Strengthening national public health institutes: a systematic review on institution building in the public sector

Frontiers in Public Health

Public Health

Angela Fehr¹  Larissa Karl²  Andreas Deckert³  Olaf Horstick³  Peter Dambach³  Catalina Jaramillo⁴  Margarita Olarte-Peña⁴  Lucia Brugnara⁵  Michael Marx⁵ 

[1] Centre for International Health Protection, Robert Koch Institute, Berlin, Germany;Faculty of Natural and Social Sciences, Heidelberg University of Education, Heidelberg, Germany;Heidelberg Institute of Global Health, Faculty of Medicine, University of Heidelberg, Heidelberg, Germany;evaplan GmbH at the University Hospital Heidelberg, Heidelberg, Germany;evaplan GmbH at the University Hospital Heidelberg, Heidelberg, Germany;Heidelberg Institute of Global Health, Faculty of Medicine, University of Heidelberg, Heidelberg, Germany;

关键词: institution building;    organization development;    organization strengthening;    institutional capacity building;    national public health institute;    international cooperation;    public health organization;   

DOI  :  10.3389/fpubh.2023.1146655

 received in 2023-01-17, accepted in 2023-04-18,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionStrong and efficient institutions are vital to the development of well-functioning governments and strong societies. The term “institution building” encompasses the creation, support, development, and strengthening of organizations and institutions. Still, there is little aggregated evidence on “institution building” considering a wider system-thinking approach, best practices, or development cooperation specifically in the field of public health. In 2007, the International Association of National Public Health Institutes (IANPHI) created a guiding Framework that countries may use for developing National Public Health Institutes (NPHIs). This Framework is currently being revised.MethodsIn this context, we conducted a systematic review to facilitate this revision with recent evidence on institution building and its potential contribution to NPHI. We followed the PRISMA guidelines for systematic reviews, searching for relevant publications in seven scientific databases (Pubmed, VHL/LILACS, EconLit, Google Scholar, Web of Science, World Affairs Online, ECONBIZ) and four libraries (World Bank; European Health for All database of the World Health Organization European Region, WHO; Organization for Economic Cooperation and Development, OECD; and the African Union Common Repository). The search was carried out in October 2021. We used the “framework analysis” tool for systematically processing documents according to key themes.ResultsAs a result, we identified 3,015 records, of which we included 62 documents in the final review. This systematic review fills a major gap of aggregated information on institution building in the field of public health and National Public Health Institutes. It is to our knowledge the first systematic review of this kind. The overriding result is the identification and definition of six domains of institution building in the health sector: “governance,” “knowledge and innovation,” “inter-institutional cooperation,” “monitoring and control,” “participation,” and “sustainability and context-specific adaptability.”DiscussionOur results show that the described domains are highly relevant to the public health sector, and that managers and the scientific community recognize their importance. Still, they are often not applied consistently when creating or developing NPHIs. We conclude that organizations engaged in institution building of NPHIs, including IANPHI, may greatly benefit from state-of-the-art research on institution building as presented in this study.

【 授权许可】

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Copyright © 2023 Brugnara, Jaramillo, Olarte-Peña, Karl, Deckert, Marx, Horstick, Dambach and Fehr.