Using research priority-setting to guide bridging the implementation gap in countries – a case study of the Uganda newborn research priorities in the SDG era

Autor: Patrick Aliganyira, Patricia Pirio, Claudia Hanson, Peter Waiswa, Monica Okuga, Joseph Akuze, Hanifah Naamala Sengendo, Frank Kaharuza, Lydia Kabwijamu
Jazyk: angličtina
Rok vydání: 2019
Předmět:
medicine.medical_specialty
Maternal-Child Health Services
Service delivery framework
media_common.quotation_subject
research agenda
Psychological intervention
Health administration
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
medicine
Humans
Infant Health
Quality (business)
Uganda
030212 general & internal medicine
Program Development
Child
Developing Countries
Health policy
media_common
Sustainable development
Medical education
Health Priorities
Research
030503 health policy & services
Health Policy
Public health
lcsh:Public aspects of medicine
Child Health
Infant
Newborn
Health services research
Newborn research priorities
lcsh:RA1-1270
setting priorities
Sustainable Development
Perinatal Care
Health Services Research
0305 other medical science
Psychology
Delivery of Health Care
Goals
Infant
Premature
Zdroj: Health Research Policy and Systems, Vol 17, Iss 1, Pp 1-10 (2019)
Health Research Policy and Systems
ISSN: 1478-4505
DOI: 10.1186/s12961-019-0459-5
Popis: Background One of the greatest challenges that countries face regarding the achievement of the Sustainable Development Goal (SDG) targets for child health regard the actions required to improve neonatal health; these interventions have to be informed by evidence. In view of the persisting high numbers of newborn deaths in Uganda, we aimed to define a locally contextualised national research agenda for newborn health to guide national investments towards SDG targets. Methods We adopted a systematic approach for priority-setting adapted from the Child Health and Nutrition Research Initiative. We identified and listed local newborn researchers and experts in Uganda by reviewing the PubMed database, through a snowballing technique, and engaged the Ministry of Health. Participants were requested to generate at least three research questions. The collated questions were sent to the same expert group to be rated using five criteria, including answerability, scalability, impact, generalisability and speed. Findings Of the 300 researchers and stakeholders contacted, 104 responded (36%) and generated 304 questions. These questions were collated and duplicates removed giving a condensed list of 41 research questions. These questions were then rated by 82 experts. Of the top 15 research questions, 86.7% (13/15) were in the service delivery and 6.7% (1/15) in the development domain, while only 6.7% (1/15) was in the group ‘other’. None of the leading 15 questions was in the discovery domain. Strategies to improve quality of intrapartum care featured high in the responses, while research around care for premature babies was not a perceived focus of research. Conclusions The focus of improved evidence to guide and innovate service delivery, foremost intrapartum care, reflects the importance of this area as accelerated improvement is likely to yield fast and sustained survival gains in the neonatal period and beyond in Uganda. We recommend that other countries adapt a similar approach in defining priority reproductive, maternal, newborn and child health areas for investment in order to accelerate progress towards achieving the SDGs. Electronic supplementary material The online version of this article (10.1186/s12961-019-0459-5) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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