Majumdar Tanvi, Keats Emily C, Tasic Hana, El Baz Sama, Peters David H, Safi Najibullah, Tappis Hannah, Akseer Nadia
Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Modern Scientist Global, St. Catharines, Ontario, Canada.
BMJ Glob Health. 2025 Sep 2;10(Suppl 3):e018579. doi: 10.1136/bmjgh-2024-018579.
Since 2021, Afghanistan has faced a worsening humanitarian crisis that disproportionately impacts Afghan women and children. They experience inequities in healthcare access, deterioration of healthcare quality and extreme food insecurity. This study aims to fill an important gap by providing consensus on research priorities for maternal, newborn and child health (MNCH), sexual and reproductive health (SRH) and nutrition in Afghanistan.
The Child Health and Nutrition Research Initiative (CHNRI) is a widely used research prioritisation methodology that crowdsources input from subject matter experts to generate, score and rank research questions. This study reached out to 303 Afghanistan health researchers, who were identified through relevant publications, to align on the 20 highest priority MNCH, SRH and nutrition research questions. Question generation occurred in 2022, and data collection and analysis were completed by January 2025.
The CHNRI exercise had 81 respondents, of which 53% were of Afghan origin. The 20 highest priority research questions for MNCH, SRH and nutrition in Afghanistan were mostly and questions in MNCH and nutrition topic areas. The top questions ranged from characterising the availability, access and quality of MNCH services, to leveraging locally available interventions for malnutrition and food security, to strategies for increasing immunisation coverage.
By identifying high-priority research questions, donors, researchers, implementers and governments can align their research agendas and resource allocation to address critical health challenges for women and children in Afghanistan.
自2021年以来，阿富汗面临着日益恶化的人道主义危机，这对阿富汗妇女和儿童产生了尤为严重的影响。他们在获得医疗保健方面存在不平等现象，医疗质量下降，并且面临极端的粮食不安全状况。本研究旨在填补一项重要空白，就阿富汗孕产妇、新生儿和儿童健康（MNCH）、性与生殖健康（SRH）以及营养方面的研究重点达成共识。
儿童健康与营养研究倡议（CHNRI）是一种广泛使用的研究优先排序方法，它通过汇集主题专家的意见来生成、评分和排列研究问题。本研究联系了303名阿富汗卫生研究人员，这些人员是通过相关出版物确定的，以就20个最高优先的孕产妇、新生儿和儿童健康、性与生殖健康以及营养研究问题达成一致。问题生成于2022年进行，数据收集和分析于2025年1月完成。
CHNRI活动有81名受访者，其中53%是阿富汗裔。阿富汗孕产妇、新生儿和儿童健康、性与生殖健康以及营养方面的20个最高优先研究问题大多是孕产妇、新生儿和儿童健康以及营养主题领域的[此处原文缺失具体内容]和[此处原文缺失具体内容]问题。首要问题包括描述孕产妇、新生儿和儿童健康服务的可及性、可获得性和质量，利用当地现有的营养不良和粮食安全干预措施，以及提高免疫接种覆盖率的策略。
通过确定高度优先的研究问题，捐助者、研究人员、实施者和政府可以调整他们的研究议程和资源分配，以应对阿富汗妇女和儿童面临的关键健康挑战。
