnerability and food insecurity.
  • 3. Drimie and Quinlan Health Research Policy and Systems 2011, 9(Suppl 1):S11 Page 3 of 8 http://www.biomedcentral.com/1478-4505/9/S1/S11 The primary objectives of RENEWAL South Africa have a distinctive role that would be difficult or impossi- were to reduce gaps in knowledge on the relationship of ble for organisations in either community to play. livelihoods and food security with HIV and AIDS. Con- The concept of boundary organisations helps practi- sequently, there were practical expressions of this tioners and researchers to consider how blurring the agenda. For example, RENEWAL supported several boundaries between science and politics, rather than research projects that adopted an action-research meth- maintaining their separation (which is often advocated odology while HEARD conveyed the agenda in terms of and practiced), can lead to more productive decision- actively influencing interventions to be based on sound making. This is a field in which there is a growing body research and, conversely, to undertake research that of related investigations which, together, affirms the crea- served the design of effective strategies and policies. tion of new knowledge and innovative ideas that come HEARD defines itself overtly as a ‘learning organisa- from sharing diverse perspectives. To illustrate, this tion’ which has been expressed via various practical ranges from the field of environmental research and initiatives over time; for example, internally, through management, including impacts on health [10-14], to articulation of its organisational values, elaboration of explorations of the ‘learning ethos’ within the scientific mentoring mechanisms and reflexive review of network- community [15,16], development sector [17,18] and ing and its networks; and externally through collabora- NGO communities [19], to methodological exegeses by tive research projects that emphasised mutual capacity scientists [20,21 and trans-disciplinary research [22,23]. building and partnerships with other African research A successful boundary organisation serves two sets of organisations. agents and is itself the agency which bridges the boundary Although this approach of setting up a “boundary between them. To fulfil this role, a boundary organisation organisation” was based on a practical response to “brid- must have credibility on both sides of the boundary which, ging the divide” in South Africa, experiences of bound- in the first instance, is achieved on the basis of engage- ary organisations elsewhere provide a useful way to ment and inclusion of interested parties. Thereafter, cred- interrogate the successes and challenges of RENEWAL. ibility is maintained by the boundary organisation being The second part of the methods section sets up key acknowledged as an arbiter of the quality and utility of arguments based on “boundary organisation” literature relevant research and its facilitation of an effective flow of in order to provide detailed results from the RENEWAL information. Adopting a flexible, adaptive approach is experience. essential for a boundary organisation; hence, a ‘network’ The Overseas Development Institute (ODI) acknowl- presents itself as one appropriate form for a boundary edges that many policy making processes are weakly organisation. informed by research-based evidence [7,8]. Policy- Networks (and partnerships) are a more common term makers tend to be influenced by their own values, than boundary organisation for the work of agencies that experience and judgement, lobbyists and pressure promote information flow, knowledge sharing and com- groups, and pragmatism. For example, at an ODI Con- munication between actors who might otherwise not be ference, a former decision-maker in the UK argued that in touch [24]. However, as we indicated in the back- researchers and policy-makers have a completely differ- ground section, networks entail a range of strategies and ent understanding of what constitutes good evidence: actions to build and maintain. It is the dynamic and “Researchers only consider their results to be reliable organic nature of networking and networks, respectively, if they are proven scientifically and underpinned by the- which pose challenges for ensuring that they function to ory, and are reluctant to say anything until it is. Even good effect; hence, as we have indicated above, the need then, they tend to wrap their results up in caveats and to appreciate their methodological underpinnings. In qualifications. Policy-makers will take more or less any- turn, it is this understanding which enables critical thing that can help them to make a decision that seems assessment of the value and utility of any network in a reasonable, has a clear message and is available at the particular context as we discuss below. right time” [9]. The work undertaken by RENEWAL in the period Accordingly, researchers need to be cognisant of these 2006 to 2009 is analysed below using the concepts and factors. Investigating and working with the strategic approaches laid out. In particular five main areas of demarcation between political and scientific tasks has work will be investigated. Firstly an analysis of how been called “boundary work” [1]. Boundary organisations RENEWAL attempted to get stakeholders to understand involve the participation of actors from both sides of the partnerships drawing on two research projects in South boundary, as well as individuals and organisations who Africa. Secondly, the politics and practice of boundary play a mediating role but they have distinct lines of crossing is explored. Thirdly, the need for making space accountability to each. In other words, boundary organi- for opportunities for action is assessed. Fourthly, the sations perform tasks that are useful to both sides, but extractive nature of science is analysed, as experienced
  • 4. Drimie and Quinlan Health Research Policy and Systems 2011, 9(Suppl 1):S11 Page 4 of 8 http://www.biomedcentral.com/1478-4505/9/S1/S11 by RENEWAL. Finally, experiences of capacity strength- agreed in principle by all, the process faltered due to lack ening are reviewed. of engagement by health officials with the opportunities to The data described in the article were largely collected modify health care procedures [29]. by the authors as “insiders” to the RENEWAL process. Another project that explored the interactions between Both played key roles in establishing and facilitating the hunger, HIV and TB, culminated in a workshop in an network, overseeing the research components and working urban settlement where the results were shared with with different stakeholders to set up a “research-policy” research participants, residents, local officials and NGOs. interface. A review was undertaken of project documenta- The research results showed widespread co-infection and tion from this period including three annual donor stimulated vocal criticisms amongst the participants and reports, various outputs from four research projects con- residents about the lack of effective health service support ducted in South Africa including final research reports (e.g. slow time for diagnosis, inexperienced doctors). Sub- and formal publications, and email correspondence sequently, one workshop resolution was that the project between members of the network. Some discussions were had a responsibility to articulate and demand for better held with key members of the advisory group established services. Furthermore, community representatives felt to facilitate the interface mentioned above. These discus- strongly that all should march to the offices and homes of sions were held in 2009 as part of a review process that local politicians to highlight their concerns. However, fed into the proposal for a subsequent phase of some of the researchers raised concerns that the study was RENEWAL. Records of these discussions were reviewed being used for a larger political agenda which went beyond and where necessary follow up questions provided to the the actual focus and results of the study. Nonetheless there respondents. was a realisation amongst the researchers that their research had the power to evoke responses much greater Results than originally expected. In short, this was a case of Here, we discuss RENEWAL’s operational successes and researchers coming face to face with the difference challenges in South Africa between 2006 and 2009. The between the dissemination and the utilisation of research. common denominator of the successes and challenges is Both cases provide a salutary lesson for researchers. the articulation of trust which underpins a set of mutual They highlight the fact that the position of a researcher is interests and support, which has long been recognised as a frequently one without power to cause material change. key factor in the operation of networks and partnerships Both cases reveal the how evidence alone, generated by [25-28] and which a boundary organisation seeks to hold researchers is insufficient to bring change. Other agencies amongst a range of organisations. This is in distinction to have that capacity, for instance advocacy or civil society the instrumental purpose of networking and formal part- organisations. Hence the instrumental value of research nership contracts. and the credibility of the researcher lies ironically in their ‘powerlessness’: in the perceived ‘objectivity’ and ’neutral- Getting ‘stakeholders’ to understand ‘partnerships’ ity’ of the researcher (and his/her attention to experiences A recurring challenge has been to manage the ‘messiness’ of people) amongst other parties with different interests in of engaging with different organisations and the political a project. The capacity of the researcher to influence vagaries of changing political conditions for researchers change lies in working with other parties that do have and policy/decision-makers. Frequently, the challenge has power, in ways that support them to use their power been to convince principal agencies (funders, research constructively. management committees, and partner organisations), to appreciate that ‘stakeholder consultation’ prior to research The politics and practice of boundary crossing and dissemination of results via ‘feedback workshops’ are Another challenge for RENEWAL was dealing with the principles (and activities with various ramifications), which politics within science. RENEWAL and HEARD’s research need to be applied throughout the research process. They strategies endorsed crossing disciplinary boundaries. Inter- are not discrete events that once done can be ticked off as disciplinary research can be initiated with relative ease; ‘best practice’. collaboration begins by working with like-minded indivi- To illustrate, one RENEWAL-funded project in South duals and organisations. However, as researchers work Africa that addressed the challenges of improving rural together, particularly in arenas as complex as the HIV- livelihoods, health and nutritional security, obtained sup- Hunger nexus, challenging questions emerge with regard port from the Department of Health officials and clinics in to what is credible and salient knowledge; how does the the study locality at the start and during the course of the means of generating this knowledge give it validity; and research. However, once the opportunities for collabora- what type of knowledge should take precedence over tive intervention by different government agencies, NGOs others? In other words, researchers have to confront chal- and community organisations had been identified and lenges both ways - to the empiricist foundations of science
  • 5. Drimie and Quinlan Health Research Policy and Systems 2011, 9(Suppl 1):S11 Page 5 of 8 http://www.biomedcentral.com/1478-4505/9/S1/S11 and, from those foundations, to constructivist approaches Making space for opportunities to be taken [30]. RENEWAL South Africa has benefited from the active The RENEWAL strategy has been to adopt an ‘in- facilitation of discussions amongst researchers and gov- reach’ as opposed to an ‘outreach’ approach when start- ernment officials by HEARD, the Centre for the Study of ing projects. ‘Outreach’ implicitly emphasises difference AIDS at the University of Pretoria (CSA) and the Nutri- and boundaries between different agencies. ‘In-reach’ tion Directorate in the National Department of Health. implicitly acknowledges common concerns of different These discussions have stimulated ideas for projects that agencies and the scope for reaching in to the source of support government interests. There is work-in-progress those concerns. The actions to that end were not unu- with the Africa Centre for Food Security at the University sual. Establishing and engaging with a National Advisory of KwaZulu-Natal on building the capacity of young Panel has been a means to ensure ongoing consultation researchers and government officials on vulnerability with stakeholders, to identify research priorities and assessments and to co-ordinate different government changing political interests and perspectives on them. departments’ programmes on HIV and nutrition. A rela- Means to strengthen consideration of the complexity of tionship with the Geography Department at the Univer- the HIV-Hunger nexus include regular interaction of sity of Witwatersrand has provided opportunities to work RENEWAL’s co-ordinators with each other and, in each with food security specialists including part-funding of a country, with all members of research teams, between PhD candidate. Recently funded projects include one into senior team members from different institutions with the role of the environment as a safety net in the context each other in the case of cross-organisational studies, and of high HIV prevalence; another on migration, food between the principals of RENEWAL projects in different security and HIV in an urban-rural links project in countries. These interactions are designed to ensure Johannesburg; and a further study into the health cross-site comparability in the design of projects and pol- requirements of a comprehensive strategy for dealing icy relevance, and they are a conduit for ongoing advo- with migrants in Johannesburg after the recent criminal cacy. With regard to advocacy, the various activities are a and xenophobic violence. rich source of ideas and information for development RENEWAL has also made itself available to the Food and elaboration of communications and marketing stra- Security Directorate at the National Department of Agri- tegies and outputs. In other words, ‘research communica- culture and the Food Insecurity and Vulnerability Infor- tion’ is not simply dissemination of research results but mation Management System (FIVIMS). Engagement with can incorporate activities ranging from capacity building the Department of Agriculture has been a long stop-start in the form of mentoring on writing for different media process, however, as a result of the latter’s own complex, and training to write ‘issues briefs’, to using different internal politics that is symptomatic of the heavily politi- media for different purposes as a project progresses, and cised HIV/AIDS debate during the presidency of Thabo ultimately, to packaging and disseminating the form of Mbeki. RENEWAL has stepped carefully, particularly the research as well as the results in imaginative ways. when working with Directorates in the Departments of The ‘in-reach’ agenda is to maximise ownership, sus- Agriculture and Health, whose personnel were often lim- tainability and influence of the work from the outset, and ited in what they could say or do. to ensure national, regional and international relevance of the results. In essence, it encourages the flow of The extractive nature of research knowledge in many directions thereby blurring further A common criticism of researchers generally is that they the distinctions between ‘pure’ and ‘applied’ research [6]. remove information from communities to feed into Nonetheless, there have been practical challenges to research reports and policy dialogues that never return to ensure this flow. The NAP, for example, is a means for the local level. Through the leadership of HEARD, practitioners and policy-makers to become more than RENEWAL has demonstrated how a continuous feedback recipients of scientific knowledge and to help configure process back to respondents not only contributes back to research on the HIV-Hunger nexus. However, research community and household level development in AmaJuba budgets are predetermined and controlled by the IFPRI District in KwaZulu-Natal but also validates and strength- in Washington which has led to tensions about ‘who sets ens the research findings and its relevance. the (budgeted) agenda’. As the NAPs began to fulfil their RENEWAL encourages on-going critical commentary roles, there were many demands on the RENEWAL bud- and interpretation of research findings as they emerge get. Funding commitments needed to be modified yet by different parties, and engagement of researchers with reconciled with donor contracts and the original proposal that process, as a means to strengthen the validity of developed by IFPRI. In sum, creating the links can take final analyses and to ensure utilisation of them. How- time to bear fruit but the costs cannot always be pre- ever, other researchers do not always acknowledge this dicted precisely. rationale within RENEWAL’s facilitation of various
  • 6. Drimie and Quinlan Health Research Policy and Systems 2011, 9(Suppl 1):S11 Page 6 of 8 http://www.biomedcentral.com/1478-4505/9/S1/S11 modes of communication, including training workshops. Nonetheless the RENEWAL experience has highlighted RENEWAL has found on occasion that its workshops out four main operational challenges. and training courses have been viewed as means for The first challenge is the nature of politics and political researchers to write more creatively yet, still, to dissemi- engagement. RENEWAL in South Africa has deliberately nate their findings when they have completed analyses focused on supporting government officials who have and to avoid engaging with the political facets of their been interested in evidence to inform programmes. How- work. ever, these officials have been constrained by the peculiar These challenges are often offset by successes that politics of HIV/AIDS in the country that prevented open demonstrate how the slow task of building trust and dialogue within the government. In addition, labyrinthine strengthening relationships can result in a positive shift departmental politics has, in some cases, stymied planned in mindsets. For instance, RENEWAL was approached to meetings between officials and RENEWAL’s network of support civil society organisations and the government in researchers. In hindsight, the NAP could have been their understanding and conceptualisation of food and pushed to promote the RENEWAL agenda more fre- nutrition security following revitalisation of the South quently in their own circles. However, real constraints African National AIDS Framework (SANAF) in 2007. influenced this in terms of focusing on sustaining the Similarly, in 2008, following persistent engagement with relationship and seeing this as a necessary focus until the Department of Health, RENEWAL was invited to such time that the NAP broached discussion on a more help facilitate a mini-conference organised by senior offi- active role. cials who wanted to stimulate wider discussion within The second challenge is the maintenance of the integ- government about the HIV-Hunger nexus. Likewise, rity of the interactive research agenda. This involves ongoing discussion with representatives of the Integrated adherence to principles of science whilst maintaining Food Security Strategy (IFSS), which part monitors food close relationships with those with political authority and insecurity in the country, has led to consideration of a also ensuring accountability to the communities within training workshop on HIV and food insecurity indicators. which the research is conducted. Key premises for jug- gling these matters are, to think and act constructively in Strengthening capacity terms of the “powerlessness” of the researcher and to RENEWAL has made a general distinction between “reach-in” to what individuals and organisations share training on scientific practice and training on thematic rather than to focus on differences. knowledge. This is one way of indicating that there are The third challenge is selecting and nurturing ‘cham- steps between conducting research and using the results. pions’ in government departments and in scientific organi- Material has been developed by IFPRI in collaboration sations. Senior officials regularly move to new posts in and with the RENEWAL team and training modules have beyond government; hence, selecting and nurturing been made available through the Africa Centre for Food ‘champions’ is an ongoing process. Researchers have a Security. ‘natural’ reticence against the communication and use of Initiatives include online courses on proposal writing their research reports and publications in different forms and scientific writing for publications. Members of the and ways. Some struggle with the idea, let alone the prac- Advisory Panel and researchers linked to the network tice, of engaging in critical commentary and interpretation attended an intensive training course which contained of research findings with different ‘non-science’ parties, to modules on research methodologies and building and ana- strengthen the validity of final analyses and to ensure utili- lysing networks, as well as opportunities to exchange work sation of them. RENEWAL’s response has been to support experiences and advice from IFPRI researchers, and ses- training on various forms of communications and explora- sions to develop communication techniques, specifically tion of the interactive research agenda by postgraduate writing, and skills such as leadership and management of students involved in RENEWAL projects. As Kees Swaans projects. In 2009, the programme began to offer, at the wrote in his doctoral thesis [29]: request of the country networks, training workshops on “I especially welcome the [RENEWAL] program for its mapping the policy environment and writing policy briefs. willingness to move beyond understanding the relation between HIV/AIDS and agriculture, and that it actually Discussion stimulates new types of inter-disciplinarity and action- The paper has discussed how and why ‘boundary work’ orientated research to gain more insight in how to may be an important concept and approach in attempts respond to the HIV/AIDS pandemic” to facilitate evidence-based policies and programmes. A The fourth challenge is the seemingly interminably network or set of networks is one basis on which slow process of influencing policy/decision-makers which researchers and policy makers can influence each other requires a long-term perspective and ‘knowing’ that this and, hence, be a source of evidence-based interventions. will bear fruit in due course. A simple lesson learned is
  • 7. Drimie and Quinlan Health Research Policy and Systems 2011, 9(Suppl 1):S11 Page 7 of 8 http://www.biomedcentral.com/1478-4505/9/S1/S11 that a functioning boundary organisation needs to be strengthening the capacity of certain individuals and persistent; more precisely, to adopt an informed, suppor- groups to use that evidence, to consolidate relationships tive, flexible and adaptive approach. The gradual that could drive a policy agenda and to provide a back- strengthening of networks allows trust to be built while ground source of support available to decision makers bringing in and securing diverse representatives is a key at various levels. The most pertinent is the support pro- source of legitimacy and, hence, influence. vided to civil society organisations and government in These considerations have led RENEWAL to pay due their understanding and conceptualisation of food and attention to the communication of research. The impera- nutrition security through the South African National tive of IFPRI and HEARD has been to secure the credibil- AIDS Framework. Similarly, the invitation to help facili- ity and legitimacy of RENEWAL on the basis of the tate a mini-conference organised by the Department of quality of the evidence gained from scientific research. Health to stimulate wider discussion within government Enabling ongoing critical commentary of research find- about the HIV-Hunger nexus. These, and others, ings by different parties has involved learning to package demonstrate how RENEWAL as a boundary organisa- and present evidence in different ways. New information tion has been able to play different supporting roles in and communication technologies are increasingly vital policy-making processes. for that purpose. Nonetheless, developing more pathways RENEWAL has made a contribution through research within the network and from the NAP into government, projects informed by the networking approach to build as well as combining opportunities for thematic debates bridges between actors, which have fed into broader pro- in training courses have been equally important. In sum, cesses that have led to changes. Examples reveal that the integration of research and communications is a criti- researchers have to build relationships with actors that cal endeavour for a boundary organisation. have the capacity to make changes, whether they be civil society or government, which reveals the instrumental Conclusion value of research and the credibility of the research teams. Reflecting on the use of the concept of a boundary orga- Thus there is a strong argument for groups hoping to nisation in framing the experience of RENEWAL in influence policy making to utilise the concept of a bound- South Africa, a number of conclusions can be reached. ary organisation, particularly as it helps break down the A key argument has been that policy processes are linear approach to such processes, and helps the under- rarely logical, particularly in a terrain as fraught as that standing of how “messy” processes can be engaged of HIV and food security in South Africa. In order to through networks and alliances. engage the diversity of actors involved, RENEWAL set up a “safe space” for mid-level civil servants, civil society Acknowledgements and funding and research and academia to engage these issues – and This paper represents a reflexive assessment of collaborative activities ultimately to build confidence and expertise to shift pol- conducted by the IFPRI’s RENEWAL programme and HEARD. It was not icy as it became politically feasible. This reflected a key specifically funded but has benefited from funding provided by IFPRI and HEARD for co-ordinated work. lesson that acting as a boundary organisation involves This article has been published as part of Health Research Policy and Systems adopting an attitude of becoming a “policy entrepre- Volume 9 Supplement 1, 2011: Strengthening the research to policy and neur” with a long-term view. practice interface: exploring strategies used by research organisations working on sexual and reproductive health and HIV/AIDS. The full contents Building on this, another important lesson was that of the supplement are available online at http://www.health-policy-systems. RENEWAL played the role of a boundary organisation com/supplements/9/S1. through a networking approach. As emphasised through- Author details out the paper, boundary organisations involve the partici- 1 International Food Policy Research Institute (IFPRI. 2Health Economics and pation of actors from both sides of the boundary, as well HIV/AIDS Research Division (HEARD), University of KwaZulu-Natal. as individuals and organisations who play a mediating role Authors’ contributions with distinct lines of accountability to each. This was The authors contributed equally to the manuscript never formalised largely as a result of wanting to retain an element of informal exchange and support, which in retro- Authors’ information Scott Drimie, PhD, is the Regional Co-ordinator of the Regional Network on spect may have been a limiting factor when the political AIDS, Livelihoods and Food security (RENEWAL), a programme of the opportunities to shift policy emerged. Thus a boundary International Food Policy research Institute (IFPRI). organisation must be alert to changing its emphasis parti- Tim Quinlan, PhD is the Research Director of the Health Economics and HIV/ AIDS Research Division (HEARD) at the University of KwaZulu-Natal. cularly when the policy dialogue shifts. RENEWAL has not claimed to have directly shifted Competing interests policy. It has rather seen itself as contributing to This article critically reflects on a research project in which the authors have been involved.” broader processes of policy change that have involved building the evidence available to policy makers, Published: 16 June 2011
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