Makerere University College of Health Sciences.
Int J Technol Assess Health Care. 2018 Jan;34(1):120-128. doi: 10.1017/S0266462317004482.
The aim of this study was to provide evidence about the design and implementation of policies for advancing the sustainability of knowledge translation (KT) initiatives and policies in Uganda's health system.
We searched for and reviewed evidence about KT sustainability issues in Uganda, the impacts of options, barriers to implementing these options, and implementation strategies to address such barriers. In instances where the systematic reviews provided limited evidence, these were supplemented with relevant primary studies. Documents such as the government reports and unpublished literature were also included in the search. Key informant interviews and a policy dialogue were conducted, and an expert working group guided the study.
The KT sustainability issues identified were: the absence of a specific unit within the health sector to coordinate and synthesize research; health worker not familiar with KT activities and not often used. Furthermore, Uganda lacks a mechanism to sustain its current national health frameworks or platforms, and does not have a system to ensure the sustained coordination of existing national health KT platforms. The policy options proposed include: (i) the identification of a KT champion; (ii) the establishment of an operational KT framework; (iii) KT capacity building for researchers and research users, as well as policy and decision makers.
The sustainability of KT will be influenced by the prevailing context and concerns within healthcare both in Uganda and internationally. Furthermore, the availability of resources for KT advocacy, communication, and program design will impact on the sustainability of Uganda's KT activities.
本研究旨在提供证据，说明在乌干达卫生系统中推进知识转化（KT）举措和政策可持续性的设计和实施情况。
我们搜索并审查了乌干达 KT 可持续性问题、各种方案的影响、实施这些方案的障碍以及解决这些障碍的实施策略方面的证据。在系统评价提供的证据有限的情况下，我们补充了相关的原始研究。政府报告和未发表的文献等文件也包括在搜索范围内。进行了关键知情人访谈和政策对话，并成立了一个专家工作组来指导研究。
确定的 KT 可持续性问题包括：卫生部门内缺乏专门的单位来协调和综合研究；卫生工作者不熟悉 KT 活动，也不经常使用。此外，乌干达缺乏维持其当前国家卫生框架或平台的机制，也没有系统来确保现有国家卫生 KT 平台的持续协调。提出的政策方案包括：（i）确定 KT 拥护者；（ii）建立运作的 KT 框架；（iii）对研究人员和研究使用者以及政策和决策者进行 KT 能力建设。
在乌干达和国际范围内，医疗保健中普遍存在的情况和关注因素将影响 KT 的可持续性。此外，用于 KT 宣传、沟通和方案设计的资源的可用性将影响乌干达 KT 活动的可持续性。
