期刊论文详细信息
Health Research Policy and Systems
SDH-NET: a South–North-South collaboration to build sustainable research capacities on social determinants of health in low- and middle-income countries
V Nelly Salgado-de-Snyder1  German Guerra1  Lucinda Cash-Gibson2 
[1] National Institute of Public Health, Mexico (INSP), Av. Universidad No. 655 Colonia Santa Maria Ahuacatitlan, Cuernavaca, CP 62100, Morelos, Mexico;IESE Business School, Barcelona, Ave. Pearson 21, Barcelona, 08034, Spain
关键词: Social determinants of health;    Research;    International cooperation;    Health status disparities;    Capacity building;   
Others  :  1229094
DOI  :  10.1186/s12961-015-0048-1
 received in 2015-03-10, accepted in 2015-09-29,  发布年份 2015
PDF
【 摘 要 】

Background

It is desirable that health researchers have the ability to conduct research on health equity and contribute to the development of their national health system and policymaking processes. However, in low- and middle-income countries (LMICs), there is a limited capacity to conduct this type of research due to reasons mostly associated with the status of national (health) research systems. Building sustainable research capacity in LMICs through the triangulation of South–North-South (S-N-S) collaborative networks seems to be an effective way to maximize limited national resources to strengthen these capacities. This article describes how a collaborative project (SDH-Net), funded by the European Commission, has successfully designed a study protocol and a S-N-S collaborative network to effectively support research capacity building in LMICs, specifically in the area of social determinants of health (SDH); this project seeks to elaborate on the vital role of global collaborative networks in strengthening this practice.

Methods

The implementation of SDH-Net comprised diverse activities developed in three phases. Phase 1: national level mapping exercises were conducted to assess the needs for SDH capacity building or strengthening in local research systems. Four strategic areas were defined, namely research implementation and system performance, social appropriation of knowledge, institutional and national research infrastructure, and research skills and training/networks. Phase 2: development of tools to address the identified capacity building needs, as well as knowledge management and network strengthening activities. Phase 3: identifying lessons learned in terms of research ethics, and how policies can support the capacity building process in SDH research.

Results

The implementation of the protocol has led the network to design innovative tools for strengthening SDH research capacities, under a successful S-N-S collaboration that included national mapping reports, a global open-access learning platform with tools and resources, ethical guidelines for research, policy recommendations, and academic contributions to the global SDH discourse.

Conclusions

The effective triangulation of S-N-S partnerships can be of high value in building sustainable research capacity in LMICs. If designed appropriately, these multicultural, multi-institutional, and multidisciplinary collaborations can enable southern and northern academics to contextualize global research according to their national realities.

【 授权许可】

   
2015 Cash-Gibson et al.

【 预 览 】
附件列表
Files Size Format View
20151022090214659.pdf 1205KB PDF download
Figure 1. 130KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Alianza Latinoamericana Sobre Salud Global (ALASAG). Declaración de Santiago. 2013. http://www.saludglobalinsp.mx/index.php/informacion-programa-salud-global/133-declaracion-de-santiago. Accessed August 18 2015.
  • [2]Lansang MA, Dennis R. Building capacity in health research in the developing world. Bull World Health Organ. 2004; 82(10):764-70.
  • [3]What are social determinants of health? Social determinants of health. WHO, Geneva; 2013. http://www. who.int/social_determinants/sdh_definition/en/. Accessed September 2014
  • [4]Solar O, Irwin A. A conceptual framework for action on the social determinants of health. Discussion Paper for the Commission on Social Determinants of Health. DRAFT. April 2007. http://www. who.int/social_determinants/resources/csdh_framework_action_05_07.pdf
  • [5]Closing the gap in a generation: Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Final Report of the Commission on Social Determinants of Health. World Health Organization, Geneva; 2008.
  • [6]Restrepo O. Inequality in health. The case of Bogotá. Social Security at the Crossroads. District Department of Health of Bogota, CID, UNAL, Bogota; 2010.
  • [7]Martínez SC. Abrir la Epidemiologia. Taller Latinoamericano de Determinantes Sociales de la Salud. UAM y UACM, Mexico City; 2008.
  • [8]Salgado de Snyder N, Gonzalez-Vazquez T, Infante-Xibille C, Marquez-Serrano M, Pelcastre-Villafuerte B, Servan-Mori EE. Health services in the Mixteca: use and conditions of affiliation in US-migrant and non-migrant households. Salud Publica Mex. 2010; 52(5):424-31.
  • [9]Marmot M, Friel S, Bell R, Houweling TA, Taylor S. Closing the gap in a generation: health equity through action on the social determinants of health. Lancet. 2008; 372(9650):1661-9.
  • [10]Kelly MP, Morgan A, Bonnefoy J, Butt J, Bergman V. The social determinants of health: developing an evidence base for political action. Universidad del Desarrollo, Chile, and National Institute for Health and Clinical Excellence, United Kingdom, Santiago and London; 2007.
  • [11]Reducing health inequities through action on the social determinants of health. Sixty-Second World Health Assembly, May 22, 2009. WHO, Geneva; 2009.
  • [12]Ghaffar A, IJsselmuiden C, Zicker F. Changing mindsets: research capacity strengthening in low and middle income countries. COHRED, Global Forum for Health Research, Special Program for Research and Training in Tropical Diseases. 2008. http://www. who.int/tdr/publications/documents/changing_mindsets.pdf
  • [13]Salgado de Snyder V, Guerra y Guerra G. Un primer análisis de la investigación en México sobre los determinantes sociales de la salud: 2005–2012. Salud Publica Mex. 2014; 56:393-401.
  • [14]Priority setting for health research: lessons from developing countries. Health Policy Plan. 2000; 15(2):130-6.
  • [15]Gonzalez Block MA, Mills A. Assessing capacity for health policy and systems research in low and middle income countries. Health Res Policy Syst. 2003; 1:1. BioMed Central Full Text
  • [16]Mamdani M. Research on Poverty Alleviation (Tanzania). Influencing policy for children in Tanzania: lessons from education, legislation and social protection. Special paper 09.30. Tanzania Research on Poverty Alleviation, Dar es Salaam; 2009.
  • [17]Health in all policies: Helsinki statement, framework for country action. WHO, Geneva; 2014.
  • [18]Seven principles for strengthening research capacity in low- and middle-income countries: simple ideas in a complex world. ESSENCE Good practice document series. TDR/ESSENCE/2.14. WHO, Geneva; 2014.
  • [19]Developing a CIHR framework to measure the impact of health research. Canadian Institutes of Health Research, Ottawa; 2005.
  • [20]Marín-Agudelo S. Apropiación social del conocimiento: una nueva dimensión de los archivos. Revista Interamericana de Bibliotecología. 2012. p. 55–62.
  • [21]The role of research and innovation in the post-2015 development agenda. Bridging the divide between the richest and the poorest within a generation. COHRED, Global Health Technologies Coalition, International AIDS Vaccine Initiative, PATH, Washington, DC; 2014. http://www. ghtcoalition.org/files/GHTC_post_2015_paper_SEPT2014.pdf
  • [22]SDH-Net Project. SDH-Net Project Website 2014. http://www.sdh-net.eu. Accessed August 2015.
  • [23]Chu KM, Jayaraman S, Kyamanywa P, Ntakiyiruta G. Building research capacity in Africa: equity and global health collaborations. PLoS Med. 2014; 11(3): Article ID e1001612
  • [24]Stöckli B, Wiesmann U, Lys J-A. A guide for transboundary research partnerships: 11 principles. Swiss Commission for Research Partnership with Developing Countries (KFPE), Berne; 2012.
  • [25]SDH-Net. Mapping Report Framework. IFAKARA Health Institute, Ifakara; 2012.
  • [26]Borde E, Akerman M, Pellegrini FA. Mapping of capacities for research on health and its social determinants in Brazil. Cad Saude Publica. 2014; 30:2081-91.
  • [27]SDH-Net Virtual Learning Platform. NIPH, Cuernavaca; 2014. http://tie. inspvirtual.mx/portales/sdhnet/. Accessed February 2015
  • [28]Burdick WP, Morahan PS, Norcini JJ. Capacity building in medical education and health outcomes in developing countries: the missing link. Educ Health (Abingdon). 2007; 20(3):65.
  • [29]Kennedy A, IJsselmuiden C. Building and strengthening national health research systems. A manager’s guide to developing and managing effective health research systems. COHRED, Geneva; 2006.
  • [30]Stuckelberger A, Urbina M, Cash-Gibson L, Mamdani M, Borde E. Social determinants of health and research ethics: challenges of an international EU-funded research (SDH-Net). 12th World Bioethics Congress, Mexico City; 2014.
  • [31]Social determinants of health. Report by the Secretariat. WHO, Geneva; 2012.
  文献评价指标  
  下载次数:10次 浏览次数:24次