Uneke Chigozie J, Ezeoha Abel E, Ndukwe Chinwendu D, Oyibo Patrick G, Onwe Friday
Lecturer/Research Director, Health Policy & Systems Research Project, Department of Medical Microbiology/Parasitology, Faculty of Clinical Medicine, Ebonyi State University, Abakaliki, Nigeria.
Healthc Policy. 2010 Aug;6(1):e109-26.
Health policy and systems research (HPSR), which aims to produce reliable and rigorous evidence to inform the many critical decisions that must be made about health systems, is a new concept in Nigeria. In this study, policy makers and other stakeholders in the health sector identified the challenges and the potential intervention strategies to HPSR evidence use in policy making in Nigeria. The major challenges identified included capacity constraints at individual and organizational levels, communication gaps and poor networking between policy makers and researchers, and the non-involvement of healthcare recipients in identifying and planning care delivery needs. The main solutions suggested included promotion of strategies to encourage partnership between researchers and policy makers, improvement of staff incentives and facilities for research activities, improved budgetary provision for research, and sustainable institutional capacity development. These strategies have been shown to improve evidence-based policy making in developed countries and are likely to produce better outcomes in the developing world.
卫生政策与系统研究（HPSR）旨在产生可靠且严谨的证据，为有关卫生系统必须做出的诸多关键决策提供信息，这在尼日利亚是一个新概念。在本研究中，卫生部门的政策制定者和其他利益相关者确定了尼日利亚在政策制定中使用HPSR证据所面临的挑战以及潜在的干预策略。所确定的主要挑战包括个人和组织层面的能力限制、政策制定者与研究人员之间的沟通差距和不良网络，以及医疗服务接受者未参与确定和规划护理提供需求。建议的主要解决方案包括推广鼓励研究人员与政策制定者之间建立伙伴关系的策略、改善员工激励措施和研究活动设施、增加研究预算拨款以及可持续的机构能力发展。这些策略已被证明能改善发达国家基于证据的政策制定，并且可能在发展中世界产生更好的成果。
