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促进尼日利亚母婴健康领域基于证据的政策制定:知识转化研讨会的经验教训

Promoting evidence informed policymaking for maternal and child health in Nigeria: lessons from a knowledge translation workshop.

作者信息

Uneke Chigozie Jesse, Sombie Issiaka, Uro-Chukwu Henry Chukwuemeka, Mohammed Yagana Gidado, Johnson Ermel

机构信息

African Institute for Health Policy & Health Systems, Ebonyi State University, PMB 053 Abakaliki, Nigeria.

Organisation Ouest Africaine de la Santé, 175, avenue Ouezzin Coulibaly, 01 BP 153 Bobo-Dioulasso 01, Burkina Faso.

出版信息

Health Promot Perspect. 2018 Jan 7;8(1):63-70. doi: 10.15171/hpp.2018.08. eCollection 2018.

DOI:10.15171/hpp.2018.08
PMID:29423364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5797310/
Abstract

Knowledge translation (KT) is a process that ensures that research evidence gets translated into policy and practice. In Nigeria, reports indicate that research evidence rarely gets into policymaking process. A major factor responsible for this is lack of KT capacity enhancement mechanisms. The objective of this study was to improve KT competence of an implementation research team (IRT), policymakers and stakeholders in maternal and child health to enhance evidence-informed policymaking. This study employed a "before and after" design, modified as an intervention study. The study was conducted in Bauchi, north-eastern Nigeria. A three-day KT training workshop was organized and 15 modules were covered including integrated and end-of-grant KT; KT models, measures, tools and strategies; priority setting; managing political interference; advocacy and consensus building/negotiations; inter-sectoral collaboration; policy analysis, contextualization and legislation. A 4-point Likert scale pre-/post-workshop questionnaires were administerd to evaluate the impact of the training, it was designed in terms of extent of adequacy; with "grossly inadequate" representing 1 point, and "very adequate" representing 4 points. A total of 45 participants attended the workshop. There was a noteworthy improvement in the participants' understanding of KT processes and strategies. The range of the preworkshop mean of participants knowledge of modules taught was from 2.04-2.94, the range for the postworkshop mean was from 3.10-3.70 on the 4-point Likert scale. The range of percentage increase in mean for participants' knowledge at the end of the workshop was from 13.3%-55.2%. The outcome of this study suggests that using a KT capacity building programme e.g., workshop, health researchers, policymakers and other stakeholders can acquire capacity and skill that will facilitate evidence-to-policy link.

摘要

知识转化(KT)是一个确保研究证据转化为政策和实践的过程。在尼日利亚,报告显示研究证据很少进入政策制定过程。造成这种情况的一个主要因素是缺乏知识转化能力提升机制。本研究的目的是提高母婴健康实施研究团队(IRT)、政策制定者和利益相关者的知识转化能力,以加强循证决策。本研究采用了“前后”设计,并修改为干预性研究。该研究在尼日利亚东北部的包奇进行。组织了为期三天的知识转化培训研讨会,涵盖了15个模块,包括综合和资助结束时的知识转化;知识转化模型、措施、工具和策略;确定优先事项;管理政治干扰;宣传与建立共识/谈判;跨部门合作;政策分析、情境化和立法。在研讨会前后使用4点李克特量表问卷来评估培训的影响,问卷是根据充分程度设计的;“极不充分”代表1分,“非常充分”代表4分。共有45名参与者参加了研讨会。参与者对知识转化过程和策略的理解有了显著提高。在4点李克特量表上,参与者对所教授模块知识的研讨会前平均得分范围为2.04 - 2.94,研讨会后平均得分范围为3.10 - 3.70。研讨会结束时参与者知识平均得分的百分比增幅范围为13.3% - 55.2%。本研究结果表明,通过使用知识转化能力建设项目,如研讨会,卫生研究人员、政策制定者和其他利益相关者可以获得有助于循证与政策联系的能力和技能。