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界定促进发展的卫生研究:来自加纳和坦桑尼亚一个国际卫生研究伙伴关系中利益相关者的观点。

Defining Health Research for Development: The perspective of stakeholders from an international health research partnership in Ghana and Tanzania.

作者信息

Ward Claire Leonie, Shaw David, Anane-Sarpong Evelyn, Sankoh Osman, Tanner Marcel, Elger Bernice

出版信息

Dev World Bioeth. 2018 Dec;18(4):331-340. doi: 10.1111/dewb.12144. Epub 2017 May 3.

Abstract

OBJECTIVES

The study uses a qualitative empirical method to define Health Research for Development. This project explores the perspectives of stakeholders in an international health research partnership operating in Ghana and Tanzania.

METHODS

We conducted 52 key informant interviews with major stakeholders in an international multicenter partnership between GlaxoSmithKline (GSK, Vaccine Developer) and the global health nonprofit organisation PATH and its Malaria Vaccine Initiative program (PATH/MVI, Funder-Development Partner), (RTS, S) (NCT00866619). The respondents included teams from four clinical research centres (two centres in Ghana and two in Tanzania) and various collaborating partners. This paper analyses responses to the question: What is Health Research for Development?

RESULTS

Based on the stakeholders' experience the respondents offered many ways of defining Health Research for Development. The responses fell into four broad themes: i) Equitable Partnerships; ii) System Sustainability; iii) Addressing Local Health Targets, and iv) Regional Commitment to Benefit Sharing.

CONCLUSION

Through defining Health Research for Development six key learning points were generated from the four result themes: 1) Ensure there is local research leadership working with the collaborative partnership, and local healthcare system, to align the project agenda and activities with local research and health priorities; 2) Know the country-specific context - map the social, health, legislative and political setting; 3) Define an explicit development component and plan of action in a research project; 4) Address the barriers and opportunities to sustain system capacity. 5) Support decentralised health system decision-making to facilitate the translation pathway; 6) Govern, monitor and evaluate the development components of health research partnerships. Overall, equity and unity between partners are required to deliver health research for development.

摘要

目标

本研究采用定性实证方法来界定促进发展的健康研究。该项目探讨了在加纳和坦桑尼亚开展业务的国际健康研究伙伴关系中利益相关者的观点。

方法

我们对葛兰素史克(GSK,疫苗开发商)与全球健康非营利组织PATH及其疟疾疫苗倡议项目(PATH/MVI,资助-发展伙伴)之间的国际多中心伙伴关系中的主要利益相关者进行了52次关键 informant 访谈,(RTS,S)(NCT00866619)。受访者包括来自四个临床研究中心的团队(加纳两个中心,坦桑尼亚两个中心)以及各种合作伙伴。本文分析了对以下问题的回答:什么是促进发展的健康研究?

结果

基于利益相关者的经验,受访者提供了许多界定促进发展的健康研究的方式。回答分为四个广泛主题:i)公平伙伴关系;ii)系统可持续性;iii)解决当地健康目标,以及 iv)区域利益分享承诺。

结论

通过界定促进发展的健康研究,从四个结果主题中得出了六个关键学习要点:1)确保有当地研究领导层与合作伙伴关系以及当地医疗系统合作,使项目议程和活动与当地研究和健康优先事项保持一致;2)了解特定国家的背景——描绘社会、健康、立法和政治环境;3)在研究项目中界定明确的发展组成部分和行动计划;4)解决维持系统能力的障碍和机遇。5)支持分散的卫生系统决策以促进转化途径;6)管理、监测和评估健康研究伙伴关系的发展组成部分。总体而言,伙伴之间需要公平和团结才能开展促进发展的健康研究。

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