Varkevisser C M, Mwaluko G M, Le Grand A
Joint Health Systems Research Project for the Southern African Region, WHO, Zimbabwe.
Health Policy Plan. 2001 Sep;16(3):281-91. doi: 10.1093/heapol/16.3.281.
Over the last two decades, capacity-building in health research has been recognized as a priority by the international research community. Since 1987 the Joint Health Systems Research (HSR) Project for the Southern African Region has been making efforts to increase the national expertise for operational health research, starting in ten Southern African countries, in order to strengthen decision-making in health care at all levels. Initially, its targets were health managers and public health staff. Step-by-step, staff of different levels and disciplines have, in small groups, developed and implemented research protocols on problems experienced in their own working environment. The recommendations resulting from over 200 studies could, to a large extent, be implemented by the teams themselves. The Project was characterized by a flexible approach, allowing countries to participate at their own speed and to determine their own activities and the support they needed. As Ministries of Health as well as research institutions, in an increasing number of Southern and Eastern African countries, choose to actively participate in HSR, this has contributed to bridge the gap between the academic world and the health field. Still, sustainability of HSR activities remains a challenge. This paper describes the approach of the Joint HSR Project over the first 10 years of its operation, and its major strengths and limitations.
在过去二十年里，卫生研究领域的能力建设已被国际研究界视为一项优先任务。自1987年以来，南部非洲地区联合卫生系统研究（HSR）项目一直在努力增强各国开展实用卫生研究的专业能力，该项目从十个南部非洲国家起步，旨在加强各级卫生保健决策。最初，其目标对象是卫生管理人员和公共卫生工作人员。逐步地，不同级别和学科的工作人员以小组形式，针对自身工作环境中遇到的问题制定并实施了研究方案。200多项研究得出的建议在很大程度上能够由各团队自行实施。该项目的特点是采用灵活的方式，允许各国按照自己的速度参与，并确定自己的活动以及所需的支持。随着越来越多的南部和东部非洲国家的卫生部以及研究机构选择积极参与卫生系统研究，这有助于弥合学术界与卫生领域之间的差距。然而，卫生系统研究活动的可持续性仍然是一项挑战。本文描述了联合卫生系统研究项目运营头十年的方法及其主要优势和局限性。
