Chan Geoffrey, Storey J Douglas, Das Manoja Kumar, Sacks Emma, Johri Mira, Kabakian-Khasholian Tamar, Paudel Deepak, Yoshida Sachiyo, Portela Anayda
Burnet Institute, Melbourne, Australia.
Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs, Baltimore, United States of America.
Health Res Policy Syst. 2020 Aug 27;18(1):97. doi: 10.1186/s12961-020-00597-7.
Social, behavioural and community engagement (SBCE) interventions are essential for global maternal, newborn and child health (MNCH) strategies. Past efforts to synthesise research on SBCE interventions identified a need for clear priorities to guide future research. WHO led an exercise to identify global research priorities for SBCE interventions to improve MNCH.
We adapted the Child Health and Nutrition Research Initiative method and combined quantitative and qualitative methods to determine MNCH SBCE intervention research priorities applicable across different contexts. Using online surveys and meetings, researchers and programme experts proposed up to three research priorities and scored the compiled priorities against four criteria - health and social impact, equity, feasibility, and overall importance. Priorities were then ranked by score. A group of 29 experts finalised the top 10 research priorities for each of maternal, newborn or child health and a cross-cutting area.
A total of 310 experts proposed 867 research priorities, which were consolidated into 444 priorities and scored by 280 experts. Top maternal and newborn health priorities focused on research to improve the delivery of SBCE interventions that strengthen self-care/family care practices and care-seeking behaviour. Child health priorities focused on the delivery of SBCE interventions, emphasising determinants of service utilisation and breastfeeding and nutrition practices. Cross-cutting MNCH priorities highlighted the need for better integration of SBCE into facility-based and community-based health services.
Achieving global targets for MNCH requires increased investment in SBCE interventions that build capacities of individuals, families and communities as agents of their own health. Findings from this exercise provide guidance to prioritise investments and ensure that they are best directed to achieve global objectives. Stakeholders are encouraged to use these priorities to guide future research investments and to adapt them for country programmes by engaging with national level stakeholders.
社会、行为及社区参与（SBCE）干预措施对全球孕产妇、新生儿及儿童健康（MNCH）战略至关重要。过去对SBCE干预措施研究进行综合分析的努力表明，需要明确优先事项以指导未来研究。世界卫生组织开展了一项活动，以确定SBCE干预措施改善MNCH的全球研究优先事项。
我们采用了儿童健康与营养研究倡议方法，并结合定量和定性方法，以确定适用于不同背景的MNCH SBCE干预措施研究优先事项。通过在线调查和会议，研究人员和项目专家提出了多达三项研究优先事项，并根据健康与社会影响、公平性、可行性和总体重要性这四项标准对汇总的优先事项进行评分。然后根据得分对优先事项进行排名。一组29位专家确定了孕产妇、新生儿或儿童健康以及一个跨领域的前10项研究优先事项。
共有310位专家提出了867项研究优先事项，这些优先事项被整合为444项，并由280位专家进行评分。孕产妇和新生儿健康方面的首要优先事项侧重于开展研究，以改善SBCE干预措施的实施，这些措施可加强自我护理/家庭护理实践及就医行为。儿童健康方面的优先事项侧重于SBCE干预措施的实施，强调服务利用的决定因素以及母乳喂养和营养实践。MNCH跨领域优先事项突出了将SBCE更好地整合到基于机构和社区的卫生服务中的必要性。
要实现MNCH的全球目标，需要增加对SBCE干预措施的投资，这些干预措施可增强个人、家庭和社区作为自身健康推动者的能力。本次活动的结果为确定投资优先事项提供了指导，并确保这些投资能以最佳方式用于实现全球目标。鼓励利益相关者利用这些优先事项来指导未来的研究投资，并通过与国家层面的利益相关者合作，使其适用于国家项目。
