Understanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exercise

Abstract Background Given the paradigmatic shift represented by the Sustainable Development Goals (SDGs) as compared to the Millennium Development Goals - in particular their broad and interconnected nature - a new set of health policy and systems research (HPSR) priorities are needed to inform stra...

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Main Authors: Sara Bennett, Nasreen Jessani, Douglas Glandon, Mary Qiu, Kerry Scott, Ankita Meghani, Fadi El-Jardali, Daniel Maceira, Dena Javadi, Abdul Ghaffar
Format: Article
Language:English
Published: BMC 2020-01-01
Series:Globalization and Health
Subjects:
Online Access:https://doi.org/10.1186/s12992-019-0534-2
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author Sara Bennett
Nasreen Jessani
Douglas Glandon
Mary Qiu
Kerry Scott
Ankita Meghani
Fadi El-Jardali
Daniel Maceira
Dena Javadi
Abdul Ghaffar
author_facet Sara Bennett
Nasreen Jessani
Douglas Glandon
Mary Qiu
Kerry Scott
Ankita Meghani
Fadi El-Jardali
Daniel Maceira
Dena Javadi
Abdul Ghaffar
author_sort Sara Bennett
collection DOAJ
description Abstract Background Given the paradigmatic shift represented by the Sustainable Development Goals (SDGs) as compared to the Millennium Development Goals - in particular their broad and interconnected nature - a new set of health policy and systems research (HPSR) priorities are needed to inform strategies to address these interconnected goals. Objectives To identify high priority HPSR questions linked to the achievement of the Sustainable Development Goals. Methods We focused on three themes that we considered to be central to achieving the health related SDGs: (i) Protecting and promoting access to health services through systems of social protection (ii) Strengthening multisectoral collaborations for health and (iii) Developing more participatory and accountable institutions. We conducted 54 semi-structured interviews and two focus group discussions to investigate policy-maker perspectives on evidence needs. We also conducted an overview of literature reviews in each theme. Information from these sub-studies was extracted into a matrix of possible research questions and developed into three domain-specific lists of 30–36 potential priority questions. Topic experts from the global research community then refined and ranked the proposed questions through an online platform. A final webinar on each theme sought feedback on findings. Results Policy-makers continue to demand HPSR for many well-established issues such as health financing, human resources for health, and service delivery. In terms of service delivery, policy-makers wanted to know how best to strengthen primary health care and community-based systems. In the themes of social protection and multisectoral collaboration, prioritized questions had a strong emphasis on issues of practical implementation. For participatory and accountable institutions, the two priority questions focused on political factors affecting the adoption of accountability measures, as well as health worker reactions to such measures. Conclusions To achieve the SDGs, there is a continuing need for research in some already well established areas of HPSR as well as key areas highlighted by decision-makers. Identifying appropriate conceptual frameworks as well as typologies of examples may be a prerequisite for answering some of the substantive policymaker questions. In addition, implementation research engaging non-traditional stakeholders outside of the health sector will be critical.
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spelling doaj.art-c9e3bf95926a4917ae941fec45b1f9872022-12-21T22:56:17ZengBMCGlobalization and Health1744-86032020-01-0116111310.1186/s12992-019-0534-2Understanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exerciseSara Bennett0Nasreen Jessani1Douglas Glandon2Mary Qiu3Kerry Scott4Ankita Meghani5Fadi El-Jardali6Daniel Maceira7Dena Javadi8Abdul Ghaffar9Johns Hopkins Bloomberg School of Public HealthJohns Hopkins Bloomberg School of Public HealthJohns Hopkins Bloomberg School of Public HealthJohns Hopkins Bloomberg School of Public HealthJohns Hopkins Bloomberg School of Public HealthJohns Hopkins Bloomberg School of Public HealthAmerican University of BeirutCenter for the Study of State and SocietyAlliance for Health Policy and Systems Research, World Health OrganizationAlliance for Health Policy and Systems Research, World Health OrganizationAbstract Background Given the paradigmatic shift represented by the Sustainable Development Goals (SDGs) as compared to the Millennium Development Goals - in particular their broad and interconnected nature - a new set of health policy and systems research (HPSR) priorities are needed to inform strategies to address these interconnected goals. Objectives To identify high priority HPSR questions linked to the achievement of the Sustainable Development Goals. Methods We focused on three themes that we considered to be central to achieving the health related SDGs: (i) Protecting and promoting access to health services through systems of social protection (ii) Strengthening multisectoral collaborations for health and (iii) Developing more participatory and accountable institutions. We conducted 54 semi-structured interviews and two focus group discussions to investigate policy-maker perspectives on evidence needs. We also conducted an overview of literature reviews in each theme. Information from these sub-studies was extracted into a matrix of possible research questions and developed into three domain-specific lists of 30–36 potential priority questions. Topic experts from the global research community then refined and ranked the proposed questions through an online platform. A final webinar on each theme sought feedback on findings. Results Policy-makers continue to demand HPSR for many well-established issues such as health financing, human resources for health, and service delivery. In terms of service delivery, policy-makers wanted to know how best to strengthen primary health care and community-based systems. In the themes of social protection and multisectoral collaboration, prioritized questions had a strong emphasis on issues of practical implementation. For participatory and accountable institutions, the two priority questions focused on political factors affecting the adoption of accountability measures, as well as health worker reactions to such measures. Conclusions To achieve the SDGs, there is a continuing need for research in some already well established areas of HPSR as well as key areas highlighted by decision-makers. Identifying appropriate conceptual frameworks as well as typologies of examples may be a prerequisite for answering some of the substantive policymaker questions. In addition, implementation research engaging non-traditional stakeholders outside of the health sector will be critical.https://doi.org/10.1186/s12992-019-0534-2Sustainable Development GoalsHealth policy and systems researchPriority settingMultisectoral collaborationSocial protectionSocial accountability
spellingShingle Sara Bennett
Nasreen Jessani
Douglas Glandon
Mary Qiu
Kerry Scott
Ankita Meghani
Fadi El-Jardali
Daniel Maceira
Dena Javadi
Abdul Ghaffar
Understanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exercise
Globalization and Health
Sustainable Development Goals
Health policy and systems research
Priority setting
Multisectoral collaboration
Social protection
Social accountability
title Understanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exercise
title_full Understanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exercise
title_fullStr Understanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exercise
title_full_unstemmed Understanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exercise
title_short Understanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exercise
title_sort understanding the implications of the sustainable development goals for health policy and systems research results of a research priority setting exercise
topic Sustainable Development Goals
Health policy and systems research
Priority setting
Multisectoral collaboration
Social protection
Social accountability
url https://doi.org/10.1186/s12992-019-0534-2
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