Embedding rapid reviews in health policy and systems decision-making: Impacts and lessons learned from four low- and middle-income countries

被引：6

作者：

Robson, Reid C. ^{[1
]}

Thomas, Sonia M. ^{[1
]}

Langlois, Etienne V. ^{[2
,3
]}

Mijumbi, Rhona ^{[5
]}

Kawooya, Ismael ^{[5
]}

Antony, Jesmin ^{[1
]}

Courvoisier, Melissa ^{[1
]}

Amog, Krystle ^{[1
,4
]}

Marten, Robert ^{[3
]}

Chikovani, Ivdity ^{[6
]}

Nambiar, Devaki ^{[7
,8
,9
]}

Ved, Rajani R. ^{[10
]}

Bhaumik, Soumyadeep ^{[11
]}

Balqis-Ali, Nur Zahirah ^{[12
]}

Sararaks, Sondi ^{[12
]}

Sharif, Shakirah Md. ^{[12
]}

Kangwende, Rugare Abigail ^{[13
]}

Munatsi, Ronald ^{[14
]}

Straus, Sharon E. ^{[1
,15
]}

Tricco, Andrea C. ^{[1
,16
,17
]}

机构：

[1] Unity Hlth Toronto, St Michaels Hosp, Li Ka Shing Knowledge Inst, Knowledge Translat Program, 209 Victoria St,7th Floor,East Bldg, Toronto, ON M5B 1T8, Canada

[2] WHO, Partnership Maternal Newborn & Child Hlth PMNCH, Geneva, Switzerland

[3] WHO, Sci Div, Alliance Hlth Policy & Syst Res, Geneva, Switzerland

[4] Univ Toronto, Inst Hlth Policy Management & Evaluat, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[5] Makerere Univ, Ctr Rapid Evidence Synth ACRES, Reg East African Policy Initiat, Uganda Node,Coll Hlth Sci, Kampala, Uganda

[6] Curatio Int Fdn, Res Dept, Tbilisi, Georgia

[7] George Inst Global Hlth, New Delhi, India

[8] Univ New South Wales, Fac Med, Sydney, Australia

[9] Manipal Acad Higher Educ, Prasanna Sch Publ Hlth, Manipal, India

[10] Bill & Melinda Gates Fdn, New Delhi, India

[11] George Inst Global Hlth, Meta Res & Evidence Synth Unit, New Delhi, India

[12] Minist Hlth, Inst Hlth Syst Res, NIH, Putrajaya, Malaysia

[13] Minist Hlth & Child Care, Harare, Zimbabwe

[14] Zimbabwe Evidence Informed Policy Network ZeipNET, Harare, Zimbabwe

[15] Univ Toronto, Dept Geriatr Med, Toronto, ON, Canada

[16] Univ Toronto, Epidemiol Div, Toronto, ON, Canada

[17] Univ Toronto, Inst Hlth Management & Evaluat, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

来源：

HEALTH RESEARCH POLICY AND SYSTEMS | 2023年 / 21卷 / 01期

关键词：

Capacity-building; Low- and middle-income economy countries; Knowledge synthesis; Policy decision-making; Rapid reviews;

D O I：

10.1186/s12961-023-00992-w

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BackgroundDemand for rapid evidence-based syntheses to inform health policy and systems decision-making has increased worldwide, including in low- and middle-income countries (LMICs). To promote use of rapid syntheses in LMICs, the WHO's Alliance for Health Policy and Systems Research (AHPSR) created the Embedding Rapid Reviews in Health Systems Decision-Making (ERA) Initiative. Following a call for proposals, four LMICs were selected (Georgia, India, Malaysia and Zimbabwe) and supported for 1 year to embed rapid response platforms within a public institution with a health policy or systems decision-making mandate.MethodsWhile the selected platforms had experience in health policy and systems research and evidence syntheses, platforms were less confident conducting rapid evidence syntheses. A technical assistance centre (TAC) was created from the outset to develop and lead a capacity-strengthening program for rapid syntheses, tailored to the platforms based on their original proposals and needs as assessed in a baseline questionnaire. The program included training in rapid synthesis methods, as well as generating synthesis demand, engaging knowledge users and ensuring knowledge uptake. Modalities included live training webinars, in-country workshops and support through phone, email and an online platform. LMICs provided regular updates on policy-makers' requests and the rapid products provided, as well as barriers, facilitators and impacts. Post-initiative, platforms were surveyed.ResultsPlatforms provided rapid syntheses across a range of AHPSR themes, and successfully engaged national- and state-level policy-makers. Examples of substantial policy impact were observed, including for COVID-19. Although the post-initiative survey response rate was low, three quarters of those responding felt confident in their ability to conduct a rapid evidence synthesis. Lessons learned coalesced around three themes - the importance of context-specific expertise in conducting reviews, facilitating cross-platform learning, and planning for platform sustainability.ConclusionsThe ERA initiative successfully established rapid response platforms in four LMICs. The short timeframe limited the number of rapid products produced, but there were examples of substantial impact and growing demand. We emphasize that LMICs can and should be involved not only in identifying and articulating needs but as co-designers in their own capacity-strengthening programs. More time is required to assess whether these platforms will be sustained for the long-term.

引用

页数：11

共 21 条

[1]

ahpsr, WHAT IS HLTH POL SYS

[2]

Canadian Institutes of Health Research, GUID KNOWL TRANSL PL

[3]

Dick W., 2015, The Systematic Design of Instruction, V8th ed.

[4] Defining Rapid Reviews: a systematic scoping review and thematic analysis of definitions and defining characteristics of rapid reviews [J].