Abstract:
BACKGROUND:Policy implementation in the context of health systems is generally difficult and the Kenyan health sector situation is not an exception. In 2005, a new health sector strategic plan that outlines the vision and the policy direction of the health sector was launched and during the same year the health sector was allocated a substantial budget increment. On basis of these indications of a willingness to improve the health care system among policy makers, the objective of this study was to assess whether there was a change in policy implementation during 2005 in Kenya. METHODOLOGY:Budget allocations and actual expenditures compared to set policy objectives in the Kenyan health sector was studied. Three data sources were used: budget estimates, interviews with key stakeholders in the health sector and government and donor documentation. RESULTS:Budget allocations and actual expenditures in part go against policy objectives. Failures to use a significant proportion of available funds, reallocation of funds between line items and weak procurements systems at the local level and delays in disbursement of funds at the central level create gaps between policy objectives and policy implementation. Some of the discrepancy seems to be due to a mismatch between responsibilities and capabilities at different levels of the system. CONCLUSION:We found no evidence that the trend of weak policy implementation in the Kenyan health sector was reversed during 2005 but ongoing efforts towards hastening release of funds to the districts might help solving the issue of low absorption capacity at the district level. It is important, however, to work with clear definitions of roles and responsibilities and well-functioning communications between different levels of the system.
journal_name
Health Res Policy Systjournal_title
Health research policy and systemsauthors
Glenngård AH,Maina TMdoi
10.1186/1478-4505-5-3subject
Has Abstractpub_date
2007-03-29 00:00:00pages
3issn
1478-4505pii
1478-4505-5-3journal_volume
5pub_type
杂志文章abstract:BACKGROUND:Evidence-informed policymaking has been promoted as a means of ensuring better outcomes. However, what counts as evidence in policymaking lies within a spectrum of expert knowledge and scientifically generated information. Since not all forms of evidence share an equal validity or weighting for policymakers,...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-016-0098-z
更新日期:2016-04-12 00:00:00
abstract:BACKGROUND:Gender is often neglected in health systems, yet health systems are not gender neutral. Within health systems research, gender analysis seeks to understand how gender power relations create inequities in access to resources, the distribution of labour and roles, social norms and values, and decision-making. ...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-018-0338-5
更新日期:2018-07-06 00:00:00
abstract:BACKGROUND:It is vitally important that there is a connection between health research and clinical practice. Indications as to the impact of the research on evidence-based practice and policy can be obtained by tracking the use of outputs of health research, especially its use in clinical guidelines (CGs). This study a...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-015-0025-8
更新日期:2015-08-22 00:00:00
abstract:: There were 59,500 Children in out-of-home care in England in 2008. Research into this population points to poor health and quality of life outcomes over the transition to adult independence. This undesirable outcome applies to mental health, education and employment. This lack of wellbeing for the individual is a bur...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-8-10
更新日期:2010-05-12 00:00:00
abstract:BACKGROUND:In order to determine the type and amount of health systems research being conducted within ICDDR,B (also known as the Centre), a leading research institution in Bangladesh, an internal review of all on-going research protocols was conducted in September 2007. METHODS:A review of all ongoing research protoc...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-8-8
更新日期:2010-04-06 00:00:00
abstract::This article is part of a series written for people responsible for making decisions about health policies and programmes and for those who support these decision makers. Policymakers have limited resources for developing--or supporting the development of--evidence-informed policies and programmes. These required reso...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-7-S1-S3
更新日期:2009-12-16 00:00:00
abstract:BACKGROUND:Health research is increasing in Africa, but most resources are currently chanelled towards infectious diseases and health system development. While infectious diseases remain a heavy burden for some African countries, non-communicable diseases (NCDs) account for more than half of all deaths globally and WHO...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-8-13
更新日期:2010-05-19 00:00:00
abstract:BACKGROUND:Research findings are increasingly being recognized as an important input in the formation of health policy. There is concern that research findings are not being utilized by health policy-makers to the extent that they could be. The factors influencing the utilization of various types of research by health ...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-5-2
更新日期:2007-03-05 00:00:00
abstract:BACKGROUND:The maternal, newborn, and child health (MNCH) indicators of Pakistan depict the deplorable state of the poor and rural women and children. Many MNCH programmes stress the need to engage the poor in community spaces. However, caste and class based hierarchies and gendered social norms exclude the lower caste...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-015-0043-6
更新日期:2015-11-25 00:00:00
abstract::Today we have an incomplete picture of how much the world is spending on health and disease-related research and development (R&D). As such it is difficult to align, or even begin to coordinate, health R&D investments with international public health priorities. Current efforts to track and map global health research ...
journal_title:Health research policy and systems
pub_type: 社论
doi:10.1186/1478-4505-10-28
更新日期:2012-09-01 00:00:00
abstract::Public health research is complex, involves various disciplines, epistemological perspectives and methods, and is rarely conducted in a controlled setting. Often, the added value of a research project lies in its inter- or trans-disciplinary interaction, reflecting the complexity of the research questions at hand. Thi...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-016-0112-5
更新日期:2016-06-13 00:00:00
abstract:BACKGROUND:This study examines, as a part of the European Union funded Adopting Hospital Based Health Technology Assessment (AdHopHTA) project, the results and barriers of collaboration between Finnish hospitals and the national health technology assessment (HTA) agency, Finohta. A joint collaborative HTA program has e...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-016-0095-2
更新日期:2016-04-05 00:00:00
abstract:BACKGROUND:Health policymaking is a complex process and analysing the role of evidence is still an evolving area in many low- and middle-income countries. Where evidence is used, it is greatly affected by cognitive and institutional features of the policy process. This paper examines the role of different types of evid...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-015-0049-0
更新日期:2015-10-24 00:00:00
abstract:BACKGROUND:Decision-makers in crisis zones are faced with the challenge of having to make health-related decisions under limited time and resource constraints and in light of the many factors that can influence their decisions, of which research evidence is just one. To address a key gap in the research literature abou...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-020-0530-2
更新日期:2020-02-18 00:00:00
abstract::The public health response to sexually transmitted infections, particularly HIV, has been and continues to be overwhelmingly focused on risk, disease and negative outcomes of sex, while avoiding discussion of positive motivations for sex (e.g. pleasure, desire, love). Recent advocacy efforts have challenged this appro...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-9-S1-S13
更新日期:2011-06-16 00:00:00
abstract:BACKGROUND:'Evidence-based policy making' for immigrants is a complicated undertaking. In striving toward this goal, federal Canadian partners created the Metropolis Project in 1995 to optimize a two-way transfer of knowledge (researchers - policy makers) within five Canadian Centres of Excellence focused on migrants n...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-7-15
更新日期:2009-06-10 00:00:00
abstract:BACKGROUND:Health system governance is widely recognised as critical to well-performing health systems in low- and middle-income countries. However, in 2008, the Alliance for Health Policy and Systems Research identified governance as a neglected health systems research issue. Given the demands of such research, the Al...
journal_title:Health research policy and systems
pub_type: 信件
doi:10.1186/s12961-020-00552-6
更新日期:2020-05-11 00:00:00
abstract:BACKGROUND:The World Health Organization (WHO), like many other organisations around the world, has recognised the need to use more rigorous processes to ensure that health care recommendations are informed by the best available research evidence. This is the ninth of a series of 16 reviews that have been prepared as b...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-4-21
更新日期:2006-12-05 00:00:00
abstract:BACKGROUND:During the Suharto era public funding of health in Indonesia was low and the health services were tightly controlled by the central government; district health staff had practically no discretion over expenditure. Following the downfall of President Suharto there was a radical political, administrative and f...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-7-5
更新日期:2009-04-16 00:00:00
abstract:BACKGROUND:Communities of practice (CoPs) have been used in the health sector to support professional practice change. However, little is known about how CoPs might be used to influence a system that requires change at and across various levels (i.e. front line care, organizational, governmental). In this paper we exam...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-015-0023-x
更新日期:2015-07-25 00:00:00
abstract::Health research systems can link knowledge generation with practical concerns to improve health and health equity. Interest in health research, and in how health research systems should best be organised, is moving up the agenda of bodies such as the World Health Organisation. Pioneering health research systems, for e...
journal_title:Health research policy and systems
pub_type: 社论
doi:10.1186/1478-4505-4-10
更新日期:2006-11-06 00:00:00
abstract:BACKGROUND:The Health Product Profile Directory (HPPD) is an online database describing 8-10 key characteristics (such as target population, measures of efficacy and dosage) of product profiles for medicines, vaccines, diagnostics and other products that are intended to be accessed by populations in low- and middle-inc...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-019-0507-1
更新日期:2019-12-12 00:00:00
abstract:BACKGROUND:The increasing resources available for and number of partners providing health sector aid have stimulated innovations, notably, the Paris Declaration on Aid Effectiveness, which aim to improve aid coordination. In this, one of the first studies to analyse implementation of aid coordination below national lev...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-7-14
更新日期:2009-06-08 00:00:00
abstract:BACKGROUND:Burden of disease (BoD) studies have been conducted in numerous international settings since the early 1990's. Two national BoD studies have been undertaken in Australia, in 1998 and 2003, although neither study estimated the BoD specifically for Indigenous Australians. In 2005 the Australian Government Depa...
journal_title:Health research policy and systems
pub_type: 杂志文章,评审
doi:10.1186/s12961-015-0004-0
更新日期:2015-03-15 00:00:00
abstract:BACKGROUND:Population health measurements are recognised as appropriate tools to support public health monitoring. Yet, there is still a lack of tools that offer a basis for policy appraisal and for foreseeing impacts on health equity. In the context of persistent regional inequalities, it is critical to ascertain whic...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-020-0526-y
更新日期:2020-02-13 00:00:00
abstract:BACKGROUND:Universal health coverage (UHC) has provided the impetus for the introduction of publicly funded health insurance (PFHI) schemes in the mixed health systems of India and many other low- and middle-income countries. There is a need for a holistic understanding of the pathways of impact of PFHI schemes, includ...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-020-00555-3
更新日期:2020-05-25 00:00:00
abstract:: Cardiovascular diseases (CVD) are leading causes of premature mortality in India. Evidence from developed countries shows that mortality from these can be substantially prevented using population-wide and individual-based strategies. Policy initiatives for control of CVD in India have been suggested but evidence of e...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-9-8
更新日期:2011-02-09 00:00:00
abstract::Even the highest quality evidence will have little impact unless it is incorporated into decision-making for health. It is therefore critical to overcome the many barriers to using evidence in decision-making, including (1) missing the window of opportunity, (2) knowledge gaps and uncertainty, (3) controversy, irrelev...
journal_title:Health research policy and systems
pub_type: 杂志文章,评审
doi:10.1186/s12961-016-0086-3
更新日期:2016-03-14 00:00:00
abstract:BACKGROUND:The creation of a clinical network was proposed as a means to promote implementation of a set of recommended clinical practices targeting inpatient paediatric care in Kenya. The rationale for selecting a network as a strategy has been previously described. Here, we aim to describe network activities actually...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/s12961-017-0172-1
更新日期:2017-02-02 00:00:00
abstract:BACKGROUND:The Integrated Management of Childhood Illness Strategy (IMCI) is effective in improving management of sick children, and thus child survival. It is currently recommended that in-service IMCI case management training (ICMT) occur over 11-days; that the participant: facilitator ratio should be =4:1 and that...
journal_title:Health research policy and systems
pub_type: 杂志文章
doi:10.1186/1478-4505-7-18
更新日期:2009-07-17 00:00:00