Lê Gillian, Mirzoev Tolib, Orgill Marsha, Erasmus Ermin, Lehmann Uta, Okeyo Stephen, Goudge Jane, Maluka Stephen, Uzochukwu Benjamin, Aikins Moses, de Savigny Don, Tomson Goran, Gilson Lucy
Nuffield Centre for International Health and Development, Institute for Health Sciences, University of Leeds, Leeds, UK.
Health Res Policy Syst. 2014 Oct 8;12:59. doi: 10.1186/1478-4505-12-59.
The importance of health policy and systems research and analysis (HPSR+A) has been increasingly recognised, but it is still unclear how most effectively to strengthen the capacity of the different organisations involved in this field. Universities are particularly crucial but the expansive literature on capacity development has little to offer the unique needs of HPSR+A activity within universities, and often overlooks the pivotal contribution of capacity assessments to capacity strengthening.
The Consortium for Health Policy and Systems Analysis in Africa 2011-2015 designed and implemented a new framework for capacity assessment for HPSR+A within universities. The methodology is reported in detail.
Our reflections on developing and conducting the assessment generated four lessons for colleagues in the field. Notably, there are currently no published capacity assessment methodologies for HPSR+A that focus solely on universities - we report a first for the field to initiate the dialogue and exchange of experiences with others. Second, in HPSR+A, the unit of assessment can be a challenge, because HPSR+A groups within universities tend to overlap between academic departments and are embedded in different networks. Third, capacity assessment experience can itself be capacity strengthening, even when taking into account that doing such assessments require capacity.
From our experience, we propose that future systematic assessments of HPSR+A capacity need to focus on both capacity assets and needs and assess capacity at individual, organisational, and systems levels, whilst taking into account the networked nature of HPSR+A activity. A genuine partnership process between evaluators and those participating in an assessment can improve the quality of assessment and uptake of results in capacity strengthening.
卫生政策与系统研究及分析（HPSR+A）的重要性已得到越来越多的认可，但目前仍不清楚如何最有效地加强该领域不同组织的能力。大学在这方面尤为关键，然而，关于能力发展的大量文献几乎没有针对大学内部HPSR+A活动的独特需求提供有效建议，并且常常忽视能力评估对能力加强的关键作用。
非洲卫生政策与系统分析联盟在2011 - 2015年设计并实施了一个针对大学内部HPSR+A能力评估的新框架。详细报告了该方法。
我们对开展此次评估的思考为该领域的同行提供了四点经验教训。值得注意的是，目前尚无专门针对大学的已发表的HPSR+A能力评估方法——我们在此报告该领域首个此类方法，以开启与他人的经验对话与交流。第二，在HPSR+A中，评估单位可能是个挑战，因为大学内部的HPSR+A团队往往跨学术部门重叠，且嵌入不同网络。第三，能力评估经验本身就能加强能力，即便考虑到进行此类评估需要一定能力。
根据我们的经验，我们建议未来对HPSR+A能力进行系统评估时，需要同时关注能力资产和需求，并在个人、组织和系统层面评估能力，同时考虑HPSR+A活动的网络性质。评估者与参与评估者之间建立真正的伙伴关系流程，能够提高评估质量以及能力加强方面结果的应用。
