Status of national health research systems in ten countries of the WHO African Region
Status of national health research systems in ten countries of the WHO African Region
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DOI：
10.1186/1472-6963-6-135
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发表时间：
2006-10-19
影响因子：
2.8
通讯作者：
Wambebe, Charles
中科院分区：
文献类型：
--
作者：
Kirigia, Joses M.;Wambebe, Charles
背景：世界卫生组织(世卫组织)非洲区域委员会1998年通过了一项决议(AFR/RC48/R4)，敦促该区域成员国制定国家研究政策和战略，建设国家卫生研究能力，特别是通过分配资源、培训高级官员、加强研究机构和建立协调机制。本研究的目的是评估该区域各国用于卫生研究的国家资源的某些方面；找出当前国家卫生研究系统面临的制约因素；并提出前进的方向。方法：编制调查问卷，并通过世卫组织国家代表以邮袋形式发送给世卫组织非洲地区的所有46个成员国，以便提供便利和跟进。每个国家的卫生研究中心人员(在与该国其他相关卫生研究机构协商后)负责填写调查表。结果：主要调查结果如下：答复率为21.7%(10/46)；3个国家有卫生研究政策；1个国家报告有与卫生研究有关的法律；2个国家有战略卫生研究计划；3个国家报告有一个实用的国家卫生研究系统(NHRS)；2个国家确认存在一个实用的国家卫生研究管理论坛(NHRMF)；6个国家有一个实用的伦理审查委员会(ERC)；5个国家有一个科学审查委员会(SRC)；5个国家报告存在设有机构审查委员会(IRC)的卫生机构；2个国家有卫生研究方案；3个国家有国家卫生研究所(NHRI)和开展卫生研究的国立大学的卫生科学系。10个国家中有4个国家报告说，它们在卫生部预算文件中有卫生研究的预算项目。结论：非洲地区各国政府在发展伙伴、私营部门和民间社会的支持下，迫切需要通过制定卫生研究政策、战略计划、立法、方案和滚动计划来改善研究政策环境，相关部门、研究组织、社区、行业和捐赠者等所有利益攸关方都参与其中。总而言之，在世卫组织非洲地区国家发展高性能的国家卫生研究系统虽然是可选的，但仍是当务之急。这可能是摆脱当前健康不良和贫困恶性循环的唯一途径。
Background: The World Health Organization ( WHO) Regional Committee for Africa, in 1998, passed a resolution (AFR/RC48/ R4) which urged its Member States in the Region to develop national research policies and strategies and to build national health research capacities, particularly through resource allocation, training of senior officials, strengthening of research institutions and establishment of coordination mechanisms. The purpose of this study was to take stock of some aspects of national resources for health research in the countries of the Region; identify current constraints facing national health research systems; and propose the way forward.Methods: A questionnaire was prepared and sent by pouch to all the 46 Member States in the WHO African Region through the WHO Country Representatives for facilitation and follow up. The health research focal person in each of the countries Ministry of Health ( in consultation with other relevant health research bodies in the country) bore the responsibility for completing the questionnaire. The data were entered and analysed in Excel spreadsheet.Results: The key findings were as follows: the response rate was 21.7% (10/46); three countries had a health research policy; one country reported that it had a law relating to health research; two countries had a strategic health research plan; three countries reported that they had a functional national health research system (NHRS); two countries confirmed the existence of a functional national health research management forum (NHRMF); six countries had a functional ethical review committee (ERC); five countries had a scientific review committee ( SRC); five countries reported the existence of health institutions with institutional review committees (IRC); two countries had a health research programme; and three countries had a national health research institute (NHRI) and a faculty of health sciences in the national university that conducted health research. Four out of the ten countries reported that they had a budget line for health research in the Ministry of Health budget document.Conclusion: Governments of countries of the African Region, with the support of development partners, private sector and civil society, urgently need to improve the research policy environment by developing health research policies, strategic plans, legislations, programmes and rolling plans with the involvement of all stakeholders, e. g., relevant sectors, research organizations, communities, industry and donors.In a nutshell, development of high-performing national health research systems in the countries of the WHO African Region, though optional, is an imperative. It may be the only way of breaking free from the current vicious cycle of ill-health and poverty.