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Health Research Policy and Systems

Séverine Erismann, Sibel Gürler, Verena Wieland, Helen Prytherch, Nino Künzli, Jürg Utzinger, Bernadette Peterhans
BACKGROUND: Fragility can have a negative effect on health systems and people's health, and poses considerable challenges for actors implementing health programmes. However, how such programmes, in turn, affect the overall fragility of a context is rarely considered. The Swiss Red Cross has been active in South Sudan and Haiti since 2008 and 2011, respectively, and commissioned a scoping study to shed new light on this issue within the frame of a learning process launched in 2015. METHODS: The study consisted of a document review, qualitative field research undertaken between June and August 2015 in South Sudan and Haiti, and two data triangulation/validation workshops...
February 14, 2019: Health Research Policy and Systems
Thompson G Robinson, Xia Wang, Alice C Durham, Gary A Ford, Joy Liao, Sine Littlewood, Christine Roffe, Philip White, John Chalmers, Craig S Anderson
BACKGROUND: The English National Institute for Health Research Clinical Research Network first established Hyperacute Stroke Research Centres (HSRCs) in 2010 to support multicentre hyperacute (< 9 h) and complex stroke research. We assessed the impact of this investment on research performance and patient outcomes in a post-hoc analysis of country-specific data from a large multicentre clinical trial. METHODS: Comparisons of baseline, outcome and trial metric data were made for participants recruited to the alteplase-dose arm of the international Enhanced Control of Hypertension and Thrombolysis Stroke study (ENCHANTED) at National Institute for Health Research Clinical Research Network HSRCs and non-HSRCs between June 2012 and October 2015...
February 13, 2019: Health Research Policy and Systems
Waleed M Sweileh
BACKGROUND: Worldwide, natural disasters have caused a large number of deaths and considerable morbidity. Nevertheless, limited information is available on how the health-related literature on natural disasters has evolved. The current study aims to assess the growth and pattern of health-related literature on natural disasters. METHOD: A bibliometric method was implemented using Scopus database for the period from 1900 to 2017. Keywords used in the search strategy were obtained from the classifications of natural disasters presented by the Centre for Research on the Epidemiology of Disasters...
February 11, 2019: Health Research Policy and Systems
Amanda Edwards, Virginia Zweigenthal, Jill Olivier
BACKGROUND: The need for research-based knowledge to inform health policy formulation and implementation is a chronic global concern impacting health systems functioning and impeding the provision of quality healthcare for all. This paper provides a systematic overview of the literature on knowledge translation (KT) strategies employed by health system researchers and policy-makers in African countries. METHODS: Evidence mapping methodology was adapted from the social and health sciences literature and used to generate a schema of KT strategies, outcomes, facilitators and barriers...
February 7, 2019: Health Research Policy and Systems
Colene Bentley, Stuart Peacock, Julia Abelson, Michael M Burgess, Olivier Demers-Payette, Holly Longstaff, Laura Tripp, John N Lavis, Michael G Wilson
BACKGROUND: Health system expenditure on cancer drugs is rising rapidly in many OECD countries given the costly new treatments and increased rates of use due to a growing and ageing population. These factors put considerable strain on the sustainability of health systems worldwide, sparking public debate among clinicians, pharmaceutical companies, policy-makers and citizens on issues of affordability and equity. We engaged Canadians through a series of deliberative public engagement events to determine their priorities for making cancer drug funding decisions fair and sustainable in Canada's publicly financed health system...
February 7, 2019: Health Research Policy and Systems
Joy Mauti, Lara Gautier, Jan-Walter De Neve, Claudia Beiersmann, Jale Tosun, Albrecht Jahn
BACKGROUND: Health in All Policies (HiAP) is an intersectoral approach that facilitates decision-making among policy-makers to maximise positive health impacts of other public policies. Kenya, as a member of WHO, has committed to adopting HiAP, which has been included in the Kenya Health Policy for the period 2014-2030. This study aims to assess the extent to which this commitment is being translated into the process of governmental policy-making and supported by international development partners as well as non-state actors...
February 6, 2019: Health Research Policy and Systems
Connie Hoe, Daniela C Rodriguez, Yeşim Üzümcüoğlu, Adnan A Hyder
BACKGROUND: Tobacco use and road traffic injuries are major public health problems in Turkey. During the last decade, the former issue received political priority in the country, while the latter did not despite the immense health and economic burden that road traffic injuries pose on the Turkish population. Political priority can facilitate the attainment of public health goals. Unfortunately, however, limited cross-case analyses exist to help us understand why it emerges for certain public health issues but fails to develop for others in low- and middle-income countries...
February 6, 2019: Health Research Policy and Systems
Anna Williamson, Daniel Barker, Sally Green, Catherine D'Este, Huw T O Davies, Louisa Jorm, Anthony Shakeshaft, Sian Rudge, Sally Redman
BACKGROUND: This paper describes the trial of a novel intervention, Supporting Policy In health with evidence from Research: an Intervention Trial (SPIRIT). It examines (1) the feasibility of delivering this kind of programme in practice; (2) its acceptability to participants; (3) the impact of the programme on the capacity of policy agencies to engage with research; and (4) the engagement with and use of research by policy agencies. METHODS: SPIRIT was a multifaceted, highly tailored, stepped-wedge, cluster-randomised, trial involving six health policy agencies in Sydney, Australia...
February 6, 2019: Health Research Policy and Systems
Pankti Motani, Anais Van de Walle, Richmond Aryeetey, Roosmarijn Verstraeten
BACKGROUND: Evidence-informed Decision-making in Nutrition and Health (EVIDENT) is an international partnership that seeks to identify information needs in nutrition and health in Africa and build local capacity in knowledge management to help translate the best available evidence into context-appropriate recommendations aligned to the priorities of decision-makers. This study evaluates the extent to which EVIDENT achieved its intended activities, documents the lessons learned and draws on these lessons learned to inform future activities of EVIDENT, as well as in evidence-informed decision-making (EIDM) in nutrition overall...
January 31, 2019: Health Research Policy and Systems
Ntuli A Kapologwe, Albino Kalolo, Stephen M Kibusi, Zainab Chaula, Anna Nswilla, Thomas Teuscher, Kyaw Aung, Josephine Borghi
BACKGROUND: Globally, good health system performance has resulted from continuous reform, including adaptation of Decentralisation by Devolution policies, for example, the Direct Health Facility Financing (DHFF). Generally, the role of decentralisation in the health sector is to improve efficiency, to foster innovations and to improve quality, patient experience and accountability. However, such improvements have not been well realised in most low- and middle-income countries, with the main reason cited being the poor mechanism for disbursement of funds, which remain largely centralised...
January 30, 2019: Health Research Policy and Systems
Laurel D Edmunds, Silvia Gluderer, Pavel V Ovseiko, Roel Kamerling, Jacqueline Ton, Laura Vis, Mario Jenni, Gregory Tutton, Helen Lawton-Smith, Márta Völgyiné Nadabán, Máté Rab, Jon Rees, John Anson, Alexander D Rushforth, Maxine Allen, Alastair M Buchan, Montserrat Vendrell, Alex Casta, Gábor Mehes, Pancras C W Hogendoorn, Ernst Hafen, A Bassim Hassan
BACKGROUND: While the European Union is striving to become the 'Innovation Union', there remains a lack of quantifiable indicators to compare and benchmark regional innovation clusters. To address this issue, a HealthTIES (Healthcare, Technology and Innovation for Economic Success) consortium was funded by the European Union's Regions of Knowledge initiative, research and innovation funding programme FP7. HealthTIES examined whether the health technology innovation cycle was functioning differently in five European regional innovation clusters and proposed regional and joint actions to improve their performance...
January 28, 2019: Health Research Policy and Systems
Sophie Witter, Ian Anderson, Peter Annear, Abiodun Awosusi, Nitin N Bhandari, Nouria Brikci, Blandine Binachon, Tata Chanturidze, Katherine Gilbert, Charity Jensen, Tomas Lievens, Barbara McPake, Snehashish Raichowdhury, Alex Jones
BACKGROUND: All health systems struggle to meet health needs within constrained resources. This is especially true for low-income countries. It is critical that they can learn from wider contexts in order to improve their performance. This article examines policy transfer and evidence use linked to it in low- and middle-income settings. The objective was to inform international investments in improved learning across health systems. METHODS: The article uses a comparative case study design, drawing on case studies conducted in Bangladesh, Burkina Faso, Cambodia, Ethiopia, Georgia, Nepal, Rwanda and Solomon Islands...
January 21, 2019: Health Research Policy and Systems
David Roger Walugembe, Shannon Sibbald, Marlene Janzen Le Ber, Anita Kothari
The current scholarly focus on implementation science is meant to ensure that public health interventions are effectively embedded in their settings. Part of this conversation includes understanding how to support the sustainability of beneficial interventions so that limited resources are maximised, long-term public health outcomes are realised, community support is not lost, and ethical research standards are maintained. However, the concept of sustainability is confusing because of variations in terminology and a lack of agreed upon measurement frameworks, as well as methodological challenges...
January 15, 2019: Health Research Policy and Systems
Tulani Francis L Matenga, Joseph Mumba Zulu, J Hope Corbin, Oliver Mweemba
BACKGROUND: The late 1990s and early 2000s have seen a growth in north-south health research partnerships resulting from scientific developments such as those in genetic studies and development of statistical techniques and technological requirements for the analysis of large datasets. Despite these efforts, there is inadequate information representing the voice of African researchers as stakeholders experiencing partnership arrangements, particularly in Zambia. Furthermore, very little attention has been paid to capturing the practice of guidelines within partnerships...
January 15, 2019: Health Research Policy and Systems
Mireya Martínez-García, Maite Vallejo, Enrique Hernández-Lemus, Jorge Alberto Álvarez-Díaz
BACKGROUND: Currently, thanks to the growing number of public database resources, most evidence on planning and management, healthcare institutions, policies and practices is becoming available to everyone. However, one of the limitations for the advancement of data and literature-driven research has been the lack of flexibility of the methodological resources used in qualitative research. There is a need to incorporate friendly, cheaper and faster tools for the systematic, unbiased analysis of large data corpora, in particular regarding the qualitative aspects of the information (often overlooked)...
January 14, 2019: Health Research Policy and Systems
Cassandra J C Wright, Joanna Schwarzman, Paul M Dietze, Belinda Crockett, Megan S C Lim
BACKGROUND: Newer technologies, such as smartphones and social networking sites, offer new opportunities for health promotion interventions. There is evidence to show that these technologies can be effectively and acceptably used for health promotion activities. However, most interventions produced in research do not end up benefitting non-research populations, while the majority of technology-facilitated interventions which are available outside of research settings are either undocumented or have limited or no evidence to support any benefit...
January 10, 2019: Health Research Policy and Systems
Harvy Joy Liwanag, Kaspar Wyss
BACKGROUND: Several studies on decentralisation have used the 'decision space' approach to assess the breadth of space made available to decision-makers at lower levels of the health system. However, in order to better understand how decentralisation becomes effective for the health sector, analysis should go beyond assessing decision space and include the dimensions of capacity and accountability. Building on Bossert's earlier work on the synergy of these dimensions, we analysed decision-making in the Philippines where governmental health services have been devolved to local governments since 1992...
January 10, 2019: Health Research Policy and Systems
Vanphanom Sychareun, Lucy Rowlands, Phoutsomphong Vilay, Jo Durham, Alison Morgan
BACKGROUND: Immunisation is a cost-effective and highly efficacious public health intervention, saving over 20 million lives in the last two decades due to decreases in childhood bacterial infections. In the Lao People's Democratic Republic, significant gaps in childhood immunisation coverage rates remain, which are a cause for concern and a barrier to the country reaching its Sustainable Development Goal targets for child health. Efforts to increase coverage have had limited success, with widening inequities being observed between urban and remote and rural areas...
January 9, 2019: Health Research Policy and Systems
Masoud Behzadifar, Nicola Luigi Bragazzi, Morteza Arab-Zozani, Ahad Bakhtiari, Meysam Behzadifar, Tina Beyranvand, Negar Yousefzadeh, Samad Azari, Haniye Sadat Sajadi, Mandana Saki, Maryam Saran, Hasan Abolghasem Gorji
BACKGROUND: Policy- and decision-makers seek to improve the quality of care in the health sector and therefore aim to improve quality through appropriate policies. Higher quality of care will satisfy service providers and the public, reduce costs, increase productivity, and lead to better organisational performance. Clinical governance is a method through which management can be improved and made more accountable, and leads to the provision of better quality of care. In November 2009, the Iranian Ministry of Health and Medical Education implemented new clinical guidelines to standardise and improve clinical services as well as to increase efficiency and reduce costs...
January 9, 2019: Health Research Policy and Systems
Alex R Dopp, Kathryn E Parisi, Sean A Munson, Aaron R Lyon
BACKGROUND: Innovative approaches are needed to maximise the uptake and sustainment of evidence-based practices in a variety of health service contexts. This protocol describes a study that will seek to characterise the potential of one such approach, user-centred design (UCD), which is an emerging field that seeks to ground the design of an innovation in information about the people who will ultimately use that innovation. The use of UCD to enhance strategies for implementation of health services, although promising, requires a multidisciplinary perspective based on a firm understanding of how experts from each discipline perceives the interrelatedness and suitability of these strategies...
January 8, 2019: Health Research Policy and Systems
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