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促进尼日利亚研究人员和政策制定者在循证决策方面的合作:大学与卫生部之间双向借调模式的结果。

Promoting Researchers and Policy-Makers Collaboration in Evidence-Informed Policy-Making in Nigeria: Outcome of a Two-Way Secondment Model between University and Health Ministry.

机构信息

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

Department of Medical Microbiology/Parasitology, Faculty of Medicine, Ebonyi State University, Abakaliki, Nigeria.

出版信息

Int J Health Policy Manag. 2018 Jun 1;7(6):522-531. doi: 10.15171/ijhpm.2017.123.

Abstract

BACKGROUND

There is need to strengthen institutions and mechanisms that can more systematically promote interactions between researchers, policy-makers and other stakeholders who can influence the uptake of research findings. In this article, we report the outcome of a two-way secondment model between Ebonyi State University (EBSU) and Ebonyi State Ministry of Health (ESMoH) in Nigeria as an innovative collaborative strategy to promote capacity enhancement for evidence-to-policy-to-action.

METHODS

This study was an exploratory design with a quantitative cross-sectional survey technique. A secondment memorandum of understanding (MOU) was signed between heads of EBSU and ESMoH. The secondment program lasted six months with ten researchers and ten policy-makers spending up to two days per week in each other's organization. The secondee researchers got engaged in policy-making and implementation activities in ESMoH, while the policy-maker secondees got involved in research activities in EBSU. Secondees evidence-to-policy capacity enhancement meetings were held and questionnaires designed in 5-point Likert scale were used to assess their impact.

RESULTS

The secondee policy-makers and researchers admitted having considerable knowledge of secondment with mean ratings (MNRs) of 3.40 and 3.74 respectively on the 5 points scale. Secondment appeared to be more common in the policy-makers' organization (MNRs: 2.80-3.07) than in the researchers' institution (MNRs: 2.58-2.84). The secondee policy-makers participated in some academic and research activities including serving in research ethics committee in EBSU and provided policy-making perspective to the activities. The secondee researchers supported the policymaking process in ESMoH through policy advisory roles, and provided capacity enhancement for staff of the ministry on the use of research evidence in policy-making. There was a noteworthy increase on knowledge of policy analysis and contextualization among the secondees ranging from 20.7% to 50.4% and 31.3% to 42.8% respectively following a training session. A Society for Health Policy Research and Knowledge Translation was established by mutual agreement of secondees as a platform to permanently institutionalize the collaboration.

CONCLUSION

The outcome of this study clearly suggests that secondment has great potential in promoting evidence informed policy-making and merits further consideration.

摘要

背景

需要加强机构和机制,以更系统地促进研究人员、决策者和其他利益相关者之间的互动,这些利益相关者可以影响研究结果的应用。本文报告了尼日利亚埃本伊州大学(EBSU)和埃本伊州卫生部(ESMoH)之间双向借调模式的结果,这是一种促进循证决策到行动能力建设的创新合作策略。

方法

这是一项探索性设计,采用定量横断面调查技术。EBSU 和 ESMoH 的负责人签署了一份借调谅解备忘录(MOU)。借调计划持续六个月,十位研究人员和十位政策制定者每周在对方的组织中工作两天。借调研究人员参与 ESMoH 的决策和实施活动,而政策制定者借调人员则参与 EBSU 的研究活动。举行了借调人员循证决策能力提升会议,并使用五点李克特量表设计了调查问卷来评估其影响。

结果

借调政策制定者和研究人员对借调有相当的了解,在五分制上的平均评分(MNR)分别为 3.40 和 3.74。借调在政策制定者组织中似乎更为常见(MNR:2.80-3.07),而在研究人员机构中则不常见(MNR:2.58-2.84)。借调政策制定者参与了一些学术和研究活动,包括在 EBSU 担任研究伦理委员会成员,并为活动提供政策制定视角。借调研究人员通过政策咨询角色为 ESMoH 的决策过程提供支持,并为该部工作人员提供将研究证据应用于决策方面的能力提升。借调人员在政策分析和背景化方面的知识有了显著提高,从 20.7%到 50.4%和 31.3%到 42.8%不等,这是在一次培训之后。借调人员一致同意成立一个卫生政策研究和知识转化协会,作为永久机构化合作的平台。

结论

本研究结果清楚表明,借调在促进循证决策方面具有巨大潜力,值得进一步考虑。

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