Jensen Claire, Heneine Emma, Mungai Brenda, Murunga Violet, Hara Hleziwe, Oronje Rose, Obasi Angela, Squire Bertie, Zulu Eliya
African Institute for Development Policy (AFIDEP), Petroda Glasshouse, Area 14 - plot number 14/191, P.O. Box 31024, Lilongwe, Malawi.
Liverpool School of Tropical Medicine (LSTM), Liverpool, United Kingdom.
Health Res Policy Syst. 2020 Dec 9;18(1):135. doi: 10.1186/s12961-020-00618-5.
Lung health is a critical area for research in sub-Saharan Africa. The International Multidisciplinary Programme to Address Lung Health and TB in Africa (IMPALA) is a collaborative programme that seeks to fill evidence gaps to address high-burden lung health issues in Africa. In order to generate demand for and facilitate use of IMPALA research by policy-makers and other decision-makers at the regional level, an analysis of regional lung health policies and stakeholders will be undertaken to inform a programmatic strategy for policy engagement.
This analysis will be conducted in three phases. The first phase will be a rapid desk review of regional lung health policies and stakeholders that seeks to understand the regional lung health policy landscape, which issues are prioritised in existing regional policy, key regional actors, and opportunities for engagement with key stakeholders. The second phase will be a rapid desk review of the scientific literature, expanding on the work in the first phase by looking at the external factors that influence regional lung health policy, the ways in which regional bodies influence policy at the national level, investments in lung health, structures for discussion and advocacy, and the role of evidence at the regional level. The third phase will involve a survey of IMPALA partners and researchers as well as interviews with key regional stakeholders to further shed light on regional policies, including policy priorities and gaps, policy implementation status and challenges, stakeholders, and platforms for engagement and promoting uptake of evidence.
Health policy analysis provides insights into power dynamics and the political nature of the prioritisation of health issues, which are often overlooked. In order to ensure the uptake of new knowledge and evidence generated by IMPALA, it is important to consider these complex factors.
肺部健康是撒哈拉以南非洲地区研究的一个关键领域。非洲肺部健康与结核病国际多学科项目（IMPALA）是一个合作项目，旨在填补证据空白，以解决非洲高负担的肺部健康问题。为了在区域层面激发政策制定者和其他决策者对IMPALA研究的需求并促进其使用，将对区域肺部健康政策和利益相关者进行分析，以为政策参与的项目战略提供信息。
该分析将分三个阶段进行。第一阶段将对区域肺部健康政策和利益相关者进行快速案头审查，旨在了解区域肺部健康政策格局、现有区域政策中优先考虑的问题、关键区域行为体以及与关键利益相关者接触的机会。第二阶段将对科学文献进行快速案头审查，通过研究影响区域肺部健康政策的外部因素、区域机构在国家层面影响政策的方式、肺部健康投资、讨论和宣传结构以及区域层面证据的作用，扩展第一阶段的工作。第三阶段将对IMPALA合作伙伴和研究人员进行调查，并对关键区域利益相关者进行访谈，以进一步阐明区域政策，包括政策优先事项和差距、政策实施状况和挑战、利益相关者以及参与和促进证据采纳的平台。
卫生政策分析有助于洞察权力动态以及卫生问题优先排序的政治性质，而这些往往被忽视。为了确保IMPALA产生的新知识和证据得到采纳，考虑这些复杂因素很重要。
