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
Abstract 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 h...
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doaj-e4a9ccf8eaf447789836b39573b954952020-11-25T03:08:26ZengBMCHealth Research Policy and Systems1478-45052019-05-0117111010.1186/s12961-019-0459-5Using research priority-setting to guide bridging the implementation gap in countries – a case study of the Uganda newborn research priorities in the SDG eraPeter Waiswa0Monica Okuga1Lydia Kabwijamu2Joseph Akuze3Hanifah Sengendo4Patrick Aliganyira5Patricia Pirio6Claudia Hanson7Frank Kaharuza8Department of Health Policy, Planning and Management, Makerere University School of Public HealthDepartment of Health Policy, Planning and Management, Makerere University School of Public HealthDepartment of Health Policy, Planning and Management, Makerere University School of Public HealthDepartment of Health Policy, Planning and Management, Makerere University School of Public HealthSaving Newborn Lives, Save the ChildrenSaving Newborn Lives, Save the ChildrenSaving Newborn Lives, Save the ChildrenDepartment of Public Health Sciences, Karolinska InstitutetDepartment of Health Policy, Planning and Management, Makerere University School of Public HealthAbstract 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.http://link.springer.com/article/10.1186/s12961-019-0459-5Newborn research prioritiesresearch agendasetting prioritiesUganda |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Peter Waiswa Monica Okuga Lydia Kabwijamu Joseph Akuze Hanifah Sengendo Patrick Aliganyira Patricia Pirio Claudia Hanson Frank Kaharuza |
spellingShingle |
Peter Waiswa Monica Okuga Lydia Kabwijamu Joseph Akuze Hanifah Sengendo Patrick Aliganyira Patricia Pirio Claudia Hanson Frank Kaharuza 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 Health Research Policy and Systems Newborn research priorities research agenda setting priorities Uganda |
author_facet |
Peter Waiswa Monica Okuga Lydia Kabwijamu Joseph Akuze Hanifah Sengendo Patrick Aliganyira Patricia Pirio Claudia Hanson Frank Kaharuza |
author_sort |
Peter Waiswa |
title |
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 |
title_short |
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 |
title_full |
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 |
title_fullStr |
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 |
title_full_unstemmed |
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 |
title_sort |
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 |
publisher |
BMC |
series |
Health Research Policy and Systems |
issn |
1478-4505 |
publishDate |
2019-05-01 |
description |
Abstract 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. |
topic |
Newborn research priorities research agenda setting priorities Uganda |
url |
http://link.springer.com/article/10.1186/s12961-019-0459-5 |
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