Strengthening national public health institutes: a systematic review on institution building in the public sector

IntroductionStrong and efficient institutions are vital to the development of well-functioning governments and strong societies. The term “institution building” encompasses the creation, support, development, and strengthening of organizations and institutions. Still, there is little aggregated evid...

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Main Authors: Lucia Brugnara, Catalina Jaramillo, Margarita Olarte-Peña, Larissa Karl, Andreas Deckert, Michael Marx, Olaf Horstick, Peter Dambach, Angela Fehr
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1146655/full
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author Lucia Brugnara
Lucia Brugnara
Catalina Jaramillo
Margarita Olarte-Peña
Larissa Karl
Andreas Deckert
Michael Marx
Michael Marx
Olaf Horstick
Peter Dambach
Angela Fehr
author_facet Lucia Brugnara
Lucia Brugnara
Catalina Jaramillo
Margarita Olarte-Peña
Larissa Karl
Andreas Deckert
Michael Marx
Michael Marx
Olaf Horstick
Peter Dambach
Angela Fehr
author_sort Lucia Brugnara
collection DOAJ
description IntroductionStrong and efficient institutions are vital to the development of well-functioning governments and strong societies. The term “institution building” encompasses the creation, support, development, and strengthening of organizations and institutions. Still, there is little aggregated evidence on “institution building” considering a wider system-thinking approach, best practices, or development cooperation specifically in the field of public health. In 2007, the International Association of National Public Health Institutes (IANPHI) created a guiding Framework that countries may use for developing National Public Health Institutes (NPHIs). This Framework is currently being revised.MethodsIn this context, we conducted a systematic review to facilitate this revision with recent evidence on institution building and its potential contribution to NPHI. We followed the PRISMA guidelines for systematic reviews, searching for relevant publications in seven scientific databases (Pubmed, VHL/LILACS, EconLit, Google Scholar, Web of Science, World Affairs Online, ECONBIZ) and four libraries (World Bank; European Health for All database of the World Health Organization European Region, WHO; Organization for Economic Cooperation and Development, OECD; and the African Union Common Repository). The search was carried out in October 2021. We used the “framework analysis” tool for systematically processing documents according to key themes.ResultsAs a result, we identified 3,015 records, of which we included 62 documents in the final review. This systematic review fills a major gap of aggregated information on institution building in the field of public health and National Public Health Institutes. It is to our knowledge the first systematic review of this kind. The overriding result is the identification and definition of six domains of institution building in the health sector: “governance,” “knowledge and innovation,” “inter-institutional cooperation,” “monitoring and control,” “participation,” and “sustainability and context-specific adaptability.”DiscussionOur results show that the described domains are highly relevant to the public health sector, and that managers and the scientific community recognize their importance. Still, they are often not applied consistently when creating or developing NPHIs. We conclude that organizations engaged in institution building of NPHIs, including IANPHI, may greatly benefit from state-of-the-art research on institution building as presented in this study.
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spelling doaj.art-78baf602d89b4764b931b039446f6af82023-05-18T05:46:29ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-05-011110.3389/fpubh.2023.11466551146655Strengthening national public health institutes: a systematic review on institution building in the public sectorLucia Brugnara0Lucia Brugnara1Catalina Jaramillo2Margarita Olarte-Peña3Larissa Karl4Andreas Deckert5Michael Marx6Michael Marx7Olaf Horstick8Peter Dambach9Angela Fehr10evaplan GmbH at the University Hospital Heidelberg, Heidelberg, GermanyHeidelberg Institute of Global Health, Faculty of Medicine, University of Heidelberg, Heidelberg, Germanyevaplan GmbH at the University Hospital Heidelberg, Heidelberg, Germanyevaplan GmbH at the University Hospital Heidelberg, Heidelberg, GermanyFaculty of Natural and Social Sciences, Heidelberg University of Education, Heidelberg, GermanyHeidelberg Institute of Global Health, Faculty of Medicine, University of Heidelberg, Heidelberg, Germanyevaplan GmbH at the University Hospital Heidelberg, Heidelberg, GermanyHeidelberg Institute of Global Health, Faculty of Medicine, University of Heidelberg, Heidelberg, GermanyHeidelberg Institute of Global Health, Faculty of Medicine, University of Heidelberg, Heidelberg, GermanyHeidelberg Institute of Global Health, Faculty of Medicine, University of Heidelberg, Heidelberg, GermanyCentre for International Health Protection, Robert Koch Institute, Berlin, GermanyIntroductionStrong and efficient institutions are vital to the development of well-functioning governments and strong societies. The term “institution building” encompasses the creation, support, development, and strengthening of organizations and institutions. Still, there is little aggregated evidence on “institution building” considering a wider system-thinking approach, best practices, or development cooperation specifically in the field of public health. In 2007, the International Association of National Public Health Institutes (IANPHI) created a guiding Framework that countries may use for developing National Public Health Institutes (NPHIs). This Framework is currently being revised.MethodsIn this context, we conducted a systematic review to facilitate this revision with recent evidence on institution building and its potential contribution to NPHI. We followed the PRISMA guidelines for systematic reviews, searching for relevant publications in seven scientific databases (Pubmed, VHL/LILACS, EconLit, Google Scholar, Web of Science, World Affairs Online, ECONBIZ) and four libraries (World Bank; European Health for All database of the World Health Organization European Region, WHO; Organization for Economic Cooperation and Development, OECD; and the African Union Common Repository). The search was carried out in October 2021. We used the “framework analysis” tool for systematically processing documents according to key themes.ResultsAs a result, we identified 3,015 records, of which we included 62 documents in the final review. This systematic review fills a major gap of aggregated information on institution building in the field of public health and National Public Health Institutes. It is to our knowledge the first systematic review of this kind. The overriding result is the identification and definition of six domains of institution building in the health sector: “governance,” “knowledge and innovation,” “inter-institutional cooperation,” “monitoring and control,” “participation,” and “sustainability and context-specific adaptability.”DiscussionOur results show that the described domains are highly relevant to the public health sector, and that managers and the scientific community recognize their importance. Still, they are often not applied consistently when creating or developing NPHIs. We conclude that organizations engaged in institution building of NPHIs, including IANPHI, may greatly benefit from state-of-the-art research on institution building as presented in this study.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1146655/fullinstitution buildingorganization developmentorganization strengtheninginstitutional capacity buildingnational public health instituteinternational cooperation
spellingShingle Lucia Brugnara
Lucia Brugnara
Catalina Jaramillo
Margarita Olarte-Peña
Larissa Karl
Andreas Deckert
Michael Marx
Michael Marx
Olaf Horstick
Peter Dambach
Angela Fehr
Strengthening national public health institutes: a systematic review on institution building in the public sector
Frontiers in Public Health
institution building
organization development
organization strengthening
institutional capacity building
national public health institute
international cooperation
title Strengthening national public health institutes: a systematic review on institution building in the public sector
title_full Strengthening national public health institutes: a systematic review on institution building in the public sector
title_fullStr Strengthening national public health institutes: a systematic review on institution building in the public sector
title_full_unstemmed Strengthening national public health institutes: a systematic review on institution building in the public sector
title_short Strengthening national public health institutes: a systematic review on institution building in the public sector
title_sort strengthening national public health institutes a systematic review on institution building in the public sector
topic institution building
organization development
organization strengthening
institutional capacity building
national public health institute
international cooperation
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1146655/full
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