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Health Research Policy and Systems

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https://www.readbyqxmd.com/read/28784177/setting-strategy-for-system-change-using-concept-mapping-to-prioritise-national-action-for-chronic-disease-prevention
#1
Sonia Wutzke, Nick Roberts, Cameron Willis, Allan Best, Andrew Wilson, William Trochim
BACKGROUND: Chronic diseases are a serious and urgent problem, requiring at-scale, multi-component, multi-stakeholder action and cooperation. Despite numerous national frameworks and agenda-setting documents to coordinate prevention efforts, Australia, like many countries internationally, is yet to substantively impact the burden from chronic disease. Improved evidence on effective strategies for the prevention of chronic disease is required. This research sought to articulate a priority set of important and feasible action domains to inform future discussion and debate regarding priority areas for chronic disease prevention policy and strategy...
August 8, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28778208/assessing-service-use-for-mental-health-by-indigenous-populations-in-australia-canada-new-zealand-and-the-united-states-of-america-a-rapid-review-of-population-surveys
#2
Cecily McIntyre, Meredith G Harris, Amanda J Baxter, Stuart Leske, Sandra Diminic, Joseph P Gone, Ernest Hunter, Harvey Whiteford
BACKGROUND: Indigenous people in Australia, Canada, New Zealand and the United States of America experience disproportionately poor mental health compared to their non-Indigenous counterparts. To optimally allocate resources, health planners require information about the services Indigenous people use for mental health, their unmet treatment needs and the barriers to care. We reviewed population surveys of Indigenous people to determine whether the information needed to guide service development is being collected...
August 4, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28778204/validity-and-reliability-of-the-evidence-utilisation-in-policymaking-measurement-tool-eupmt
#3
M H Imani-Nasab, B Yazdizadeh, M Salehi, H Seyedin, R Majdzadeh
BACKGROUND: As a well-known theory in studying the effective factors on behaviour, the theory of planned behaviour (TPB) is frequently used in evaluating the health behaviour of people and healthcare providers, but rarely applied in studying the behaviour of health policymakers. The aim of the present study is to design and validate a TPB-based measurement tool for evidence utilisation in health policymaking (the EUPMT) through a mixed approach using confirmatory factor analysis. METHODS: The study population consisted of all the specialised units and their employees in the five deputies of Iran's Ministry of Health and Medical Education in 2013...
August 4, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28764787/assessing-the-capacity-of-ministries-of-health-to-use-research-in-decision-making-conceptual-framework-and-tool
#4
Daniela C Rodríguez, Connie Hoe, Elina M Dale, M Hafizur Rahman, Sadika Akhter, Assad Hafeez, Wayne Irava, Preety Rajbangshi, Tamlyn Roman, Marcela Ţîrdea, Rouham Yamout, David H Peters
BACKGROUND: The capacity to demand and use research is critical for governments if they are to develop policies that are informed by evidence. Existing tools designed to assess how government officials use evidence in decision-making have significant limitations for low- and middle-income countries (LMICs); they are rarely tested in LMICs and focus only on individual capacity. This paper introduces an instrument that was developed to assess Ministry of Health (MoH) capacity to demand and use research evidence for decision-making, which was tested for reliability and validity in eight LMICs (Bangladesh, Fiji, India, Lebanon, Moldova, Pakistan, South Africa, Zambia)...
August 1, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28754165/increasing-health-policy-and-systems-research-capacity-in-low-and-middle-income-countries-results-from-a-bibliometric-analysis
#5
Krista M English, Babak Pourbohloul
BACKGROUND: For 20 years, substantial effort has been devoted to catalyse health policy and systems research (HPSR) to support vulnerable populations and resource-constrained regions through increased funding, institutional capacity-building and knowledge production; yet, participation from low- and middle-income countries (LMICs) is underrepresented in HPSR knowledge production. METHODS: A bibliometric analysis of HPSR literature was conducted using a high-level keyword search...
July 28, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28750670/the-experience-of-a-nationwide-community-of-practice-to-set-up-regional-prevention-plans-in-italy
#6
Angela Giusti, Alberto Perra, Flavia Lombardo
BACKGROUND: In 2010, the Italian Ministry of Health decided to start the planning process to elaborate the National Plan of Prevention 2010-2012 jointly with the 21 Regions. The National Institute of Health was responsible for supporting regional planners (RPs) by an original participatory approach of a web-based Community of Practice (CoP) to set up their own Regional Plans of Prevention. In this paper, we summarise the theoretical framework adopted, the main phases characterising the lifecycle of the nationwide CoP, the evaluation approach adopted and its findings...
July 27, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28716143/the-factors-affecting-the-institutionalisation-of-two-policy-units-in-burkina-faso-s-health-system-a-case-study
#7
Andre Zida, John N Lavis, Nelson K Sewankambo, Bocar Kouyate, Kaelan Moat
BACKGROUND: This paper is one of three linked studies that attempts to understand the process of institutionalisation of policy units within Burkina Faso's health system. It examines the relationships between the existence of an institutional framework, data production capacity and other resource availability in the institutionalisation of policy units in health systems. It therefore contributes to our understanding of the dynamics linking the key drivers and indicators of institutionalisation...
July 17, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722563/the-west-african-experience-in-establishing-steering-committees-for-better-collaboration-between-researchers-and-decision-makers-to-increase-the-use-of-health-research-findings
#8
Namoudou Keita, Virgil Lokossou, Abdramane Berthe, Issiaka Sombie, Ermel Johnson, Kofi Busia
BACKGROUND: Aware of the advantages of a project steering committee (SC) in terms of influencing the development of evidence-based health policies, the West African Health Organisation (WAHO) encouraged and supported the creation of such SCs around four research projects in four countries (Burkina Faso, Nigeria, Senegal and Sierra Leone). This study was conducted to describe the process that was used to establish these committees and its findings aim to assist other stakeholders in initiating this type of process...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722561/the-quality-of-free-antenatal-and-delivery-services-in-northern-sierra-leone
#9
Manso M Koroma, Samuel S Kamara, Evelyn A Bangura, Mohamed A Kamara, Virgil Lokossou, Namoudou Keita
BACKGROUND: The number of maternal deaths in sub-Saharan Africa continues to be overwhelmingly high. In West Africa, Sierra Leone leads the list, with the highest maternal mortality ratio. In 2010, financial barriers were removed as an incentive for more women to use available antenatal, delivery and postnatal services. Few published studies have examined the quality of free antenatal services and access to emergency obstetric care in Sierra Leone. METHODS: A cross-sectional survey was conducted in 2014 in all 97 peripheral health facilities and three hospitals in Bombali District, Northern Region...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722559/free-versus-subsidised-healthcare-options-for-fee-exemptions-access-to-care-for-vulnerable-groups-and-effects-on-the-health-system-in-burkina-faso
#10
Maurice Yaogo
BACKGROUND: The many forms of healthcare fee exemptions implemented in Burkina Faso since the 2000s have varied between total exemption (free) and cost subsidisation. This article examines both options, their contextual variations and the ways in which they affect access to healthcare for vulnerable people as well as the operation of the health system. This research is part of an interdisciplinary regional program on the elimination of user fees for health services in West Africa (Burkina Faso, Mali and Niger)...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722558/situating-mobile-health-a-qualitative-study-of-mhealth-expectations-in-the-rural-health-district-of-nouna-burkina-faso
#11
Vincent Duclos, Maurice Yé, Kagoné Moubassira, Hamidou Sanou, N Hélène Sawadogo, Gilles Bibeau, Ali Sié
BACKGROUND: The implementation of mobile health (mHealth) projects in low- and middle-income countries raises high and well-documented expectations among development agencies, policymakers and researchers. By contrast, the expectations of direct and indirect mHealth users are not often examined. In preparation for a proposed intervention in the Nouna Health District, in rural Burkina Faso, this study investigates the expected benefits, challenges and limitations associated with mHealth, approaching these expectations as a form of situated knowledge, inseparable from local conditions, practices and experiences...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722556/spanning-maternal-newborn-and-child-health-mnch-and-health-systems-research-boundaries-conducive-and-limiting-health-systems-factors-to-improving-mnch-outcomes-in-west-africa
#12
Irene Akua Agyepong, Aku Kwamie, Edith Frimpong, Selina Defor, Abdallah Ibrahim, Genevieve C Aryeetey, Virgil Lokossou, Issiaka Sombie
BACKGROUND: Despite improvements over time, West Africa lags behind global as well as sub-Saharan averages in its maternal, newborn and child health (MNCH) outcomes. This is despite the availability of an increasing body of knowledge on interventions that improve such outcomes. Beyond our knowledge of what interventions work, insights are needed on others factors that facilitate or inhibit MNCH outcome improvement. This study aimed to explore health system factors conducive or limiting to MNCH policy and programme implementation and outcomes in West Africa, and how and why they work in context...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722555/understanding-the-state-of-health-policy-and-systems-research-in-west-africa-and-capacity-strengthening-needs-scoping-of-peer-reviewed-publications-trends-and-patterns-1990-2015
#13
Selina Defor, Aku Kwamie, Irene Akua Agyepong
BACKGROUND: The need for locally-driven, locally-generated evidence to guide health policy and systems decision-making and implementation in West Africa remains urgent. Thus, health policy and systems research (HPSR) is a field with great potential for addressing many of the sub-region's intransigent health challenges. This paper presents an analysis of trends and patterns of peer-reviewed HPSR publications across the Economic Community of West African States (ECOWAS), to help understand trends and patterns of HPSR publication and the degree of involvement of West African researchers in HPSR evidence generation in the sub-region...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722554/improving-maternal-and-child-health-policymaking-processes-in-nigeria-an-assessment-of-policymakers-needs-barriers-and-facilitators-of-evidence-informed-policymaking
#14
Chigozie J Uneke, Issiaka Sombie, Namoudou Keita, Virgil Lokossou, Ermel Johnson, Pierre Ongolo-Zogo
BACKGROUND: In Nigeria, interest in the evidence-to-policy process is gaining momentum among policymakers involved in maternal, newborn and child health (MNCH). However, numerous gaps exist among policymakers on use of research evidence in policymaking. The objective of this study was to assess the perception of MNCH policymakers regarding their needs and the barriers and facilitators to use of research evidence in policymaking in Nigeria. METHODS: The study design was a cross-sectional assessment of perceptions undertaken during a national MNCH stakeholders' engagement event convened in Abuja, Nigeria...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722553/travelling-models-and-the-challenge-of-pragmatic-contexts-and-practical-norms-the-case-of-maternal-health
#15
REVIEW
Jean-Pierre Olivier de Sardan, Aïssa Diarra, Mahaman Moha
As in other areas of international development, we are witnessing the proliferation of 'traveling models' developed by international experts and introduced in an almost identical format across numerous countries to improve some aspect of maternal health systems in low- and middle-income countries. These policies and protocols are based on 'miracle mechanisms' that have been taken out of their original context but are believed to be intrinsically effective in light of their operational devices.In reality, standardised interventions are, in Africa and elsewhere, confronted with pragmatic implementation contexts that are always varied and specific, and which lead to drifts, distortions, dismemberments and bypasses...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722552/evaluation-of-regional-project-to-strengthen-national-health-research-systems-in-four-countries-in-west-africa-lessons-learned
#16
Issiaka Sombié, Jude Aidam, Gabriela Montorzi
BACKGROUND: Since the Commission on Health Research for Development (COHRED) published its flagship report, more attention has been focused on strengthening national health research systems (NHRS). This paper evaluates the contribution of a regional project that used a participatory approach to strengthen NHRS in four post-conflict West African countries - Guinea-Bissau, Liberia, Sierra Leone and Mali. METHODS: The data from the situation analysis conducted at the start of the project was compared to data from the project's final evaluation, using a hybrid conceptual framework built around four key areas identified through the analysis of existing frameworks...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722551/promoting-research-to-improve-maternal-neonatal-infant-and-adolescent-health-in-west-africa-the-role-of-the-west-african-health-organisation
#17
Issiaka Sombie, Aissa Bouwayé, Yves Mongbo, Namoudou Keita, Virgil Lokossou, Ermel Johnson, Laurent Assogba, Xavier Crespin
West Africa has adopted numerous strategies to counter maternal and infant mortality, provides national maternal and infant health programmes, and hosts many active technical and financial partners and non-governmental organisations. Despite this, maternal and infant morbidity and mortality indicators are still very high. In this commentary, internal actors and officials of the West African Health Organisation (WAHO) examine the regional organisation's role in promoting research as a tool for strengthening maternal and infant health in West Africa...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28722548/the-change-makers-of-west-africa
#18
EDITORIAL
Sue Godt, Sharmila Mhatre, Anne-Marie Schryer-Roy
West Africa was the focus of global attention during the Ebola virus disease outbreak, when systemic health system weaknesses compounded a serious emergency and complicated response efforts. Following the crisis, calls were made to strengthen health systems, but investments to date have fallen short of delivering the support needed to build strong health systems able to prevent and manage future outbreaks.In part, this reality serves to highlight the shortcomings of the solutions being repeatedly prioritised by external funders and experts, solutions that often fail to consider the wealth of West African evidence and actors actively working to strengthen the leadership and health systems needed to drive and sustainably improve national health outcomes...
July 12, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28697777/enhancing-the-use-of-research-in-health-promoting-anti-racism-policy
#19
Angeline S Ferdinand, Yin Paradies, Margaret Kelaher
BACKGROUND: The Localities Embracing and Accepting Diversity (LEAD) programme was established to improve the health of ethnic minority communities through the reduction of racial discrimination. Local governments in the state of Victoria, Australia, were at the forefront of LEAD implementation in collaboration with leading state and national organisations. Key aims included expanding the available evidence regarding effective anti-racism interventions and facilitating the uptake of this evidence in organisational policies and practices...
July 11, 2017: Health Research Policy and Systems
https://www.readbyqxmd.com/read/28659155/building-capacity-for-information-and-communication-technology-use-in-global-health-research-and-training-in-china-a-qualitative-study-among-chinese-health-sciences-faculty-members
#20
Jie Wang, Abu S Abdullah, Zhenyu Ma, Hua Fu, Kaiyong Huang, Hongping Yu, Jiaji Wang, Le Cai, Huimin He, Jian Xiao, Lisa Quintiliani, Robert H Friedman, Li Yang
BACKGROUND: The demand to use information and communications technology (ICT) in education and research has grown fast among researchers and educators working in global health. However, access to ICT resources and the capacity to use them in global health research remains limited among developing country faculty members. In order to address the global health needs and to design an ICT-related training course, we herein explored the Chinese health science faculty members' perceptions and learning needs for ICT use...
June 28, 2017: Health Research Policy and Systems
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