Developing a national health research system: participatory approaches to legislative, institutional and networking dimensions in Zambia.

Developing a national health research system: participatory approaches to legislative, institutional and networking dimensions in Zambia.
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DOI:
10.1186/1478-4505-10-17
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发表时间:
2012-06-06
影响因子:
4
通讯作者:
Zarowsky C
Zarowsky C
中科院分区:
医学2区
文献类型:
--
作者:
Chanda-Kapata P;Campbell S;Zarowsky C

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对于许多撒哈拉以南非洲国家来说,国家卫生研究系统更多地是理论上而不是现实中存在的,卫生系统本身获得了大部分投资。然而,这种对NHRS发展的不重视实际上会阻碍卫生系统实现其预期目标。在这个案例研究中,我们讨论了赞比亚的NHRS的持续发展。我们反思我们在赞比亚国家人权系统正在进行的协商发展中的经验,并将这种反思和过程文件提供给在其他环境中参与类似举措的人。我们认为,在资源有限的情况下,同时开展的三项活动对发展国家人权系统至关重要:制定一个立法框架,以确定和界定该系统的边界和所有参与者在其中发挥的作用;建立或加强一个能够为该系统提供协调、管理和指导的机构;重点是在机构和个人之间建立网络,以协调、统一和加强研究界的总体能力。
For many sub-Saharan African countries, a National Health Research System (NHRS) exists more in theory than in reality, with the health system itself receiving the majority of investments. However, this lack of attention to NHRS development can, in fact, frustrate health systems in achieving their desired goals. In this case study, we discuss the ongoing development of Zambia’s NHRS. We reflect on our experience in the ongoing consultative development of Zambia’s NHRS and offer this reflection and process documentation to those engaged in similar initiatives in other settings. We argue that three streams of concurrent activity are critical in developing an NHRS in a resource-constrained setting: developing a legislative framework to determine and define the system’s boundaries and the roles all actors will play within it; creating or strengthening an institution capable of providing coordination, management and guidance to the system; and focusing on networking among institutions and individuals to harmonize, unify and strengthen the overall capacities of the research community.
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