Institutional capacity for health systems research in East and Central African Schools of Public Health: strengthening human and financial resources

详细信息    查看全文

• 作者：Daudi Simba ; Aggrey Mukose ; William Bazeyo
• 关键词：Capacity strengthening ; Health systems research ; Low ; income countries
• 刊名：Health Research Policy and Systems
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：12
• 期：1
• 全文大小：266 KB
• 参考文献：Everybody’s Business: Strengthening Health Systems to Improve Health Outcomes—WHO’s Framework for Action. WHO, Geneva
  1. Zachariah, R, Reid, T, Srinath, S, Chakaya, J, Legins, K, Karunakara, U, Harries, AD (2011) Building leadership capacity and future leaders in operational research in low-income countries: why and how?. Int J Tuberc Lung Dis 15: pp. 1426-1436 CrossRef
  2. Travis, P, Bennett, S, Haines, A, Pang, T, Bhutta, Z, Hyder, AA, Pielemeier, NR, Mills, A, Evans, T (2004) Overcoming health-systems constraints to achieve the Millennium Development Goals. Lancet 364: pp. 900-906 CrossRef
  3. Haines, A, Cassels, A (2004) Can the millennium development goals be attained?. BMJ 329: pp. 394-397 CrossRef
  The Mexico Statement on Health Research. Knowledge for Better Health: Strengthening Health Systems. WHO, Geneva
  4. Bennett S, Paina L, Kim C, Agyepong I, Chunharas S, McIntyre D, Nachuk S: / What Must be Done to Enhance Capacity for Health Systems Research?Background paper for the First Global Symposium on Health Systems Research, 16-9th November 2010, Montreux, Switzerland. http://www.rockefellerfoundation.org/uploads/files/c4ccb675-f6f8-47de-8552-e032d4c3fc20.pdf.
  5. Sanders, D, Haines, A (2006) Implementation research is needed to achieve international health goals. PLoS Med 3: pp. e186 CrossRef
  6. Nchinda, TC (2002) Research capacity strengthening in the South. SocSci Med 54: pp. 1699-1711 CrossRef
  7. Adam, T, Ahmad, S, Bigdeli, M, Ghaffar, A, R?ttingen, JA (2011) Trends in health policy and systems research over the past decade: still too little capacity in low-income countries. PLoS One 6: pp. e27263 CrossRef
  8. Green, A, Bennett, S (2007) Sound Choices: Enhancing Capacity for Evidence-Informed Health Policy. WHO, Geneva
  9. Potter, C, Brough, R (2004) Systemic capacity building: a hierarchy of needs. Health Policy Plan 19: pp. 336-345 CrossRef
  10. Gonzalez Block, MA, Mills, A (2003) Assessing capacity for health policy and systems research in low and middle income countries. Health Res Policy Syst 1: pp. 1 CrossRef
  11. Future Health Systems: / Innovations for Equity. http://www.futurehealthsystems.org.
  12. Ayah, R, Jessani, N, Mafuta, E (2014) Institutional capacity for health systems research in East and Central African schools of public health: knowledge translation and effective communication. Health Res Policy Syst 12: pp. 20 CrossRef
  13. Nangami, M, Rugema, L, Tebeje, B, Mukose, A (2014) Institutional capacity for health systems research in East and Central African schools of public health: enhancing capacity to design and implement teaching programs. Health Res Policy Syst 12: pp. 22 CrossRef
  14. Jessani, N, Lewy, D, Ekirapa-Kiracho, E, Bennett, S (2014) Institutional capacity for health systems research in East and Central African schools of public health: experiences with a capacity assessment tool. Health Res Policy Syst 12: pp. 21 CrossRef
  15. Bennett, S, Adam, T, Zarowsky, C, Tangcharoensathien, V, Ranson, K, Evans, T, Mills, A, Agyepong, I, Hu, S, Lavis, J, Makubalo, L, Rannan-Eliya, R, Sanchez, D, Tomson, G (2008) From Mexico to Mali: progress in health policy and systems research. Lancet 372: pp. 1571-1578 CrossRef
  16. Bennett, S, Corluka, A (2010) Health Policy Analysis Institut
• 刊物主题：Health Administration; Social Policy; Quality of Life Research;
• 出版者：BioMed Central
• ISSN：1478-4505

文摘

Background Despite its importance in providing evidence for health-related policy and decision-making, an insufficient amount of health systems research (HSR) is conducted in low-income countries (LICs). Schools of public health (SPHs) are key stakeholders in HSR. This paper, one in a series of four, examines human and financial resources capacities, policies and organizational support for HSR in seven Africa Hub SPHs in East and Central Africa. Methods Capacity assessment done included document analysis to establish staff numbers, qualifications and publications; self-assessment using a tool developed to capture individual perceptions on the capacity for HSR and institutional dialogues. Key informant interviews (KIIs) were held with Deans from each SPH and Ministry of Health and non-governmental officials, focusing on perceptions on capacity of SPHs to engage in HSR, access to funding, and organizational support for HSR. Results A total of 123 people participated in the self-assessment and 73 KIIs were conducted. Except for the National University of Rwanda and the University of Nairobi SPH, most respondents expressed confidence in the adequacy of staffing levels and HSR-related skills at their SPH. However, most of the researchers operate at individual level with low outputs. The average number of HSR-related publications was only Rwanda, where there was little government funding. We also found that officials from the Ministries of Health often formulate policy based on data generated through ad hoc technical reviews and consultancies, despite their questionable quality. Conclusions There exists adequate skilled staff for HSR in the SPHs. However, HSR conducted by individuals, fuelled by Ministries-of Health tendency to engage individual researchers, undermines institutional capacity. This study underscores the need to form effective multidisciplinary teams to enhance research of immediate and local relevance. Capacity strengthening in the SPH needs to focus on knowledge translation and communication of findings to relevant audiences. Advocacy is needed to influence respective governments to allocate adequate funding for HSR to avoid donor dependency that distorts local research agenda.