促进西非国家经济共同体区域卫生决策中证据的使用：探索政策制定者对制定循证政策指南必要性的看法。

Promoting the use of evidence in health policy-making in the economic commission of the West African States Region: Exploring the perception of policy-makers on the necessity of an evidence-based policy-making guidance.

机构信息

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, Bobo Dioulasso, Burkina Faso.

出版信息

Ann Afr Med. 2022 Jul-Sep;21(3):223-230. doi: 10.4103/aam.aam_90_20.

DOI:10.4103/aam.aam_90_20

PMID:36204907

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9671175/

Abstract

BACKGROUND

The West African Health Organization (WAHO) is promoting the use of evidence in policy-making within West Africa. The need for increased understanding of the complexities of the evidence-to-policy process among policy-makers in West Africa necessitates the development of evidence-based policy-making (EBPM) guidance. The purpose of this study was to interact with policy-makers from West African countries to identify the necessity of EBPM guidance for the subregion.

METHODS

A cross-sectional qualitative study design was used to elicit the views/opinions of senior health policy-makers from across the 15 West African countries on why an EBPM Guidance is necessary for the subregion. The policy-makers were engaged during WAHO-organized regional evidence-to-policy meetings on the improvement of maternal and child health outcomes held in Senegal in 2019. Face-to-face, one-on-one interactions, interviews, and deliberations during the meeting plenary sessions were held with the policy-makers, who participated in the regional meeting.

RESULTS

Up to 23 policy-makers representing 15 West African countries participated in the study. Policy-makers who took part in the study supported the development of an EBPM Guidance to facilitate evidence-to-policy process. Among the identified reasons why an EBPM Guidance for West Africa is a necessity were to understand: (i) how to deal with barriers and facilitators that influence evidence to policy process; (ii) how to acquire, access, adapt, and apply available research evidence in policy-making; (iii) how to deal with contextual issues and broad range of evidence; and (iv) how to engage parliamentarians and policy legislators to promote policy development.

CONCLUSION

An EBPM is a valuable tool that can provide health sector policy-makers the needed guide on the evidence-to-policy process. Studies that will evaluate the impact of EBPM guidance on the policy-making process in low- and middle-income countries are advocated.

摘要

背景

西非卫生组织（WAHO）正在促进西非国家在决策中使用证据。由于西非政策制定者需要加强对证据到政策过程复杂性的理解，因此需要制定循证决策（EBPM）指南。本研究的目的是与西非国家的政策制定者互动，确定该指南在该次区域的必要性。

方法

采用横断面定性研究设计，征求来自 15 个西非国家的高级卫生政策制定者对 EBPM 指南对该次区域必要性的意见/看法。在 2019 年于塞内加尔举行的改善母婴健康结果的西非卫生组织区域循证决策会议期间，与政策制定者进行了互动。在区域会议全体会议期间，与参加区域会议的政策制定者进行了面对面、一对一的交流、访谈和讨论。

结果

代表 15 个西非国家的多达 23 名政策制定者参加了这项研究。参加研究的政策制定者支持制定 EBPM 指南，以促进证据到政策的过程。确定需要制定西非 EBPM 指南的原因包括：（i）了解影响证据到政策过程的障碍和促进因素；（ii）如何获取、获取、改编和应用决策中的现有研究证据；（iii）如何处理背景问题和广泛的证据；以及（iv）如何与议员和政策立法者接触，以促进政策的制定。