Karolinska Institutet and Uppsala University, Stockholm, Sweden.
Makerere University, Kampala, Uganda.
BMC Pediatr. 2024 Feb 28;23(Suppl 1):650. doi: 10.1186/s12887-023-04470-8.
If you want to run faster, don't just buy a new pair of shoes; also consider your training methods and where you run.This supplement examines six countries that have run faster than others in reducing under-five mortality, taking an implementation research approach, with country case studies done with local researchers and local institutions. Key generalizable learnings are to choose and adapt implementation strategies to context, design strategies to target the most vulnerable, systematically learn from implementation experience, and to leverage non-health-sector contributions.Embedding implementation research in programming has the potential to greatly improve and accelerate the contextualization and implementation of evidence-based child survival interventions to improve equity in coverage and overall effectiveness in reducing under-five mortality. It is now time to build such capacity in local institutions at scale, and incentives for concerned stakeholders to make this the new normal. Regional institutions should now take the lead in making this happen, not just in individual institutions and countries, but across entire regions, supported by global partners.Trial registration N/A.
如果你想跑得更快，不要只买一双新鞋；还要考虑你的训练方法和跑步地点。本补充报告采用实施研究方法，对在降低五岁以下儿童死亡率方面快于其他国家的六个国家进行了考察，由当地研究人员和机构进行了国家案例研究。可普遍推广的主要经验教训是选择和调整实施策略以适应具体情况，设计针对最弱势群体的策略，系统地从实施经验中学习，并利用非卫生部门的贡献。在方案编制中纳入实施研究有可能大大改进和加快基于证据的儿童生存干预措施的调整和实施，以提高覆盖范围的公平性并提高整体降低五岁以下儿童死亡率的效果。现在是时候在地方机构中大规模建立这种能力了，让有关利益攸关方将其作为新常态。区域机构现在应该带头实现这一目标，不仅要在个别机构和国家，而且要在整个区域内实现这一目标，全球伙伴提供支持。
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