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American Journal of Public Health Research. 2017, 5(1), 23-29
DOI: 10.12691/AJPHR-5-1-5
Original Research

Research for Health Priorities in the Northern Cape Province: Fostering Research Capacity to Translate the Identified Research Needs into Action

Eshetu Bekele Worku1,

1Northern Cape Department of Health, Kimberley 8301, South Africa

Pub. Date: March 08, 2017

Cite this paper

Eshetu Bekele Worku. Research for Health Priorities in the Northern Cape Province: Fostering Research Capacity to Translate the Identified Research Needs into Action. American Journal of Public Health Research. 2017; 5(1):23-29. doi: 10.12691/AJPHR-5-1-5

Abstract

Background: Over the past decades active community engagement in health research has gained significant attention in people-centered health systems throughout the world. Yet there is little evidence about how best to enhance active community engagement in setting priorities for health research, particularly from low-and middle-income countries (LMICs). This study presents the approaches employed to identify health research priorities and the lesson learnt from the Northern Cape Province in South Africa. Methods: A combination of approaches involving the Essential National Health Research (ENHR), and the World Café consultation processes with the support of experts’ ideas used to enhance key stakeholders (n=41) participation towards the identification of health research priorities for the province. A document on the burden of diseases, health systems challenges and population health status indicators was presented and critically reviewed at the workshop. Results: The top ten health research prority areas for the province identified with active community engagement. More than 90% of the prioritised research areas are operational research which are linked to health services delivery challenges including health systems issues, burden of diseases, health program effectiveness, and the social determinants of health. Conclusion: Active community engagement in setting research priorities for health is a necessary first step to improve the delivery of good quality, equitable and accessible healthcare services for all citizens. However, the current limited resource capacities both in terms of funding and human resources for health research is a concern; and may hamper the effective translation of research priorities to actual action.

Keywords

health research, priority setting, community participation, World Café, capacity, Northern Cape

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  United Nations. World leaders adopt Sustainable Development Goals". United Nations Development Programme. [home page on Internet]. [cited 2016 May 25]. Available from: http://www.undp.org/content/undp/en/home/presscenter/pressreleases/2015/09/24/undp-welcomes-adoption-of-sustainable-development-goals-by-world-leaders.html.
 
[2]  Bloom E, Canning D. Population health and economic growth. In: Spence M, Lewis M, editors. Health and growth: commission on growth and development. Washington DC: The World Bank. 2009.
 
[3]  Sundewall J, Swanson C, Betigeri A, et al, Health-systems strengthening: current and future activities. Lancet. 2011; (377): 1222-3.
 
[4]  Robert S, Rifat A, Allan B, et al, Strengthening health systems in low-income countries by enhancing organizational capacities and improving institutions. Globalization and Health. 2015.
 
[5]  Worku E and Woldesenbet S. Are there particular social determinants of health for the world’s poorest countries? Afr Health Sci 2011(1); 108-115.
 
[6]  World Health Organization. Five keys to improving research costing in low-and middle-income countries. ESSENCE 2012, [home page on Internet]. [cited 2016 May 27]. Available from: http://www.who.int/tdr/ publications/five keys/en/.
 
[7]  World Health Organization Good practice document series. Seven principles for strengthening research capacity in low- and middle-income countries: simple ideas in a complex world. ESSENCE 2014. [home page on Internet]. [cited 2016 May 27]. Available from: http://www.who.int/tdr/publications/Essence_report2014_OK.pdf.
 
[8]  Hamisu S, Abraham S, Wei W, et al, Community Priority Index: Utility, Applicability and Validation for Priority Setting in Community-Based Participatory Research. 2015. J Public Health Res. 2015; 4(2): 443.
 
[9]  Viergever R, Olifson S, Ghaffar A, et al. A checklist for health research priority setting: nine common themes of good practice. Health Research Policy and Systems, 2010; (1) 8: 36.
 
[10]  Oshida S. Approaches, tools and methods used for setting priorities in health research in the 21(st) century. J Glob Health. 2016; (1): 010507.
 
[11]  Israel A, Schulz J, Parker A, Becker B. Community-Campus Partnerships for Health Educ Health (Abingdon). 2001; 14(2): 182-97.
 
[12]  Peter K, Stephen M, Benedict N, et al, Promoting community participation in priority setting in district health systems: experiences from Mbarali district, Tanzania. Glob Health Action. 2013; 6: 22669.
 
[13]  Minkler M, and Nina W, eds. Community-based participatory research for health: From process to outcomes. John Wiley & Sons, 2011.
 
[14]  World Health Organization. 63 World Health Assembly. Who’s role and responsibilities in health research. Geneva: WHO; 2010. [home page on Internet]. [cited 2016 May 27]. Available from: http://apps.who.int/gb/ebwha/pdf_files/WHA63/A63_22-en.pdf.
 
[15]  Michelle S. Developed by Corporate & Marketing Communications, South African Medical Research Council. 20 September 2016. [home page on Internet]. [cited 2016 May 27]. Available from: http://www.mrc.ac.za/bod/healthpriorities.htm.
 
[16]  Council on Health Research for Development (COHRED). Essential National Health Research and Priority Setting: Lessons Learned. (1997). [home page on Internet]. [cited 2016 June 7]. Available from: http://www.cohred.org/downloads/586.pdf
 
[17]  Council on Health Research for Development (COHRED), Geneva, Switzerland Priority setting for health research: lessons from developing countries. [home page on Internet]. [cited 2016 June 7]. Available from: http://heapol.oxfordjournals.org/content/15/2/130.
 
[18]  World Health Organization: Ministerial Summit on Health Research. World Health Assembly Resolution 58 World Health Assembly. Geneva: WHO; 2005.
 
[19]  Editorial. The Bamako call to action: research for health. Lancet 2008; 372:1855
 
[20]  Department of Health. Health Research Policy in South Africa. Pretoria: DoH, 2001.
 
[21]  Department of Health. National Health Act, Act No. 61 of 2003. Pretoria: DoH, 2003.
 
[22]  Priority Medicines for Europe and the World 2013 Update. [home page on Internet]. [cited 2016 June 7]. Available from: http://www.who.int/medicines/areas/priority_medicines/Ch3_Approaches.pdf.
 
[23]  MacQueen K, McLellan E, Metzger D, et al, What is community? An evidence-based definition for participatory public health. Am J Pub Health 2001; 91:1929-1938.
 
[24]  Craig M, Neale S, Stuart P, et al, Public participation in health care priority setting: A scoping review. Health Policy. 2009; 91 (3); 219-228
 
[25]  McGregor S, Henderson K, Kaldor J. How Health Research Priorities Are Set in Low and Middle Income Countries? A Systematic Review of Published Reports. PLoS ONE. 2014; 9(10): e108787.
 
[26]  Sridhar D. Who Sets the Global Health Research Agenda? The Challenge of Multi-Bi Financing. PLOS/Medicine. 2012; September 25.
 
[27]  NMayosi B, Mekwa N, and Blackburn J, et al. National Health Research Summit Report: Strengthening Research for Health, Development and Innovation in South Africa. Pretoria. Department of Health Republic of South Africa. April 2012.
 
[28]  The World Café Community Foundation Creative Commons Attribution. 2015. [home page on Internet]. [cited 2016 January11]. Available from: http: www.theworldcafe.com.
 
[29]  Raymond P. The World Café – Shaping Our Futures through Conversations that Matter. Journal of Organizational Change Management, 2006; 19 (2)266-268.
 
[30]  Commission on Health Research for Development. Health Research: Essential Link to Equity in Development. New York: Oxford University Press; 1990.
 
[31]  The World Café Community Foundation Creative Commons Attribution.
 
[32]  Free to copy & distribute w/acknowledgement & link: www.theworldcafe.com [home page on Internet]. [cited 2016 December 12]. Available from: http://www.theworldcafe.com/copyright-use-policies/.
 
[33]  Mitton C, Smith N, Peacock S, et al, Public Participation in health care priority setting. a scoping review. Health Policy, 2009; (91), 219-228.
 
[34]  Kenny A, Hyett N, Sawtell J, et al, Community Participation in Rural Health: a scoping review. BMC Health Services Research. 2013; (13); 47-64.
 
[35]  IJsselmuiden C, Marais D, Becerra-Posada F, et al, Africa’s neglected area of human resources for health research – the way forward. SAMJm 2012; (102), No 4.
 
[36]  Gadsby E. Research capacity strengthening: donor approaches to improving and assessing its impact in low- and middle-income countries. The International Journal of Health Planning and Management. 2011; (26): 89-106.
 
[37]  Jamison D, Summers L, Alleyne G, et al. Global health 2035: a world converging within a generation. The Lancet 2013; 382(9908): 1898-955.
 
[38]  Global Forum for Health Research. Strengthening health systems: the role and promise of policy and systems research. Geneva, Alliance for Health Policy and Systems Research, 2004.
 
[39]  Department of Health. The White Paper on the Transformation of the Health System: Towards a National Health System. DoH, 1997.