Harries A D, Khogali M, Kumar A M V, Satyanarayana S, Takarinda K C, Karpati A, Olliaro P, Zachariah R
International Union Against Tuberculosis and Lung Disease (The Union), Paris, France.
London School of Hygiene & Tropical Medicine, London, UK.
Public Health Action. 2018 Jun 21;8(2):34-36. doi: 10.5588/pha.18.0001.
Good quality, timely data are the cornerstone of health systems, but in many countries these data are not used for evidence-informed decision making and/or for improving public health. The SORT IT (Structured Operational Research and Training Initiative) model has, over 8 years, trained health workers in low- and middle-income countries to use data to answer important public health questions by taking research projects through to completion and publication in national or international journals. The D2P (data to policy) training initiative is relatively new, and it teaches health workers how to apply 'decision analysis' and develop policy briefs for policy makers: this includes description of a problem and the available evidence, quantitative comparisons of policy options that take into account predicted health and economic impacts, and political and feasibility assessments. Policies adopted from evidence-based information generated through the SORT IT and D2P approaches can be evaluated to assess their impact, and the cycle repeated to identify and resolve new public health problems. Ministries of Health could benefit from this twin-training approach to make themselves 'data rich, information rich and action rich', and thereby use routinely collected data in a synergistic manner to improve public health policy making and health care delivery.
高质量、及时的数据是卫生系统的基石,但在许多国家,这些数据并未用于基于证据的决策制定和/或改善公共卫生。在过去8年里,SORT IT(结构化运筹学与培训倡议)模式已培训了低收入和中等收入国家的卫生工作者,通过完成研究项目并在国内或国际期刊上发表,利用数据回答重要的公共卫生问题。D2P(数据到政策)培训倡议相对较新,它教导卫生工作者如何应用“决策分析”并为政策制定者编写政策简报:这包括对问题和现有证据的描述、考虑到预测的健康和经济影响的政策选项的定量比较,以及政治和可行性评估。通过SORT IT和D2P方法生成的基于证据的信息所采用的政策可以进行评估,以评估其影响,并重复该循环以识别和解决新的公共卫生问题。卫生部可以从这种双重培训方法中受益,使自己“数据丰富、信息丰富和行动丰富”,从而以协同方式使用常规收集的数据来改善公共卫生政策制定和医疗服务提供。