Implementation of a health policy advisory committee as a knowledge translation platform: the Nigeria experience

Implementation of a health policy advisory committee as a knowledge translation platform: the Nigeria experience
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DOI:
10.15171/ijhpm.2015.21
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发表时间:
2015-03-01
影响因子:
3.5
通讯作者:
Ezeonu, Chinonyelum Thecla
Ezeonu, Chinonyelum Thecla
中科院分区:
医学4区
文献类型:
--
作者:
Uneke, Chigozie Jesse;Ndukwe, Chinwendu Daniel;Ezeonu, Chinonyelum Thecla

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背景:近年来,国际上越来越多地要求卫生政策以可靠的研究证据为基础。因此,有必要加强能够促进研究人员、决策者和其他利益攸关方之间互动的机构和机制,因为他们能够影响研究成果的吸收。卫生政策咨询委员会就是这样一个机制,可以作为决策者和研究人员互动的一个极好论坛。因此,需要有一个长期的机制,使研究人员和政策制定者之间的定期互动,在现有的政府系统有必要我们实施一个新成立的HPAC在埃邦伊州尼日利亚,作为一个知识翻译(KT)平台。主要研究目标是提高HPAC的能力,并使其成员具备委员会有效促进循证决策和作为KT平台发挥作用所需的技能/能力。方法:开展了一系列能力建设项目和KT活动,包括:i)HPAC使用循证政策网络(EVIPNet)支持工具的能力建设; ㈡通过为期三个月的关于卫生政策/卫生系统和在埃邦伊州立大学阿巴卡利基的KT的行政人员培训方案,实施了HPAC的能力增强辅导方案; ㈢编写了关于改善尼日利亚埃邦伊州政府免费妇幼保健方案绩效的战略的政策简报;(四)根据政府免费妇幼保健方案的政策简报,主办多方利益攸关者政策对话。结果:研究结果表明,保健政策咨询委员会成员对证据与政策联系的认识有了显著提高;决策者和研究人员之间的相互不信任得到消除;卫生部对HPAC重要性的认识也有所提高。这项研究的结果表明,HPAC可以作为一个KT平台,并可以引入一个新的层面,促进卫生部运作中的证据与政策联系,并可作为弥合研究与政策之间差距的良好平台。
Background: In recent times, there has been a growing demand internationally for health policies to be based on reliable research evidence. Consequently, there is a need to strengthen institutions and mechanisms that can promote interactions among researchers, policy-makers and other stakeholders who can influence the uptake of research findings. The Health Policy Advisory Committee (HPAC) is one of such mechanisms that can serve as an excellent forum for the interaction of policy-makers and researchers. Therefore, the need to have a long term mechanism that allows for periodic interactions between researchers and policy-makers within the existing government system necessitated our implementation of a newly established HPAC in Ebonyi State Nigeria, as a Knowledge Translation (KT) platform. The key study objective was to enhance the capacity of the HPAC and equip its members with the skills/competence required for the committee to effectively promote evidence informed policy-making and function as a KT platform.Methods: A series of capacity building programmes and KT activities were undertaken including: i) Capacity building of the HPAC using Evidence-to-Policy Network (EVIPNet) SUPPORT tools; ii) Capacity enhancement mentorship programme of the HPAC through a three-month executive training programme on health policy/health systems and KT in Ebonyi State University Abakaliki; iii) Production of a policy brief on strategies to improve the performance of the Government's Free Maternal and Child Health Care Programme in Ebonyi State Nigeria; and iv) Hosting of a multi-stakeholders policy dialogue based on the produced policy brief on the Government's Free Maternal and Child Health Care Programme.Results: The study findings indicated a noteworthy improvement in knowledge of evidence-to-policy link among the HPAC members; the elimination of mutual mistrust between policy-makers and researchers; and an increase in the awareness of importance of HPAC in the Ministry of Health (MoH).Conclusion: Findings from this study suggest that a HPAC can function as a KT platform and can introduce a new dimension towards facilitating evidence-to-policy link into the operation of the MoH, and can serve as an excellent platform to bridge the gap between research and policy.