Institute of Community and Public Health, Birzeit University, P.O.Box 14, Birzeit, West Bank, oPt, Palestine.
Reprod Health. 2018 Feb 13;15(1):27. doi: 10.1186/s12978-018-0472-0.
Occupied Palestinian territory (oPt) is an authority with limited resources. Therefore, research conducted in such a setting should be prioritized and coordinated to follow a national research agenda. This study aims to produce a research agenda for reproductive health in the oPt that can be utilized by reproductive health stakeholders and contribute to the development of policy-based evidence to guide health practice.
In the current study, we followed research prioritization methods developed by the World Health Organization-Child Health and Nutrition Research Initiative. Research questions were obtained from reproductive health experts in the oPt. The questions were then grouped into thematic areas which were prioritized by the reproductive health experts. Scores were calculated and sorted to define the top priority research areas.
A total of 232 research questions were prioritized by 30 reproductive health experts. Health system issues were the most addressed in the top 50 research questions. They included questions on the quality of services and health professionals' knowledge and continuous professional training. Adolescents' sexual and reproductive health and gender-based violence were rarely mentioned in the top 50 questions. The number of questions related to safe motherhood was around 50% followed by questions related to health system. Questions related to elderly women and menopause as well as reproductive system cancers were also within the top 50 ranked questions.
Priority research areas in reproductive health were identified for the oPt, which should be utilized by researchers with a focus on the high priority areas. Policy makers and funders should coordinate their efforts to ensure the production of research with value to the Palestinian context, in the most efficient way possible.
巴勒斯坦被占领土(oPt)是一个资源有限的地区。因此,在这样的环境中进行的研究应该优先考虑并协调,以遵循国家研究议程。本研究旨在为 oPt 的生殖健康制定研究议程,该议程可供生殖健康利益相关者使用,并为制定基于政策的循证措施以指导卫生实践做出贡献。
在本研究中,我们遵循了世界卫生组织-儿童健康与营养研究倡议制定的研究优先排序方法。研究问题是从 oPt 的生殖健康专家那里获得的。然后,将这些问题分为主题领域,由生殖健康专家对这些主题领域进行优先排序。计算并排序分数以确定优先研究领域。
共有 30 名生殖健康专家对 232 个研究问题进行了优先排序。健康系统问题是前 50 个研究问题中最常涉及的问题。其中包括服务质量以及卫生专业人员的知识和持续专业培训等问题。青少年的性健康和生殖健康以及性别暴力问题在排名前 50 的问题中很少提及。与安全孕产相关的问题数量约为 50%,其次是与健康系统相关的问题。与老年妇女和更年期以及生殖系统癌症相关的问题也在排名前 50 的问题之列。
确定了 oPt 生殖健康的优先研究领域,研究人员应重点关注高优先级领域。政策制定者和资助者应协调努力,以确保以最有效的方式在巴勒斯坦背景下产生有价值的研究。