Wanjau Mary Njeri, Kivuti-Bitok Lucy W, Aminde Leopold Ndemnge, Veerman Lennert
School of Nursing Sciences, University of Nairobi, Nairobi, Kenya
School of Medicine, Griffith University, Gold Coast, Queensland, Australia.
BMJ Open. 2021 Apr 1;11(4):e043641. doi: 10.1136/bmjopen-2020-043641.
To explore the stakeholders' perceptions of current practices and challenges in priority setting for non-communicable disease (NCD) control in Kenya.
A qualitative study approach conducted within a 1-day stakeholder workshop that followed a deliberative dialogue process.
Study was conducted within a 1-day stakeholder workshop that was held in October 2019 in Nairobi, Kenya.
Stakeholders who currently participate in the national level policymaking process for health in Kenya.
Priority setting process for NCD control in Kenya.
Donor funding was identified as a key factor that informed the priority setting process for NCD control. Misalignment between donors' priorities and the country's priorities for NCD control was seen as a hindrance to the process. It was identified that there was minimal utilisation of context-specific evidence from locally conducted research. Additional factors seen to inform the priority setting process included political leadership, government policies and budget allocation for NCDs, stakeholder engagement, media, people's cultural and religious beliefs.
There is an urgent need for development aid partners to align their priorities to the specific NCD control priority areas that exist in the countries that they extend aid to. Additionally, context-specific scientific evidence on effective local interventions for NCD control is required to inform areas of priority in Kenya and other low-income and middle-income countries. Further research is needed to develop best practice guidelines and tools for the creation of national-level priority setting frameworks that are responsive to the identified factors that inform the priority setting process for NCD control.
探讨利益相关者对肯尼亚非传染性疾病（NCD）控制优先级设定中当前做法和挑战的看法。
在为期1天的利益相关者研讨会上采用定性研究方法，该研讨会遵循审议性对话过程。
研究在2019年10月于肯尼亚内罗毕举行的为期1天的利益相关者研讨会上进行。
目前参与肯尼亚国家层面卫生政策制定过程的利益相关者。
肯尼亚非传染性疾病控制的优先级设定过程。
捐助资金被确定为影响非传染性疾病控制优先级设定过程的关键因素。捐助者的优先事项与该国非传染性疾病控制的优先事项之间的不一致被视为该过程的障碍。据发现，当地开展的研究中针对具体情况的证据利用极少。其他影响优先级设定过程的因素包括政治领导力、政府政策和非传染性疾病的预算分配、利益相关者参与、媒体、民众的文化和宗教信仰。
发展援助伙伴迫切需要使其优先事项与他们提供援助的国家中存在的特定非传染性疾病控制优先领域保持一致。此外，需要有关于肯尼亚及其他低收入和中等收入国家非传染性疾病控制有效本地干预措施的针对具体情况的科学证据，以为优先领域提供信息。需要进一步开展研究，以制定最佳实践指南和工具，用于创建国家级优先级设定框架，以应对那些影响非传染性疾病控制优先级设定过程的已确定因素。
