World Health Organization, Country Office, Antananarivo, Madagascar.
World Health Organization, Country Office, Port Louis, Mauritius.
BMC Health Serv Res. 2023 Mar 6;23(1):218. doi: 10.1186/s12913-023-09208-x.
The goal of universal health coverage (UHC) is that every individual has access to high-quality health services without running the consequences of financial hardship. The World health report 2013 "Research for universal health coverage" states a performant National Health Research Systems (NHRS) can contribute by providing solutions to challenges encountered in advancing towards UHC by 2030. Pang et al. define a NHRS as the people, institutions, and activities whose primary aim is to generate and promote utilization of high-quality knowledge that can be used to promote, restore, and/or maintain the health status of populations. The WHO Regional Committee for Africa (RC) adopted a resolution in 2015 urging member states to strengthen their NHRS to facilitate production and utilization of evidence in policy development, planning, product development, innovation, and decision-making. This study aimed to calculate NHRS barometer scores for Mauritius in 2020, identify the gaps in NHRS performance, and recommend interventions for boosting the Mauritius NHRS in the pursuit of UHC.
The study used a cross-sectional survey design. A semi-structured NHRS questionnaire was administered and complemented with a review of documents archived in pertinent Mauritius Government Ministries, universities, research-oriented departments, and non-governmental organizations websites. The African NHRS barometer developed in 2016 for countries to monitor the RC resolution implementation was applied. The barometer consists of four NHRS functions (leadership and governance, developing and sustaining resources, producing and utilizing research, financing research for health [R4H]), and 17 sub-functions, e.g., existence of a national policy on research for health (R4H), presence of a Mauritius Research and Innovation Council (MRIC), existence of knowledge translation platform.
In 2020, Mauritius had an overall average NHRS barometer score of 60.84%. The four NHRS functions average indices were 50.0% for leadership and governance, 77.0% for developing and sustaining resources, 52.0% for producing and utilizing R4H, and 58.2% for financing R4H.
The performance of NHRS could be improved through the development of a national R4H policy, strategic plan, prioritized agenda, and national multi-stakeholder health research management forum. Furthermore, increased funding for the NHRS may nurture the human resources for health research capacities, hence the number of pertinent publications and health innovations.
全民健康覆盖（UHC）的目标是让每个人都能获得高质量的卫生服务，而不会因经济困难而承受后果。《2013 年世界卫生报告：研究促进全民健康覆盖》指出，一个运作良好的国家卫生研究系统（NHRS）可以通过提供解决方案，为到 2030 年实现全民健康覆盖所面临的挑战提供帮助。Pang 等人将 NHRS 定义为主要目的是生成和促进利用高质量知识的人员、机构和活动，这些知识可用于促进、恢复和/或维持人口的健康状况。2015 年，世界卫生组织非洲区域委员会（RC）通过了一项决议，敦促成员国加强 NHRS，以促进在制定政策、规划、产品开发、创新和决策过程中利用证据。本研究旨在计算 2020 年毛里求斯的 NHRS 晴雨表得分，确定 NHRS 绩效差距，并为毛里求斯 NHRS 提出干预措施，以促进全民健康覆盖。
本研究采用横断面调查设计。采用半结构式 NHRS 问卷进行调查，并辅以审查毛里求斯政府各相关部委、大学、研究型部门和非政府组织网站上存档的文件。应用了 2016 年为各国制定的非洲 NHRS 晴雨表，以监测区域委员会决议的执行情况。晴雨表由四个 NHRS 功能（领导和治理、发展和维持资源、研究的产生和利用、为健康研究提供资金）和 17 个子功能组成，例如，是否存在国家卫生研究政策、是否存在毛里求斯研究和创新理事会、是否存在知识转化平台。
2020 年，毛里求斯 NHRS 晴雨表总平均得分为 60.84%。四个 NHRS 功能的平均指数分别为：领导和治理 50.0%、发展和维持资源 77.0%、研究的产生和利用 52.0%、为健康研究提供资金 58.2%。
可以通过制定国家卫生研究促进全民健康覆盖政策、战略计划、优先议程和国家多利益攸关方卫生研究管理论坛，提高 NHRS 的绩效。此外，增加对 NHRS 的供资可能会培养卫生研究人力资源能力，从而增加相关出版物和卫生创新的数量。
