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institutionalization refers to establishing organizational structures mechanisms and processes that enables the legitimate and routine use of evidence uh to inform policymaking processes We Believe institutionalization of using evidence for decision making is a must to achieve universal health coverage and resilient health system in a sustain way we try to answer three key questions in a very brief way what are the current approaches to facilitate institutionalization at National level what can we learn from experiences positive or less so positive depending on the context the things that have been tried that have worked well or the things that have been difficult to implement and also see how the general government approaches to policy making affects an institutionalization in his area institutionalization for is a journey and in this journey you should expect back and forth movement it is not a straight line it is but you can say it is a flat ground you should expect not all