Department of Health Administration and Management, University of Nigeria, Enugu Campus, Enugu Town, Nigeria.
Health Policy Research Group, College of Medicine, University of Nigeria, Enugu Campus, Enugu Town, Nigeria.
PLoS One. 2020 Sep 3;15(9):e0238365. doi: 10.1371/journal.pone.0238365. eCollection 2020.
Health care decision makers require capacity to demand and use research evidence for effective decision making. Capacity to undertake health policy and systems research (HPSR) and teaching is low in developing countries. Strengthening the capacity of producers and users of research is a more sustainable strategy for developing the field of HPSR in Africa, than relying on training in high-income countries.
Data were collected from 118 participants who had received the capacity building, using a pre-tested questionnaire. Respondents included health research scientists from institutions (producers) and decision makers (users) in the public health sector, in Anambra and Enugu states, southeast Nigeria. Data were collected on participants' progress with proposed group activities in their short- term goals; effects of these activities on evidence-informed decision making and constraints to implementing activities. Univariate analysis was done using SPSS version 16.
All prioritised activities were carried out. However, responses were low. Highest response for an activity amongst producers was 39.1%, and 44.4% for users. Some of the activities implemented positively influenced changes in practice; like modification of existing policies and programme plans. There was a wide range of responses between producers of evidence (0.0-39.1%) and users (2.7-44.4%) across both study states. Lack of authority to implement activities was the major constraint (42-9-100.0% across activities), followed by financial constraints (70.6%).
Capacity building intervention improved skills of a critical mass of research scientists, policymakers and practitioners, towards evidence-based decision making. Participants committed to undertake proposed activities but faced a number of constraints. These need to be addressed, especially the decision space and authority, improving funding to implement activities that influence Getting Research into Policy & Practice (GRIPP). Being at different stages of planning and implementing proposed activities; participants require continuous technical and financial support to successfully implement activities and engage meaningfully within and across professional boundaries and roles, in order to achieve short-, medium- and long- term goals.
医疗保健决策者需要有能力要求和使用研究证据来进行有效的决策。在发展中国家，进行卫生政策和系统研究（HPSR）和教学的能力较低。在非洲，加强研究生产者和使用者的能力是发展 HPSR 领域的更可持续战略，而不是依赖高收入国家的培训。
使用经过预测试的问卷，从在尼日利亚东南部阿南布拉州和埃努古州公共卫生部门工作的机构（生产者）和决策者（使用者）的 118 名参与者那里收集了数据。数据收集了参与者在其短期目标中提出的小组活动的进展情况；这些活动对循证决策的影响以及实施活动的限制。使用 SPSS 版本 16 进行单变量分析。
所有优先活动都已完成。然而，回应率很低。生产者中活动的最高回应率为 39.1%，用户为 44.4%。一些实施的活动对实践的改变产生了积极的影响；例如修改现有的政策和计划方案。在两个研究州，证据生产者（0.0-39.1%）和用户（2.7-44.4%）之间的活动回应范围很广。缺乏实施活动的权力是主要限制（所有活动的 42-9-100.0%），其次是资金限制（70.6%）。
能力建设干预措施提高了一大批研究科学家、政策制定者和实践者的技能，使他们能够进行循证决策。参与者承诺开展拟议活动，但面临一些限制。需要解决这些问题，特别是决策空间和权力，增加资金以实施影响将研究转化为政策和实践（GRIPP）的活动。由于处于不同的活动规划和实施阶段；参与者需要持续的技术和财务支持，以成功实施活动，并在专业界限和角色内和之间进行有意义的参与，以实现短期、中期和长期目标。
