Uneke Chigozie Jesse, Sombie Issiaka, Johnson Ermel, Uneke Bilikis Iyabo
Department of Health Policy/Systems, African Institute for Health Policy and Health Systems, Ebonyi State University, CAS Campus, Abakaliki, Nigeria.
Department of Public Health and Research, West African Health Organisation, 175, Avenue Ouezzin Coulibaly, Bobo Dioulasso 01 01 BP 153, Burkina Faso.
Niger Med J. 2020 Sep-Oct;61(5):227-236. doi: 10.4103/nmj.NMJ_188_20. Epub 2020 Oct 13.
The West African Health Organization (WAHO) is vigorously supporting evidence-informed policymaking (EIPM) in the countries of West Africa. EIPM is increasingly recognized as one of the key strategies that can contribute to health systems strengthening and the improvement of health outcomes. The purpose of this rapid review is to examine two key examples of evidence-based strategies used to successfully implement health interventions in each of the West African countries and to highlight the lessons learned.
A rapid review technique, defined as a type of knowledge synthesis in which systematic review processes are accelerated and methods are streamlined to complete the review more quickly, was used. A PubMed search was conducted using the combination of the following keywords: Health, policy making, evidence, plus name of each of the 15 countries to identify studies that described the process of use of evidence in policymaking in health interventions. Two examples of the publications that fulfilled the study inclusion criteria were selected.
Among the key processes used by the countries to promote EIPM in health interventions include policy cycle mechanism and political prioritization, rapid response services, technical advisory group and steering committees (SCs), policy dialog, capacity-strengthening mechanisms, local context evidence and operational guidelines, multisectoral action and consultative process.
Various degrees of success have been achieved in by West African countries in the promotion of EIPM. As the science of EIPM continues to evolve and better understanding of the process is gained among policymakers, more studies on effective strategies to improve the evidence-to-policy process are advocated.
西非卫生组织(WAHO)正在大力支持西非各国基于证据的政策制定(EIPM)。EIPM日益被视为有助于加强卫生系统和改善健康结果的关键战略之一。本快速综述的目的是研究在每个西非国家成功实施卫生干预措施所采用的基于证据的战略的两个关键实例,并突出所汲取的经验教训。
采用了一种快速综述技术,该技术被定义为一种知识综合类型,其中系统综述过程得以加速,方法得以简化以更快完成综述。使用以下关键词组合在PubMed上进行搜索:健康、政策制定、证据,再加上15个国家中每个国家的名称,以识别描述在卫生干预措施政策制定中使用证据过程的研究。选择了两篇符合研究纳入标准的出版物实例。
各国在促进卫生干预措施中的EIPM所采用的关键过程包括政策周期机制和政治优先排序、快速反应服务、技术咨询小组和指导委员会(SCs)、政策对话、能力加强机制、当地情况证据和操作指南、多部门行动和协商过程。
西非国家在促进EIPM方面取得了不同程度的成功。随着EIPM科学不断发展,政策制定者对该过程有了更好的理解,提倡开展更多关于改进证据到政策过程的有效战略的研究。