Health Research Capacities in Palestine: High-quality and Proper Knowledge Transfer and Translation for Sound Decision-making

Abstract

Background: Over the last two decades, the World Health Organization (WHO) has proposed a global strategy and initiatives to build robust capacity for a Health Research System (HRS) focusing on Health Research Quality and Standardization (HRQS), Health Research Knowledge Transfer and Dissemination (HRKTD), and Health Research Translation and Utilization into Health Care Decisions and Policies (HRTUDP). Despite the expansion of health research productivity for several decades, HRS Capacity (HRSC) in Palestine and in the Middle East and North Africa (MENA) region generally has rarely been objectively evaluated. This study aims at eliciting the perceptions of HRS performers in Palestine in order to understand the status of the capacities of HRS, identify gaps, and to generate policies and solutions capable of strengthening HRSC in Palestine.Methods: Purposive methods were used in this qualitative study to identify key informants from three sectors; government, academia, and local and international organizations. Fifty-two in-depth interviews were conducted with key informants and a total of fifty-two individuals participated in six focus groups. Data were analyzed by using MAXQDA 12.Results: The overall pattern of the Palestinian HRS capacities is relatively weak. The key findings revealed that while HR productivity in Palestine is improving, HRQS is at an average level and quality guidelines are not followed due to paucity of understanding, policies, resources. HRKTD is a central challenge with both a dearth of conceptualization of translational science and inadequate implementation. The factors related to inadequate HRKTD include lack of awareness on the part of the researchers; inadequate regulatory frameworks and mechanisms for both communication and collaboration between and among researchers and policy-makers and clinicians; lack of availability of and credibility in systematized and reliable HR data. Despite the limited knowledge translation, in general, HRTUDP is not considered as an essential decision-making methodology mainly due to lack of knowledge producers and policy-makers interface, understanding level, HR credibility and availability of applied research, and governance, resources, and political fluctuations. A consolidating regulatory framework and an effective capacity strengthening strategy to promote HRQS as well as an understanding of concepts and practices of translational science and, most importantly, the use of findings for evidence-based policies and practice are substantial recommendations to make HRS well-capacitated and strengthened. Conclusions: Strengthening HRSC is both an imperative step and an opportunity to improve the Palestinian health system based on research evidence and knowledge. Building a successful HRS characterized by capacities of high-quality research and well-disseminated and translated knowledge is a prerequisite to effective health systems and services. This can be achieved by a political commitment to support such strengthening, consolidated leadership and governance structure, and a strong operational capacity strengthening strategy.

Assessing the capacity for conflict and health research in Lebanon: a qualitative study

“…However as these levels are strongly interconnected, any strength or weakness in one of these levels will directly impact the other two levels [9]. Most of the findings are consistent with the international literature on research capacity strengthening in Low and Middle Income Countries (LMICs) including those affected by armed conflict and political unrest [40,41]. The key themes emerging from this work are categorized below as strengths and challenges of health research which would support the design of impactful research capacity strengthening interventions.…”

“…The recent work of AlKhaldi et al that focuses on research capacity strengthening in Palestine, also revealed that health research capacities in the country are relatively weak despite the recent increase in health research production. Guidelines for Health Research Quality and Standardization are not adhered to due to a lack of policies and resources, and Health Research Knowledge Transfer is a major challenge that requires contextualization and adequate implementation [41]. Regarding research skills, a needs assessment focusing on the West Bank, Palestine, published by R4HC-MENA colleagues, found that most of the respondents considered that they have a significant gap in their abilities and understanding of coding and analysis of qualitative data, and planning and designing research [86].…”