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循证决策与营养:非洲的经验与未来方向。

Evidence-informed decision making for nutrition: African experiences and way forward.

机构信息

School of Public Health,University of Ghana,Accra,Ghana.

School of Health and Related Sciences,University of Sheffield,S1 4DA,UK.

出版信息

Proc Nutr Soc. 2017 Nov;76(4):589-596. doi: 10.1017/S0029665117001082. Epub 2017 Aug 14.

Abstract

Although substantial amount of nutrition research is conducted in Africa, the research agenda is mainly donor-driven. There is a clear need for a revised research agenda in Africa which is both driven by and responding to local priorities. The present paper summarises proceedings of a symposium on how evidence can guide decision makers towards context-appropriate priorities and decisions in nutrition. The paper focuses on lessons learnt from case studies by the Evidence Informed Decision Making in Nutrition and Health Network implemented between 2015 and 2016 in Benin, Ghana and South Africa. Activities within these countries were organised around problem-oriented evidence-informed decision-making (EIDM), capacity strengthening and leadership and horizontal collaboration. Using a combination of desk-reviews, stakeholder influence-mapping, semi-structured interviews and convening platforms, these country-level studies demonstrated strong interest for partnership between researchers and decision makers, and use of research evidence for prioritisation and decision making in nutrition. Identified capacity gaps were addressed through training workshops on EIDM, systematic reviews, cost-benefit evaluations and evidence contextualisation. Investing in knowledge partnerships and development of capacity and leadership are key to drive appropriate use of evidence in nutrition policy and programming in Africa.

摘要

尽管在非洲进行了大量的营养研究,但研究议程主要是由捐助者驱动的。非洲显然需要一个修订后的研究议程,这个议程既要由当地的优先事项驱动,又要对这些优先事项做出回应。本文总结了一次专题讨论会的会议记录,该会议讨论了如何通过证据来指导决策者制定适合具体情况的营养优先事项和决策。本文重点介绍了 2015 年至 2016 年期间在贝宁、加纳和南非开展的营养与健康证据导向决策网络实施的案例研究中的经验教训。这些国家的活动围绕面向问题的循证决策(EIDM)、能力建设和领导力以及横向合作展开。通过结合案头审查、利益相关者影响力图、半结构化访谈和召集平台,这些国家级研究表明,研究人员和决策者之间建立伙伴关系,以及利用研究证据进行营养优先排序和决策的意愿非常强烈。通过 EIDM 培训研讨会、系统评价、成本效益评估和证据本地化,解决了已确定的能力差距问题。在知识伙伴关系方面进行投资以及发展能力和领导力,是推动在非洲的营养政策和规划中适当使用证据的关键。

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