Changing national health policies for introduction, uptake and scale-up of self-care interventions for sexual and reproductive health and rights in the Eastern Mediterranean Region

Narasimhan, Manjulaa; Lucido, Briana; Say, Lale; Gholbzouri, Karima; El‐Adawy, Maha; Mandhari, Ahmed Al

doi:10.1186/s12961-021-00705-1

Cited by 4 publications

(5 citation statements)

References 4 publications

(4 reference statements)

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“…What’s more, Bi et al (2021) showed that social policy support, such as health insurance, can improve patient self-management. Indeed, research showed that policymakers can not only improve individual health outcomes, but can also change the entire health systems through self-management interventions (Narasimhan et al, 2021). Patients have also expressed their desire to receive support from families, health care workers, and social organizations.…”

Section: Discussionmentioning

confidence: 99%

Mediating Role of Hope Between Social Support and Self-Management Among Chinese Liver Transplant Recipients: A Multi-Center Cross-Sectional Study

Zhang

Chang³

et al. 2022

Clin Nurs Res

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This study aimed to investigate the common status of self-management in liver transplant recipients and to explore the mediating role of hope in the relationship between social support and self-management. Two hundred and ten liver transplant recipients from two tertiary hospitals were included. Questionnaires were used for general demographic information, the Perceived Social Support Scale, the Herth Hope Index, and the Self-Management Questionnaire for Liver Transplantation Recipients. Lifestyle management of liver transplant recipients was good, while the communication with physicians, cognitive symptom management, and exercise dimensions were less than satisfactory. Minimal assurance of family and education levels were significantly associated with self-management. Social support was positively correlated with self-management and hope ( r = .31, p < .01; r = .40, p < .01). Hope was positively correlated with self-management ( r = .39, p < .01). Additionally, the effect of social support on self-management was partially mediated (β = .17, p < .01) by hope. The proportion of mediation of hope was 40.09%. Therefore, well-designed interventions that boost both social support and hope may help improve self-management behavior in liver transplant recipients.

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Section: Discussionmentioning

confidence: 99%

Mediating Role of Hope Between Social Support and Self-Management Among Chinese Liver Transplant Recipients: A Multi-Center Cross-Sectional Study

Zhang

Chang³

et al. 2022

Clin Nurs Res

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“…Enhancing capacity for evidence-informed policy improves priority setting, filtration and amplification of evidence for policy-making and practice [20]. Institutional structures need to be improved [37,168] through political will [169], multi-stakeholder partnership [37,169], financial and human resources [37,169], and evidence-based normative guidance [169]. International actors, development thinking, global partnership and networking are playing a tremendous role in research and policy.…”

Section: Discussionmentioning

confidence: 99%

Challenges for research uptake for health policymaking and practice in low- and middle-income countries: a scoping review

Semahegn,

Manyazewal,

Hanlon

et al. 2023

Health Res Policy Sys

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Background An estimated 85% of research resources are wasted worldwide, while there is growing demand for context-based evidence-informed health policymaking. In low- and middle-income countries (LMICs), research uptake for health policymaking and practice is even lower, while little is known about the barriers to the translation of health evidence to policy and local implementation. We aimed to compile the current evidence on barriers to uptake of research in health policy and practice in LMICs using scoping review. Methods The scoping review followed the Preferred Reporting Items for Systematic Review and Meta-Analyses-extension for Scoping Reviews (PRISMA-ScR) and the Arksey and O'Malley framework. Both published evidence and grey literature on research uptake were systematically searched from major databases (PubMed, Cochrane Library, CINAHL (EBSCO), Global Health (Ovid)) and direct Google Scholar. Literature exploring barriers to uptake of research evidence in health policy and practice in LMICs were included and their key findings were synthesized using thematic areas to address the review question. Results A total of 4291 publications were retrieved in the initial search, of which 142 were included meeting the eligibility criteria. Overall, research uptake for policymaking and practice in LMICs was very low. The challenges to research uptake were related to lack of understanding of the local contexts, low political priority, poor stakeholder engagement and partnership, resource and capacity constraints, low system response for accountability and lack of communication and dissemination platforms. Conclusion Important barriers to research uptake, mainly limited contextual understanding and low participation of key stakeholders and ownership, have been identified. Understanding the local research and policy context and participatory evidence production and dissemination may promote research uptake for policy and practice. Institutions that bridge the chasm between knowledge formation, evidence synthesis and translation may play critical role in the translation process.

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“…While we did not set out to explore what this might mean for health systems, as has been previously noted, it became very clear that health system strengthening is a critical corollary to creating safe and supportive enabling environments for effective introduction and uptake of self-care interventions. 68 , 69 , 89 …”

Section: Discussionmentioning

confidence: 99%

“…Across the Eastern Mediterranean region, which has been a trailblazer region in promoting and introducing self-care interventions for SRHR through the health system, this approach has accelerated positive health impacts through sustainable action at the local level driven by the health needs of people. 89 …”

Section: Discussionmentioning

confidence: 99%

Law, human rights and gender in practice: an analysis of lessons from implementation of self-care interventions for sexual and reproductive health

Ferguson

Narasimhan

Gutiérrez

et al. 2022

Sexual and Reproductive Health Matters

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Self-care interventions for health are becoming increasingly available, and among the preferred options, including during the COVID-19 pandemic. This research assessed the extent of attention to laws and policies, human rights and gender in the implementation of self-care interventions for sexual and reproductive health (SRH), to identify where additional efforts to ensure an enabling environment for their use and uptake will be useful. A literature review of relevant studies published between 2010 and 2020 was conducted using PubMed, Scopus and Web of Science. Relevant data were systematically abstracted from 61 articles. In March–April 2021, semi-structured interviews were conducted with 10 key informants, selected for their experience implementing self-care interventions for SRH, and thematically analysed. Laws and policies, rights and gender are not being systematically addressed in the implementation of self-care interventions for SRH. Within countries, there is varied attention to the enabling environment including the acceptability of interventions, privacy, informed consent and gender concerns as they impact both access and use of specific self-care interventions, while other legal considerations appear to have been under-prioritised. Operational guidance is needed to develop and implement supportive laws and policies, as well as to ensure the incorporation of rights and gender concerns in implementing self-care interventions for SRH.

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Changing national health policies for introduction, uptake and scale-up of self-care interventions for sexual and reproductive health and rights in the Eastern Mediterranean Region

Cited by 4 publications

References 4 publications

Mediating Role of Hope Between Social Support and Self-Management Among Chinese Liver Transplant Recipients: A Multi-Center Cross-Sectional Study

Mediating Role of Hope Between Social Support and Self-Management Among Chinese Liver Transplant Recipients: A Multi-Center Cross-Sectional Study

Challenges for research uptake for health policymaking and practice in low- and middle-income countries: a scoping review

Law, human rights and gender in practice: an analysis of lessons from implementation of self-care interventions for sexual and reproductive health

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