TABLE 4.

Factors Contributing to Changes in Policy and Practice, Related to CRIM-KT and Country Context in Bangladesh, Burundi, Indonesia, and Jordan

Related to CRIM-KTRelated to country context
Enabling factors
  • Participatory approach involving stakeholders

  • Systematic and structured approach, allowing for contextual adaptation

  • Short time frame, creating a sense of urgency

  • Efficient tools such as simple change package format that forced prioritization of objectives

  • Openness about making mistakes or admitting that strategies do not work

  • Time for reflection through storyboards

  • Cross-learning on 2 levels (international and country collaboration teams)

  • New methods for stakeholder involvement

  • Transparency of international and local activities and involvement of coordinators in program

  • Feelings of pride in sharing successes with other platforms during international learning sessions

  • Personal connections between stakeholders

  • Strong knowledge platform secretariat

  • Embedding/structure of knowledge platform: e.g., being a government institution working directly for Prime Minister (Jordan)

  • Availability of existing multistakeholder platforms

  • Embedding in other projects (e.g., YES I DO program) and leadership of local government staff (Indonesia)

  • Ability to talk to government authorities

  • Alignment with government priorities (Jordan and Indonesia)

  • Relatively low costs for organizing meetings (Indonesia)

  • Alignment with local priorities (Indonesia)

Disabling factors
  • Short time frame

  • Limited capacity strengthening for facilitation of local collaboration

  • Limited funds available to develop and organize activities during the local action periods

  • Content of some international learning sessions less applicable to local (community) level

  • Geographical distance between knowledge platform and international knowledge experts providing communication/support

  • Limited funds available to develop and organize activities during the local action periods

  • Natural disasters (earthquake in Lombok)

  • Staff turnover among stakeholders and within knowledge platform participants in CRIM-KT (Indonesia and Jordan)

  • Power dynamics among local stakeholders

  • Staff of knowledge platform falling ill (Bangladesh and Burundi)

  • Lack of government willingness to collaborate with nongovernmental organizations (Burundi)

  • Resistance of religious actors to address child marriage (Indonesia and Jordan)

  • Limited capacity of knowledge platform to produce research (Burundi)

  • Limited funding available from government and/or other stakeholders to financially support the implementation of activities proposed in local learning sessions (Burundi and Bangladesh)

  • Political context: e.g., elections and the office was closed in Burundi for some time

  • Language barriers: English level of Burundi staff hampered full participation in international learning sessions held in English

  • Abbreviation: CRIM-KT, Collaborative Rapid Improvement Model for Knowledge Translation.