From Practice to Purpose: Embedding Knowledge Translation in Health System Design

Abstract

The pursuit of universal health coverage (UHC) in Cambodia requires more than expanded access; it demands the ethical, contextual, and sustainable application of knowledge. This commentary argues that knowledge translation  (KT), the dynamic process of adapting research into practice, policy, and education, is essential for bridging the “know–do gap” that too often delays life-saving interventions. In low-resource contexts, failure stems not from a lack of capacity, but from the misalignment of global evidence with local realities. Drawing on regional examples from Cambodia, Myanmar, the Philippines, and beyond, we illustrate how co-design, cultural safety, and reciprocity can transform evidence into action. We highlight structural barriers, including limited information access, hierarchical professional cultures, and historical distrust, and propose strategies for sustainable KT. This includes localizing evidence, building workforce capacity, fostering equitable partnerships, leveraging digital tools, embedding inquiry, and tailoring communication. By positioning KT as a central pillar of health system strengthening, Cambodia can move from importing solutions to cultivating locally grounded approaches, making UHC both achievable and equitable.