This series of 18 articles describes processes for ensuring that relevant research is identified, appraised and used to inform decisions about health policies and programs. The tools were written for people responsible for health policy decision-making (e.g., health system managers and policy-makers) and for those who support them.

CHSRF worked in partnership with the SUPPORT Project to bring you the French version of this series. SUPPORT is an international collaboration network that provides training and support to encourage researchers and policy-makers in collaborative policy-relevant research.

A book version of SUPPORT Tools for evidence-informed health Policymaking (STP) is also available.

Support Tools

Using research evidence to clarify a problem

by John N Lavis, Michael G Wilson, Andrew D Oxman, Simon Lewin, Atle Fretheim | Dec 16, 2009

Full text | PDF


Policymakers and those supporting them often find themselves in situations that spur them on to work out how best to define a problem. These situations may range from being asked an awkward or challenging question in the legislature, through to finding a problem highlighted on the front page of a newspaper. The motivations for policymakers wanting to clarify a problem are diverse. These may range from deciding whether to pay serious attention to a particular problem that others claim is important, through to wondering how to convince others to agree that a problem is important. Debates and struggles over how to define a problem are a critically important part of the policymaking process.

The outcome of these debates and struggles will influence whether and, in part, how policymakers take action to address a problem. Efforts at problem clarification that are informed by an appreciation of concurrent developments are more likely to generate actions. These concurrent developments can relate to policy and programme options (e.g. the publication of a report demonstrating the effectiveness of a particular option) or to political events (e.g. the appointment of a new Minister of Health with a personal interest in a particular issue).

In this article, we suggest questions that can be used to guide those involved in identifying a problem and characterising its features. These are:

  1. What is the problem?
  2. How did the problem come to attention and has this process influenced the prospect of it being addressed?
  3. What indicators can be used, or collected, to establish the magnitude of the problem and to measure progress in addressing it?
  4. What comparisons can be made to establish the magnitude of the problem and to measure progress in addressing it?
  5. How can the problem be framed (or described) in a way that will motivate different groups?