关键词: health services health services administration & management public health

Mesh : Tanzania Humans Health Planning / methods Translational Research, Biomedical / methods Qualitative Research Research Design Surveys and Questionnaires Focus Groups Decision Making

来  源:   DOI:10.1136/bmjopen-2023-081517   PDF(Pubmed)

Abstract:
BACKGROUND: Achieving universal health coverage requires using research evidence to inform decision-making. However, little information is available on the use of research evidence in planning in lower middle-income countries, including Tanzania. This paper presents a protocol that aims to investigate the usage of research evidence in health planning, determinants and readiness of the planning team members to use knowledge translation tools in Tanzania.
METHODS: This study will employ a sequential exploratory mixed-methods design, with participants selected from national, regional and council levels. Qualitative data will be collected through a maximum of 52 in-depth interviews and 12 focused group discussions until saturation. To collect quantitative data, a structured questionnaire will be used to survey 422 participants, and a document review will be conducted from health facilities. Qualitative data will be analysed using thematic analysis, while descriptive and inferential analyses will be employed for quantitative data.
BACKGROUND: The study participants will provide written informed consent, and all recorded data will be stored on a secured research server accessible only to the investigators. Ethical approval has been obtained from the University of Dodoma Research Ethics Committee (ref. MA.84/261/02/\'A\'/64/91). The findings of this study will inform policymakers, researchers and implementers in the country on the use of research evidence in decision-making. We will disseminate our findings through publications, conferences, workshops and interactive communication with national, regional, council and health facility planning teams.
摘要:
背景:实现全民健康覆盖需要使用研究证据来指导决策。然而,关于在中低收入国家规划中使用研究证据的信息很少,包括坦桑尼亚。本文提出了一个协议,旨在调查研究证据在健康规划中的使用情况,在坦桑尼亚,规划团队成员使用知识翻译工具的决定因素和准备情况。
方法:本研究将采用序贯探索性混合方法设计,参与者从国家中挑选出来,区域和理事会级别。定性数据将通过最多52次深入访谈和12次重点小组讨论收集,直至饱和。为了收集定量数据,一份结构化问卷将用于调查422名参与者,并将对卫生设施进行文件审查。定性数据将使用主题分析进行分析,而描述性和推断性分析将用于定量数据。
背景:研究参与者将提供书面知情同意书,所有记录的数据将存储在一个安全的研究服务器上,只有研究者可以访问。道德批准已从多多马大学研究伦理委员会获得(参考。MA.84/261/02/\'A\'/64/91)。这项研究的结果将告知决策者,研究人员和实施者在决策中使用研究证据。我们将通过出版物传播我们的发现,会议,研讨会和与国家的互动交流,区域,理事会和医疗机构规划小组。
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