Bridging the gap between evidence-based innovation and national health-sector reform in Ghana
Bridging the gap between evidence-based innovation and national health-sector reform in Ghana
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DOI：
10.1111/j.1728-4465.2004.00020.x
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发表时间：
2004-09-01
影响因子：
2.1
通讯作者：
Jones, TC
中科院分区：
文献类型：
--
作者：
Awoonor-Williams, JK;Feinglass, ES;Jones, TC
虽然实验性试验往往能确定改善社区卫生的最佳策略，但将业务创新从资金充足的研究项目转移到资源受限的环境中却常常举步维艰。由于研究行动是在拥有独特资源和工作人员能力的机构开展的，结果往往被决策者视为与大规模行动和国家卫生政策无关而不予考虑。这篇文章描述了加纳恩昆塔地区针对这一问题所采取的一项举措。恩昆塔地区倡议是在加纳纳夫龙戈进行的实验性研究与扩大该研究中开发的创新的国家努力之间的关键联系。2002年恩昆塔地区一级的调查为评估纳夫隆戈模式在加纳其他地方复制的可能性提供了基础。基于社区的卫生规划和服务对计划生育和安全孕产指标的影响支持了Navrongo效应可转移到其他地方贫困农村环境的假设，证实需要制定战略，弥合Navrongo循证创新与国家卫生部门改革之间的差距。
Although experimental trials often identify optimal strategies for improving community health, transferring operational innovation from well-funded research programs to resource-constrained settings often languishes. Because research initiatives are based in institutions equipped with unique resources and staff capabilities, results are often dismissed by decision makers as irrelevant to large-scale operations and national health policy. This article describes an initiative undertaken in Nkwanta District, Ghana, focusing on this problem. The Nkwanta District initiative is a critical link between the experimental Study conducted in Navrongo, Ghana, and, a national effort to scale up the innovations developed in that study. A 2002 Nkwanta district-level survey provides the basis for assessing the likelihood that the Navrongo model is replicable elsewhere in Ghana. The effect-of community-based health planning and services exposure on family planning and safe-motherhood indicators supports the hypothesis that Navrongo effects are transferable to impoverished rural settings elsewhere, confirming the need for strategies to bridge the gap between Navrongo evidence-based innovation and national health-sector reform.