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促进尼日利亚循证卫生决策制定:弥合研究人员与决策者之间的差距。

Promotion of evidence-informed health policymaking in Nigeria: bridging the gap between researchers and policymakers.

机构信息

Medical Microbiology/Parasitology, Ebonyi State University, Abakaliki, Ebonyi State, Nigeria.

出版信息

Glob Public Health. 2012;7(7):750-65. doi: 10.1080/17441692.2012.666255. Epub 2012 Mar 7.

DOI:10.1080/17441692.2012.666255
PMID:22394290
Abstract

In Nigeria, the lack of adequate understanding of the complex nature of translating research into policy and the incompatibility existing between researchers and policymakers constitute a great challenge to evidence-informed policymaking. To address these challenges a one-day evidence-to-policy training workshop was organised for policymakers, researchers and other major stakeholders in the health sector in southeastern Nigeria. Of the 104 individuals invited to the workshop 87 (83.6%) attended. The workshop training sessions focused on capacity development for evidence-informed health policy-making and building effective linkages/partnerships. The post-workshop assessment indicated significant improvements in participants' knowledge, their understanding of the health policymaking process and the use of evidence compared to their pre-workshop status. Using a focus group discussion, major strategies identified by participants that can bridge the gap between health policymakers and researchers included: involving both parties in planning and execution of health research and health programmes; promoting dialogue between researchers and policymakers; institutionalising research grants and commissioning research in health ministries; and ensuring that researchers are made to focus on the core needs of policymakers. There is need for further discussion and debate on the researchers and policymakers partnership concept in low income settings.

摘要

在尼日利亚,由于缺乏对将研究转化为政策的复杂性的充分理解,以及研究人员和政策制定者之间存在的不兼容性,这给循证政策制定带来了巨大挑战。为了解决这些挑战,在尼日利亚东南部为卫生部门的政策制定者、研究人员和其他主要利益攸关方组织了为期一天的循证政策培训研讨会。在受邀参加研讨会的 104 人中,有 87 人(83.6%)出席了会议。研讨会的培训课程侧重于为循证卫生政策制定和建立有效的联系/伙伴关系提供能力建设。与研讨会前的状况相比,研讨会后的评估表明,参与者在知识、对卫生决策过程的理解以及对证据的使用方面都有了显著提高。通过焦点小组讨论,参与者确定了可以弥合卫生政策制定者和研究人员之间差距的主要策略,包括:让双方参与卫生研究和卫生规划的规划和执行;促进研究人员和政策制定者之间的对话;在卫生部机构化研究资助和委托研究;并确保研究人员专注于政策制定者的核心需求。在低收入环境中,需要进一步讨论和辩论研究人员和政策制定者伙伴关系的概念。

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