Abstract
This chapter discusses the Health Policy and Systems Research (HPSR) in Arab countries in the context of the Eastern Mediterranean Region. It highlights the conceptual framework of HPSR and its relevance, the development of HPSR and its current situation and challenges, opportunities, and applications. The chapter consists of five main sections: (1) background and introduction to HPSR, (2) the phases of HPSR development, concept, and its relevance and interconnectedness with other health research fields, its goals, and importance, (3) the landscape of HPSR in the Arab world describing the current status of HPSR, exploring capacity, and identifying challenges, (4) examples and experiences from Arab countries, and (5) the importance of HPSR and the response to coronavirus disease 19 (Covid-19). The chapter concludes by proposing strategies on how to strengthen HPSR in the Arab world.
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References
Adam T, de Savigny D (2012) Systems thinking for strengthening health systems in LMICs: need for a paradigm shift. Health Policy Plan 27(suppl_4):iv1–iv3. https://doi.org/10.1093/heapol/czs084
AHPSR (2004) Strengthening health systems: the role and promise of policy and systems research. Global Forum for Health Research, Suiza
AHPSR (2016) Investing in knowledge for resilient health systems: strategic plan 2016–2020. WHO, Geneva. https://apps.who.int/iris/bitstream/handle/10665/204806/WHO_HIS_HSR_16.1_eng.pdf
AHPSR (2020) How the alliance is responding to the COVID-19 pandemic.Updated 31 March 2020. https://www.who.int/alliance-hpsr/news/2020/alliance-covid-19-response/en/
AHPSR (n.d.) Bringing together evidence to tackle COVID-19. https://www.who.int/alliance-hpsr/news/2020/bringing-evidence-together-for-covid-19/en/
AlKhaldi M (2018) Palestinian health research system: moving forward. PhD Thesis, University_of_Basel
AlKhaldi M, Alkaiyat A, Abed Y, Pfeiffer C, Halaseh R, Salah R, Idries M et al (2018a) The palestinian health research system: who orchestrates the system, how and based on what? A qualitative assessment. Health Res Policy Syst 16(1). https://doi.org/10.1186/s12961-018-0347-4
AlKhaldi M, Abed Y, Pfeiffer C et al (2018b) Understanding the concept and importance of the health research system in Palestine: a qualitative study. Health Res Policy Syst 16, 49. https://doi.org/10.1186/s12961-018-0315-z
AlKhaldi M, Meghari H, Alkaiyat A, Abed Y, Pfeiffer C, Marie M et al (2019) A vision to strengthen resources and capacity of the Palestinian health research system: a qualitative assessment. East Mediterr Health J xx(x):xxx–xxx. https://doi.org/10.26719/emhj.19.096
AlKhaldi M, Kaloti R, Shella D, Al Basuoni A, Meghari H (2020) Health system’s response to the COVID-19 pandemic in conflict settings: policy reflections from Palestine. Glob Public Health 15(8):1244–1256. https://doi.org/10.1080/17441692.2020.1781914
Arrasmith WW (2015) Systems engineering and analysis of electro-optical and infrared systems. CRC Press/Taylor & Francis Group. 2015https://books.google.ch/books?id=Zo-9BwAAQBAJ&pg=PA128&lpg=PA128&dq=system+definition:+elements+operating+in+harmony+to+achieve+a+common+goal&source=bl&ots=CymTkLwAmO&sig=ACfU3U1ETN65ADaXouq8GN1yZfdwy2GIUw&hl=en&sa=X&ved=2ahUKEwizsvjnmv_pAhWkUhUIHRyZAZQQ6AEwAHoECA0QAQ#v=onepage&q=system%20definition%3A%20elements%20operating%20in%20harmony%20to%20achieve%20a%20common%20goal&f=false
Bates I, Boyd A, Aslanyan G, Cole DC (2015) Tackling the tensions in evaluating capacity strengthening for health research in low- and middle-income countries. Health Policy Plan 30(3):334–344. https://doi.org/10.1093/heapol/czu016
Bennett S, Adam T, Zarowsky C, Tangcharoensathien V, Ranson K, Evans T, Mills A (2008) From Mexico to Mali: Progress in health policy and systems research. Lancet 372(9649):1571–1578. https://doi.org/10.1016/S0140-6736(08)61658-X
Bennett S, Agyepong IA, Sheikh K et al. (2011) Building the field of health policy and systems research: an agenda for action. PLoS Medicine 8:e1001081
Bennett S, Frenk J, Mills A (2018) The evolution of the field of health policy and systems research and outstanding challenges. Health Res Policy Syst 16(1):43. https://doi.org/10.1186/s12961-018-0317-x
Bennett S, Jessani N, Glandon D et al (2020) Understanding the implications of the sustainable development goals for health policy and systems research: results of a research priority setting exercise. Glob Health 16:5. https://doi.org/10.1186/s12992-019-0534-2
Cairney P, Oliver K (2017) Evidence-based policymaking is not likeevidence-based medicine, so how farshould you go to bridge the dividebetween evidence and policy? Health Res Policy Syst 15:35
Campbell DM, Redman S, Jorm L, Cooke M, Zwi AB, Rychetnik L (2009) Increasing the use of evidence in health policy: practice and views of policy makers and researchers. Aust New Zealand Health Policy 6:21. https://doi.org/10.1186/1743-8462-6-21
Chanda-Kapata P, Campbell S, Zarowsky C (2012) Developing a national health research system: participatory approaches to legislative, institutional and networking dimensions in Zambia. Health Res Policy Syst 10:17. https://doi.org/10.1186/1478-4505-10-17
Cheung A, Lavis JN, Hamandi A, El-Jardali F, Sachs J, Sewankambo N (2011) Knowledge-Translation Platform Evaluation Team: Climate for evidence-informed health systems: A print media analysis in 44 low- and middle-income countries that host knowledge-translation platforms. Health ResPolicy Syst 9:7
COHRED (2000) Lessons in research to action and policy: case studies from seven countries. http://www.cohred.org/downloads/696.pdf
De Savigny D, Adam T, Alliance for Health Policy and Systems Research, World Health Organization (eds) (2009) Systems thinking for health systems strengthening. Alliance for Health Policy and Systems Research; World Health Organization, Geneva
Decoster K, Appelmans A, Hill P (2011) A health systems research mapping exercise in 26 low-and middle-income countries: narratives from health systems researchers, policy brokers and policy-makers. Background paper commissioned by the alliance for health policy and systems research to develop the WHO health systems research strategy. Alliance for Health Policy and Systems Research
Deleu D, Northway M, Hanssens Y (2001) Geographical distribution of biomedical publications from the Gulf Corporation Council countries. Saudi Medical Journal 22(1):10–12
El Achi N, Papamichail A, Rizk A et al (2019) A conceptual framework for capacity strengthening of health research in conflict: the case of the Middle East and North Africa region. Glob Health 15:81. https://doi.org/10.1186/s12992-019-0525-3
El-Jardali F, Makhoul J, Jamal D, Ranson MK, Kronfol NM, Tchaghchagian V (2010) Eliciting policymakers’and stakeholders’opinions to help shape health system research priorities in the Middle East and North Africa region. Health Policy Plan 25:15–27
El-Jardali et al. (2011) Health Policy and Systems Research in Twelve Eastern Mediterranean Countries: a stocktaking of production and gaps (2000–2008) Health Research Policy and Systems 9:39. http://www.health-policy-systems.com/content/9/1/39
El-Jardali F, Lavis JN, Ataya N, et al. (2012a) Use of health systems and policy research evidence in the health policymaking in eastern Mediterranean countries: views and practices of researchers. Implementation Sci 7:2. https://doi.org/10.1186/1748-5908-7-2
El-Jardali F, Lavis JN, Ataya N, et al. (2012b) Use of health systems evidence by policymakers in eastern mediterranean countries: views, practices, and contextual influences. BMC Health Serv Res 12:200. https://doi.org/10.1186/1472-6963-12-200
El-Jardali F, Bou-Karroum L, Hemadi N, Jammal A (2015) Health policy and systems research: evidence gap map in 15 countries of the eastern mediterranean region: the middle East and North Africa Health Policy Forum (MENA HPF). http://road9media.info/menahpf/wp-content/uploads/2017/08/WP-Health_Policy_and_Systems_Research-Evidence_Gap_Map_in_15_Countries_of_the_Eastern_Mediterranean_Region.pdf. Accessed 9 May 2020
Fadlallah R (2015) A view from Lebanon: challenges of conducting health policy and systems research in a context of uncertainty. Health Systems Global, News & Commentary. 22 September. https://www.healthsystemsglobal.org/blog/63/A-view-from-Lebanon-Challenges-of-conducting-Health-Policy-and-Systems-Research-in-a-context-of-uncertainty-.html
Fathalla M (2004) A practical guide for health researchers. http://www.who.int/ethics/review-committee/emro_ethics_dsa237.pdf
Ghaffar A, Tran NT, Reddy KS, Kasonde J, Bajwa T, Ammar W, Ren M, Rottingen J-A, Mills A (2013) Changing mindsets in health policy and systems research. Lancet 381(9865):436–437. https://doi.org/10.1016/S0140-6736(12)61858-3
Ghaffar A, Gilson L, Tomson G, Viergever R, Røttingen J-A (2016) Where is the policy in health policy and systems research agenda? Bull World Health Organ 94(4):306–308. https://doi.org/10.2471/BLT.15.156281
Ghannem H (2011) The need for capacity building to prevent chronic diseases in North Africa and the Middle East. EMHJ 17(7)
Gilson L, Hanson K, Sheikh K, Agyepong IA, Ssengooba F, Bennett S (2011) Building the Field of Health Policy and Systems Research: Social Science Matters. PLoS Med 8(8):e1001079. https://doi.org/10.1371/journal.pmed.1001079
Gonzalez Block MA, Mills A (2003) Assessing capacity for health policy and systems research in low and middle-income countries*. Health Res Policy Syst 1(1):1. https://doi.org/10.1186/1478-4505-1-1
Hanney SR, González-Block MA (2016) Building health research systems: WHO is generating global perspectives, and who’s celebrating national successes? Health Res Policy Syst 14:90. https://doi.org/10.1186/s12961-016-0160-x
Health Systems Global (HSG), Thematic Working Group (TWG) (2018) TWG organized session: competencies for health policy and systems research: findings from a global mapping and consensus. Thursday October 11. Liverpool. http://healthsystemsresearch.org/hsr2018/teaching-learning-health-policy-systems-research/
Horton R (2019) Offline: global health has forgotten the Arab world. Lancet 393(10179):1398
Hyder AA, Bloom G, Leach M, et al. (2007) Exploring health systems research and its influence on policy processes in low income countries. BMC Public Health 7:309. https://doi.org/10.1186/1471-2458-7-309
Hyder A, Corluka A, Winch P, El-Shinnawy A, Ghassany H, Malekafzali H, Lim M, Mfutso-Bengo J, Segura E, Ghaffar A (2011) National policy-makers speak out: areresearchers giving them what they need?. Health Policy and Planning 26:73–82 https://doi.org/10.1093/heapol/czq020
Hyder AA, Pratt B, Ali J, Kass N, Sewankambo N (2014) The ethics of health systems research in low- and middle-income countries: a call to action. Glob Public Health 9(9):1008–1022. https://doi.org/10.1080/17441692.2014.931998
Ibrahim N (2015) Health care research in Arab countries: where do we stand? A summary for previously published reports. J Pharma Care Health Sys 2:1000e137. https://doi.org/10.4172/2376-0419.1000e1
IJsselmuiden C, Jacobs M (2005) Health research for development: making health research work ... For everyone. Scand J Public Health 33(5):329–333. https://doi.org/10.1080/14034940510032310
Kennedy A, Khoja TA, Abou Zeid AH, Ghannem H, IJsselmuiden C (2008) National health research system mapping in 10 Eastern Mediterranean countries
Kickbusch I, Gitahi G (2020) COVID-19 (coronavirus): universal health coverage in times of crisis. April 29, 2020. https://blogs.worldbank.org/health/covid-19-coronavirus-universal-health-coverage-times-crisis
Koon AD, Rao KD, Tran NT, Ghaffar A (2013) Embedding health policy and systems research into decision-making processes in low- and middle-income countries. Health Res Policy Syst 11(1):30. https://doi.org/10.1186/1478-4505-11-30
Langlois EV, Straus SE, Antony J et al (2019) Using rapid reviews to strengthen health policy and systems and progress towards universal health coverage. BMJ Glob Health 4:e001178
Lavis J, Ross S, Hurley JE, et al. (2002) Examining the role of health services research in public policymaking. Milbank Quarterly 80(1):125–54
Law TJ, Lavis JN, Hamandi A, Cheung A, El-Jardali F (2011) KT Platform EvaluationTeam:Climate for evidence-informed health systems: A profile of systematic review production in 41 low- and middle-income countries,1996–2008.J Health Serv Res Policy 9:7. http://www.health-policy-systems.com/content/9/1/7
OECD (2020) COVID-19 crisis response in MENA countries. http://www.oecd.org/coronavirus/policy-responses/covid-19-crisis-response-in-mena-countries-4b366396/. [06/07/2020]
Oxman AD, Lavis JN, Lewin S, Fretheim A (2009) SUPPORT Tools for evidence-informed health Policymaking (STP) 1: What is evidence-informed policymaking?. Health Res Policy Syst 7(Suppl 1):S
Pang T, Terry RF (2011) WHO/PLoS collection ‘no health without research’: a call for papers. PLoS Med 8(1):e1001008. https://doi.org/10.1371/journal.pmed.1001008
Pang T, Sadana R, Hanney S, Bhutta ZA, Hyder AA, Simon J (2003) Knowledge for better health: a conceptual framework and foundation for health research systems. Bull World Health Organ 81(11):815–820
Parvin, Lisa, Daniela Valdés, Catherine Sinfield, Ani Gururaj, Shameer Kunnathpeedikayil, and Stephanie Collier. n.d. Health policy and systems research for health system strengthening and pandemic preparedness: challenges, innovations and opportunities
Peters DH (2014) The application of systems thinking in health: why use systems thinking? Health Res Policy Syst 12:51. https://doi.org/10.1186/1478-4505-12-51
Peters DH (2018) Health policy and systems research: the future of the field. Health Res Policy Syst 16(1):84. https://doi.org/10.1186/s12961-018-0359-0
Remme JHF, Adam T, Becerra-Posada F, D’Arcangues C, Devlin M, Gardner C, Ghaffar A et al (2010) Defining research to improve health systems. PLoS Med 7(11):e1001000. https://doi.org/10.1371/journal.pmed.1001000
Sheikh K, Gilson L, Agyepong IA, Hanson K, Ssengooba F, Bennett S (2011) Building the field of health policy and systems research: framing the questions. PLoS Med 8(8):e1001073
Shroff ZC, Javadi D, Gilson L, Kang R, Ghaffar A (2017) Institutional capacity to generate and use evidence in LMICs: current state and opportunities for HPSR. Health Res Policy Syst 15(1):94. https://doi.org/10.1186/s12961-017-0261-1
Tancred TM, Schleiff M, Peters DH, Balabanova D (2016) Health policy and systems research training: global status and recommendations for action. Bull World Health Organ 94(7):491–500. https://doi.org/10.2471/BLT.15.162818
Turner T, El-Jardali F (2020) The crucible of COVID-19: what the pandemic is teaching us about health research systems. Health Res Policy Syst 18:52
WHO (2000) The world health report 2000: health systems: improving performance. WHO, Geneva
WHO (2012) The WHO strategy on research for health. OMS, World Health Organization, Geneva
WHO (2017) World report on health policy and systems research: HPSR. http://apps.who.int/iris/bitstream/10665/255051/1/9789241512268-eng.pdf
WHO (n.d.) WHO | What is health policy and systems research (HPSR)? Accessed May 1, 2019. http://www.who.int/alliance-hpsr/about/hpsr/en/
WHO, AHPSR (2007) What is health policy and systems research and why does it matter? https://www.who.int/alliance-hpsr/resources/Alliance%20HPSR%20-%20Briefing%20Note%201.pdf?ua=1
WHO, EMRO (2008) “Bridging the Gap between Health Researchers and Policy-Makers in the Eastern Mediterranean Region.” EM/RC55/4. http://applications.emro.who.int/docs/EM_RC55_4_en.pdf?ua=1
WHO, EMRO (2020) About us. http://www.emro.who.int/entity/about-us/index.html. [02/07/2020]
World Health Organization (2012) Health policy and systems research: a methodology reader, Gilson, Lucy, Alliance for Health Policy and Systems Research, World Health Organization
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AlKhaldi, M., Al-Surimi, K., Meghari, H. (2021). Health Policy and Systems Research in the Arab World: Concepts, Evolution, Challenges, and Application Necessity for COVID-19 Pandemic and Beyond. In: Laher, I. (eds) Handbook of Healthcare in the Arab World. Springer, Cham. https://doi.org/10.1007/978-3-319-74365-3_62-2
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Health Policy and Systems Research in the Arab World: Concepts, Evolution, Challenges, and Application Necessity for COVID-19 Pandemic and Beyond- Published:
- 20 November 2020
DOI: https://doi.org/10.1007/978-3-319-74365-3_62-2
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Health Policy and Systems Research in the Arab World: Concepts, Evolution, Challenges, and Application Necessity for COVID-19 Pandemic and Beyond- Published:
- 13 September 2020
DOI: https://doi.org/10.1007/978-3-319-74365-3_62-1