Health research knowledge translation into policy in Zambia: policy-maker and researcher perspectives.

Health research knowledge translation into policy in Zambia: policy-maker and researcher perspectives.
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DOI:
10.1186/s12961-020-00650-5
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发表时间:
2021-03-24
影响因子:
4
通讯作者:
Silumbwe A
Silumbwe A
中科院分区:
医学2区
文献类型:
--
作者:
Malama A;Zulu JM;Nzala S;Kombe MM;Silumbwe A

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将公共卫生研究证据转化为政策对于加强地方卫生系统应对重大卫生挑战的能力至关重要。然而,由于各种因素,在发展中国家产生的有限数量的公共卫生研究证据实际上被转化为政策。这项研究试图探索将卫生研究知识转化为政策的过程,并找出促进或阻碍赞比亚这一过程的因素。这项工作是一项探索性的定性研究,分为两个阶段。首先,对卫生政策和管理研究的战略框架进行了文件审查,以了解赞比亚知识转化的宏观环境。其次,对负责卫生研究和政策制定的人员进行了关键信息提供人的访谈。这项研究采访了15名关键的线人,并采用了专题分析的方法。文件审查表明,已作出政策努力,通过改善研究宏观环境来促进知识转化。然而,访谈表明,由于缺乏研究知识转化能力、资源有限和缺乏知识中心,知识创造、翻译和决策过程的协调和联系仍然是一项挑战。新出现的地方研究领导地位和现有的未得到充分利用的地方卫生研究数据的储存,为加强知识转化,为赞比亚的政策进程提供了机会。在赞比亚,将公共卫生研究知识转化为政策仍然是一项挑战。为了在政策制定中加强对研究证据的吸收,这项研究建议需要改善卫生研究人员和政策制定者在知识转化过程中的协调、资金和能力建设。
The translation of public health research evidence into policy is critical to strengthening the capacity of local health systems to respond to major health challenges. However, a limited amount of public health research evidence generated in developing countries is actually translated into policy because of various factors. This study sought to explore the process of health research knowledge translation into policy and to identify factors that facilitate or hinder the process in Zambia. This work was an exploratory qualitative study comprising two phases. Firstly, a document review of health policies and strategic frameworks governing research was undertaken to understand the macro-environment for knowledge translation in Zambia. Secondly, key informant interviews were conducted with those responsible for health research and policy formulation. The study interviewed 15 key informants and a thematic analysis approach was used. The document review showed that there are policy efforts to promote knowledge translation through improvement of the research macro-environment. However, the interviews showed that coordination and linkage of the knowledge creation, translation and policy-making processes remains a challenge owing to lack of research knowledge translation capacity, limited resources and lack of knowledge hubs. Emerging local research leadership and the availability of existing stock of underutilized local health research data provide an opportunity to enhance knowledge translation to feed into policy processes in Zambia. Public health research knowledge translation into policy remains a challenge in Zambia. To enhance the uptake of research evidence in policy-making, this study suggests the need for improved coordination, financing and capacity-building in knowledge translation processes for both health researchers and policy-makers.
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