Fig. 2

The dialogue to policy—web of influence. The dialogue to policy web of influence framework integrates elements of three frameworks from the published literature: the Boyko, 3-I framework and CFIR frameworks. The features needed for an effective policy dialogue and the capacities that can be developed through attending a policy dialogue (Boyko framework) are presented on the far left. Short-term individual and medium-term organizational capacities correspond to individual and organization inner setting factors identified in the CFIR framework shown immediately to the right. These capacities have the potential to influence the various stages of the policy cycle (agenda setting, formulation, implementation and evaluation) as they shape ideas of policy actors (policy-makers and other stakeholders) and their interests in light of institutional factors (the 3-I framework). The outcomes of policy processes pertain to the policy interventions at various stages of development across the cycle shown at the centre of the Venn diagram. The subthemes raised by study key informants are shown within each element of the conceptual framework and may link to other elements of the CFIR framework (e.g. external policy and incentives within institutions and patient needs and resources, cosmopolitanism and peer pressure within interests). The double arrow at the bottom underscores how engaging opinion and implementation leaders and external change agents during or in follow-up to a policy dialogue about the ideas discussed may support implementation processes of planning, reflecting and evaluation, consistent with CFIR. Similarly, the CFIR framework points to characteristics of policy interventions that influence their implementation and that can be part of the policy dialogue discussions