Health Research Policy and Systems最新文献

{"title":"Integrated methods for public health action tracking (IMPAcT): to understand and evaluate systems change in a public health context.","authors":"Therese Lockenwitz Petersen, Knud Ryom, Jane Nautrup Østergaard, Steven Allender, Anne-Louise Bjerregaard, Peter Bentsen, James Nobles","doi":"10.1186/s12961-025-01396-8","DOIUrl":"https://doi.org/10.1186/s12961-025-01396-8","url":null,"abstract":"<p><strong>Background: </strong>Approaches from systems science are increasingly being trialed in public health because the drivers of poor health are complex, unpredictable and difficult to disentangle. While a broad range of methods is available to study systems science, one method alone is often insufficient for evaluation, as each offer only a limited perspective. Yet, few examples exist showing how several methods can be pragmatically integrated to generate new and meaningful insights, which is vital within systems changes. This paper describes, exemplifies and discusses the Integrated Methods for Public Health action Tracking (IMPAcT) process, which integrates group model building, Causal Loop Diagramming (CLD), the Action Scales Model (ASM), an Action Registry (AR) and Ripple Effects Mapping (REM), to better understand and address complexity within public health interventions.</p><p><strong>Methods: </strong>We used common approaches for understanding system organization and interconnections (e.g. through CLD), identifying places to intervene in the system (e.g. ASM), tracking actions implemented within the system (e.g. REM) and understanding the impact at individual level of actions. We illustrate how the IMPAcT process can be applied via a case from a Danish project, the Healthy Active Children Study.</p><p><strong>Results: </strong>We present a development process, that combines the above-mentioned approaches, to capture the behaviour, and allow tracking and evaluation of a system following several intervention efforts. Integrating complementary, participatory methods enabled a formative evaluation process that supported continuous learning, adaptation and improvement across complex systems. In the IMPAcT process, methods served both as evaluation tools and as means of stakeholder engagement and knowledge co-production. Embedding reflection and dialogue allowed stakeholders to examine practice and shape next steps. Visuals and narratives enhanced the clarity and impact of the evaluation.</p><p><strong>Conclusions: </strong>The new process supports both those working at the front-line of systems change efforts, but also researchers, municipality staff and none the least, policymakers.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"23 1","pages":"125"},"PeriodicalIF":3.2,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Political analysis of health technology assessment implementation in Iran.","authors":"Meysam Behzadifar, Samad Azari, Ahad Bakhtiari, Saeed Shahabi, Mariano Martini, Mohammad Yarahmadi, Masoud Behzadifar","doi":"10.1186/s12961-025-01400-1","DOIUrl":"https://doi.org/10.1186/s12961-025-01400-1","url":null,"abstract":"<p><strong>Background: </strong>Health technology assessment (HTA) is a critical tool for evidence-based decision-making in healthcare systems, yet its implementation in low- and middle-income countries such as Iran remains understudied. This study examines the political dynamics of HTA implementation in Iran, focussing on the roles, interests and interactions of key stakeholders. By addressing the gap in understanding the political challenges and opportunities associated with HTA implementation, this study aims to provide actionable insights for policymakers and practitioners.</p><p><strong>Methods: </strong>A qualitative study design was employed, using in-depth semi-structured interviews with 19 stakeholders from 6 categories: interest groups, political leaders, donors, financial decision-makers, beneficiaries and bureaucracies. Participants were selected through purposive sampling to ensure representation across sectors. Data were analysed using thematic analysis, guided by the political analysis framework of Campos and Reich. The study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist to ensure methodological rigour.</p><p><strong>Results: </strong>The findings reveal significant barriers to HTA implementation in Iran, including limited political will, competing priorities, inter-agency coordination challenges and concerns about equity and access. Interest groups, such as physicians and pharmacists, expressed concerns about restricted clinical autonomy and limited access to innovative treatments. Political leaders emphasized the difficulty of prioritizing HTA amidst competing healthcare and economic issues, whilst donors highlighted the need for alignment with national priorities and long-term sustainability. Financial decision-makers acknowledged the potential of HTA to improve resource allocation but raised concerns about budgetary constraints. Beneficiaries stressed the importance of transparency and inclusion, and bureaucrats underscored the need for stronger leadership and capacity building.</p><p><strong>Conclusions: </strong>The study underscores the importance of strong political leadership, stakeholder engagement and institutional capacity building for successful HTA implementation in Iran. Practical steps include strengthening inter-agency coordination mechanisms, ensuring transparent and inclusive decision-making processes, aligning donor support with national health priorities and investing in training programs to build technical capacity within government agencies. By addressing these challenges, policymakers can enhance the integration of HTA into the health system, ensuring efficient and equitable resource allocation.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"23 1","pages":"124"},"PeriodicalIF":3.2,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and validating the co-creation rainbow framework for intrinsic evaluation of methods: a health CASCADE structured review of models representing co-creation principles.","authors":"Danielle Marie Agnello, Niamh Smith, Mira Vogelsang, Artur Steiner, Qingfan An, Janneke de Boer, Francesca Calo, Lea Delfmann, Danielle Hutcheon, Giuliana Raffaella Longworth, Quentin Loisel, Micaela Mazzei, Lauren McCaffrey, Jessica Renzella, Sebastien Chastin","doi":"10.1186/s12961-025-01381-1","DOIUrl":"https://doi.org/10.1186/s12961-025-01381-1","url":null,"abstract":"<p><strong>Background: </strong>The growing interest in co-creation for public health innovation highlights the need for systematic approaches to stakeholder engagement. Despite its potential, co-creation faces substantial challenges, including unresolved power dynamics, poor reporting of methods and the absence of a universally agreed-upon definition. Current research reveals substantial fragmentation in co-creation literature, with limited guidance on method selection and principle alignment. This study addresses these gaps by developing a framework for systematically evaluating method alignment with key co-creation principles, offering a structured approach to fostering more effective and adaptive collaborative processes.</p><p><strong>Methods: </strong>Using a structured review approach based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, image-based models representing co-creation principles from academic and non-academic sources were identified and assessed. A framework was created through an iterative development process. The framework was subsequently validated by 12 geographically diverse co-creation researchers using a closed card sort method, ensuring its robustness and applicability across different research contexts.</p><p><strong>Results: </strong>The Co-Creation Rainbow Framework was developed by integrating key features from 20 included models, creating an individual-to-collective continuum with five sections (informing, understanding, stimulating, collaborating and collective decision-making), and three themes (engage, participate and empower). Successfully mapping 416 methods to the framework demonstrated its robust capability to differentiate and categorize co-creation methods, and reveaed nuanced variations in methodological strategies used by researchers and practitioners across different contexts.</p><p><strong>Conclusions: </strong>The Co-Creation Rainbow Framework addresses the disconnect between theoretical and practical co-creation approaches through operationalising co-creation principles. By challenging traditional linear models and acknowledging the diversity of co-creation methods, the framework provides a nuanced and adaptable tool for systematically evaluating method alignment. The framework offers researchers and practitioners a robust tool for meaningful collaborative innovation, ultimately opening new pathways for collective problem-solving and knowledge generation.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"23 1","pages":"127"},"PeriodicalIF":3.2,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Canadian midwifery research priority framework: a Delphi consensus study.","authors":"Beth Murray-Davis, Emma Ruby, Joanne Rack, Sofia Al-Balkhi, Lindsay Grenier, Ginny Brunton, Elizabeth K Darling, Eileen K Hutton, Laura Banfield, Cristina Mattison, Karyn Kaufman","doi":"10.1186/s12961-025-01401-0","DOIUrl":"https://doi.org/10.1186/s12961-025-01401-0","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, there is a commitment to evidence informed midwifery practice. In Canada, the midwifery profession has grown significantly over the past three decades, yet Canadian midwifery research lacks coordination and infrastructure. Developing a unified research agenda to address emerging clinical, population and policy challenges is essential for advancing research capacity building.</p><p><strong>Methods: </strong>This study employed a modified Delphi technique, a robust consensus-seeking method, to identify national research priorities for Canadian midwifery. The process included a scoping review, a cross-sectional national survey, regional focus groups and follow-up surveys. Participants included midwives, researchers, service users, students and policymakers. Data were analysed using both qualitative and quantitative methods to identify and rank priority areas.</p><p><strong>Results: </strong>The study identified three primary research priority areas: organizing models of care, optimizing reproductive care and strengthening the profession. Key themes included access to care, expanding midwifery roles, informed choice and addressing systemic barriers. Facilitating factors such as effective collaboration, policy changes and building research capacity were also highlighted. The final framework emphasizes the need for coordinated efforts to enhance the quality and accessibility of midwifery services across Canada.</p><p><strong>Conclusions: </strong>The findings underscore the importance of a coordinated national research agenda to support the growth and development of midwifery in Canada. By focusing on identified priority areas and facilitating factors, the midwifery profession can continue to provide high-quality, equitable care. The study's methodology and results can inform similar efforts globally, promoting the integration of midwifery care into health systems worldwide.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"23 1","pages":"126"},"PeriodicalIF":3.2,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing the women's health strategy: a policy lab aimed at improving effective management of hyperemesis gravidarum.","authors":"Melanie Nana, Tianne Haggar, Harriet Boulding, Ross Pow, Catherine Nelson-Piercy, Catherine Williamson","doi":"10.1186/s12961-025-01384-y","DOIUrl":"10.1186/s12961-025-01384-y","url":null,"abstract":"<p><strong>Background: </strong>Hyperemesis gravidarum (HG) is associated with morbidity and mortality which can be exacerbated by difficulties accessing guideline-recommended treatment. Improving outcomes for women with HG through policy and practice fulfils the vision of the Women's Health Strategy for England. We aimed to align with the Women's Health Strategy by addressing barriers to evidence-based care and to improve effective management of HG.</p><p><strong>Methods: </strong>A Policy Lab was held in Central London in February 2023 guided by the King's Policy Institute eight-step process for delivery.</p><p><strong>Results: </strong>The Policy lab brought together 22 key stakeholders from a range of backgrounds in clinical medicine, academia, policy, Royal Colleges and patient representatives. The challenges and opportunities for improving the quality and consistency of care for women with HG were discussed. A long list of 26 possible actions were determined of which five have been implemented and a further six are currently being implemented. Key outcomes include an update on the Royal College of Obstetricians and Gynaecologist (RCOG) guideline on Nausea and Vomiting to enable standardized care across the healthcare settings, awareness of the condition being raised through a number of high impact conferences/educational meetings and HG now being recognized in the Women's Health Strategy. The Department of Health and Social Care has convened a group focussed on implementing the recommendations of the lab.</p><p><strong>Conclusions: </strong>This Policy Lab brought together key stakeholders to determine strategies to enhance the Women's Health Strategy and to ensure all women with HG are able to access guideline-recommended evidence-based treatment. Outputs of the Lab to date include updating the RCOG guideline with the support of Royal Colleges from all relevant care sectors to enable standardized practice.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"23 1","pages":"123"},"PeriodicalIF":3.2,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Guideline Uptake in Digital Ecosystems (GUIDE) study: protocol for implementation research on the impact of WHO SMART guidelines digital adaptation kits to improve quality of care.","authors":"Tigest Tamrat, Rosemary K Muliokela, Abdulaziz Mohammed Hussen, Ernest Tei Maya, Berhanu Fikadie Endehabtu, Samuel Dery, Hanna Abayneh Telake, Jessica Asante, Adane Nigusie, Soe Soe Thwin, Will Probert, Maria Barreix, Frances Baaba da-Costa Vroom, Seth Afagbedzi, Angela Abroso, Haimanot Ambelu Workineh, Dominic Kwabena Atweam, Kafui Senya, Kassu Ketema Gurmu, Gabriela Garcia-Camacho, Natschja Ratanaprayul, Shona Dalal, Ӧzge Tunçalp, Sarai Malumo, Nancy Kidula, Lale Say, Binyam Tilahun, Chris Guure","doi":"10.1186/s12961-025-01397-7","DOIUrl":"10.1186/s12961-025-01397-7","url":null,"abstract":"<p><strong>Background: </strong>Despite the potential for digital tools to facilitate guideline uptake, translating paper-based narrative guidelines into digital formats is resource-intensive and may compromise the fidelity to the recommended content. The World Health Organization (WHO) launched the SMART Guidelines initiative, in which digital adaptation kits (DAKs) are a foundational component. DAKs comprise software requirements documentation, including detailed data dictionary  and algorithms--derived from WHO guidelines =for encoding within digital systems.</p><p><strong>Methods: </strong>This implementation research consists of a formative assessment and impact evaluation on integrating DAKs within national digital systems to improve service delivery outcomes for antenatal care (ANC), family planning, and HIV in two countries (Ethiopia and Ghana). The formative phase will assess the requirements to customize the DAKs to align with the national protocols and subsequently incorporate the localized DAKs' content into the respective nationally endorsed digital systems: Bahmni in Ethiopia and DHIS2 tracker in Ghana. The impact evaluation will assess the effect of using the DAK-upgraded digital systems using pre-post designs in Ethiopia and Ghana. Primary outcomes of adherence to guideline recommendations will be assessed when digital systems incorporate country-adapted DAK content in comparison with the existing practice. Guideline knowledge questionnaires and in-depth interviews with software developers, health workers and facility managers will supplement the impact evaluation.</p><p><strong>Discussion: </strong>This research represents one of the first impact evaluations focused on integrating DAKs into existing national digital systems and the effect on service delivery outcomes. The mixed-methods study design will provide learnings for future scale-up and replication across other countries. We expect final results to be available in 2026, and preliminary findings will be shared at relevant fora. Trial registration https://www.isrctn.com/ISRCTN18394724 . Registration date: 21 December 2022.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"23 1","pages":"122"},"PeriodicalIF":3.2,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies for financial protection for patients with cancer or special diseases in the health system: A scoping review.","authors":"Vahid Makhtoomi, Pouran Raeisi, Aziz Rezapour, Hamid Pourasghari, Soudabeh Vatankhah","doi":"10.1186/s12961-025-01372-2","DOIUrl":"10.1186/s12961-025-01372-2","url":null,"abstract":"<p><strong>Background: </strong>Financial protection refers to the health system's ability to protect the population from the financial risk of ill health. Patients with cancer or special diseases are particularly vulnerable to catastrophic health spending and impoverishment, highlighting the urgent need for targeted financial protection strategies. Diseases such as haemophilia, thalassemia, dialysis, renal replacement therapy and multiple sclerosis (MS) are among the list of special diseases in Iran. This scoping review aims to identify existing strategies for financial protection for patients with cancer or special diseases in health systems.</p><p><strong>Methods: </strong>This scoping review utilized the Arksey and O'Malley framework and used the population-context-concept model to review publications related to financial protection for patients with cancer or special diseases from 2000 to 2024. The data were collected from three databases (PubMed, Institute for Scientific Information (ISI) Web of Science and Scopus) and two search engines (Google and Google Scholar). The keywords included \"financial protection,\" \"financial risk protection,\" \"health insurance coverage,\" \"poor people\" and \"health services.\"</p><p><strong>Results: </strong>A total of 4625 articles were found, 17 of which were ultimately included in the final analysis. We identified seven main types of strategies for financial protection in health systems, including purchasing, prepaid mechanisms, financial support, benefits packages, infrastructure and facilities, intersectoral collaboration and economic support.</p><p><strong>Conclusion: </strong>Prepaid mechanisms are the most widely used main component of financial protection for patients with cancer and special diseases. Policy-makers and healthcare stakeholders must prioritize adaptable and context-specific solutions that account for local economic, social and healthcare realities.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"23 1","pages":"121"},"PeriodicalIF":3.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12505804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating turbulence: analyzing the resilience of Lebanon's healthcare system in a multi-crisis scenario.","authors":"Rouham Yamout, Joanna Khalil, Joanna Raven, Fouad M Fouad, Wesam Mansour","doi":"10.1186/s12961-025-01382-0","DOIUrl":"10.1186/s12961-025-01382-0","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Lebanon's healthcare system, historically reliant on privatization and public-private partnerships, faces unprecedented challenges owing to a compounded crisis environment. Since 2019, economic collapse, the coronavirus disease 2019 (COVID-19) pandemic and the Beirut port explosion have placed immense strain on an already fragile system, highlighting the necessity to understand its resilience in sustaining service provision. This study aims to examine the capacities of the local health system to absorb, adapt and potentially transform in response to ongoing crises, in Majdal Anjar, a municipality located in the Zahle District.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This qualitative study employed key informant interviews (KIIs) with nine local healthcare stakeholders, including healthcare providers, officials from the Ministry of Public Health (MoPH) and representatives from the United Nations and non-state actors, and was conducted from May to June 2022. The interviews focused on stakeholders' insights into the actions taken to address challenges triggered by the crisis. Data were coded according to the Health System Resilience Framework, developed by the Rebuild Consortium, and analyzed through a deductive approach to classify identified responses according to the resilience capacities of absorption, adaptation and transformation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Within the adopted resilience framework, the capacities identified in the responses appear as follows: Absorption: International organizations and non-state actors provided crucial financial and operational support, compensating for the government's disengagement from funding and regulation. While this support sustained essential services, it had also introduced inequities and coordination challenges, as aid priorities sometimes diverge from local needs. Adaptation: The MoPH and municipal entities have implemented policy adaptations, including tolerating informal healthcare providers and allowing contracting of health institutions with humanitarian actors directly, while healthcare facilities innovated to manage medication shortages. The MoPH sought to bolster local pharmaceutical production and reform reimbursement policies. Transformation: Local stakeholders, particularly municipalities, demonstrated capacity to manage healthcare services independently during COVID-19 crisis cells, but this autonomy remained underutilized.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Lebanon's healthcare system has demonstrated resilience through absorptive and adaptive responses amidst multiple crises. However, these strategies have been insufficient to ensure equitable and sustainable access. Reliance on humanitarian funds and centralized, profit-driven governance has deepened structural weaknesses, hindering long-term resilience. Achieving genuine resilience requires governance reforms, strategic resource allocation, decentralization and a shift towards a needs-based health approa","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"23 1","pages":"120"},"PeriodicalIF":3.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing institutional capacities to demand and use nutrition data for decision-making in Nigeria's health sector: A mixed-methods study.","authors":"Elyse Iruhiriye, Olutayo Adeyemi, Yetunde Akinmolayan, Padmini Vishwanath, Daniela Rodriguez, Rebecca Heidkamp","doi":"10.1186/s12961-025-01387-9","DOIUrl":"10.1186/s12961-025-01387-9","url":null,"abstract":"<p><strong>Background: </strong>Using data for policy design, program implementation and accountability is a priority among nutrition stakeholders in Nigeria. However, the capacities of decision-makers to use data are not well-defined.</p><p><strong>Objective: </strong>This study used mixed methods to assess the capacity of institutions within Nigeria's health sector to demand and use data for decision-making on nutrition policies and programs.</p><p><strong>Methods: </strong>A quantitative scale capturing organizational and individual factors related to the capacity to demand and use data was administered to 92 nutrition stakeholders in Nigeria across federal government (n = 33), state government (n = 21) and local government areas (LGAs) (n = 29) and development partner organizations (n = 9). We compared scores across sub-groups. Key informant interviews (KIIs) with a subset of the federal (n = 13), state (n = 17), LGA (n = 30), and development partner (n = 11) respondents complemented the quantitative scale and were analysed thematically.</p><p><strong>Results: </strong>Mean institutional capacity to demand and use data was 78.6 out of 100 [95% confidence interval (CI) 75.9, 81.3]. The mean organizational capacity score was 51.4 out of 60 (95% CI 49.9, 52.9); individual capacity was 27.2 out of 40 (95% CI 25.7, 28.7). Development partners (mean 85.7; 95% CI 78.9, 92.4) had the highest score, followed by state-level respondents (mean 82.3; 95% CI 76.9, 87.6), but differences were not significant. Both quantitative and qualitative results showed recognition and support for nutrition data demand and use but weak organizational mechanisms to ensure data use. Accessing available nutrition data was a challenge, especially for administrative data. Quantitative and qualitative results identified infrastructural and technological resource barriers for government respondents, especially at the LGA level, but not for development partners. Skills to synthesize and use nutrition data were also a challenge across respondent groups.</p><p><strong>Conclusions: </strong>Government and non-government stakeholders in Nigeria's health sector recognize the importance of data for nutrition decision-making, but gaps remain in individual capacity, resources and data use processes. To strengthen data use for nutrition policy process, investments to address gaps are needed.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"23 1","pages":"117"},"PeriodicalIF":3.2,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public satisfaction with COVID-19 policy responses and their implementation: a cross-sectional study.","authors":"Nazanin Jannati, Hamed Zandian, Ahmad Naghibzadeh Tahami, Vahid Yazdi-Feyzabadi","doi":"10.1186/s12961-025-01371-3","DOIUrl":"10.1186/s12961-025-01371-3","url":null,"abstract":"<p><strong>Background: </strong>The outbreak of coronavirus disease 2019 (COVID-19) has prompted significant changes in health policies worldwide. Policy-makers from various countries have responded by adopting and implementing diverse policy measures aimed at combating the spread and impact of COVID-19. The aim of this study is to assess people's satisfaction with the primary policy responses and their perceptions of the success of their implementation and monitoring.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted in Kerman, Iran, spanning the period of 2021-2022. The sample included adults aged 18 years and older who had access to the Internet and smartphone devices. An online platform was used to develop the questionnaire and collect the data. The face validity, comprehensibility and content validity of the questionnaire were tested and met. Descriptive statistics and multivariable logistic regression were conducted. Data were analyzed using STATA 14.0 software.</p><p><strong>Results: </strong>In total, 3192 participants completed the questionnaire, resulting in a completion rate of 67%. More than half of the participants were female (55.51%), with a mean age of 37 ± 11.72 years, and the majority held an academic degree (74.97%). Overall, 54.79% of participants expressed satisfaction with the adopted policy responses, while 56.61% were dissatisfied with their implementation and monitoring. In multivariable logistic regression, factors positively associated with satisfaction included having a diploma [adjusted odds ratio (AOR) = 1.46; 95% confidence interval (CI) 1.05-2.04], an academic degree (AOR = 1.71; 95% CI 1.26-2.31) and middle socioeconomic status (AOR = 1.34; 95% CI 1.07-1.69). In contrast, being male (AOR = 0.68; 95% CI 0.58-0.79) and having high trust in others (AOR = 0.75; 95% CI 0.61-0.92) were associated with lower odds of satisfaction.</p><p><strong>Conclusions: </strong>The results of the study showed that more than half of the participants expressed satisfaction with the adopted policy responses made by the National Committee to Combat COVID-19. However, it seems that the government has performed poorly in implementing and monitoring adopted policy responses, leading to a decrease in people's satisfaction.</p>","PeriodicalId":12870,"journal":{"name":"Health Research Policy and Systems","volume":"23 1","pages":"118"},"PeriodicalIF":3.2,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}