03386nas a2200277 4500000000100000008004100001260004400042653003200086653004100118653003900159100001400198700001400212700001400226700001000240700001200250700001400262700001700276700001400293700001300307700001400320245016000334856007400494490000700568520251900575022001403094 2020 d bSpringer Science and Business Media LLC 10 aMultisectoral collaboration 10 aSustainable Development Goals (SDGs) 10 aHealth policy and systems research 1 aBennett S 1 aJessani N 1 aGlandon D 1 aQiu M 1 aScott K 1 aMeghani A 1 aEl-Jardali F 1 aMaceira D 1 aJavadi D 1 aGhaffar A 00 aUnderstanding the implications of the Sustainable Development Goals for health policy and systems research: results of a research priority setting exercise uhttps://link.springer.com/content/pdf/10.1186%2Fs12992-019-0534-2.pdf 0 v16 3 aBackground
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. a1744-8603