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This article examines the dissemination and uptake of health research into policy and program delivery in four developing countries. In-depth interviews were conducted with health researchers, policymakers, and practitioners at both the local and national level.

The study highlights the similarities across the study countries in the barriers to effective dissemination and uptake of research results. A fundamental barrier to the uptake of research by decisionmakers is the lack of appreciation of the important contribution that research can make to policy and program development. A further barrier is researchers' lack of appropriate “packaging” of research findings that consider the needs of different policy audiences. Dissemination within academic circles also restricts access by decisionmakers and practitioners. Overcoming the barriers requires effort on behalf of researchers, decisionmakers, and donor agencies. The …