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Developing health systems research capacities through north-south partnership: An evaluation of collaboration with South Africa and Thailand

机译：通过南北合作伙伴关系发展卫生系统的研究能力：与南非和泰国合作的评价

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Background Over the past ten years, calls to strengthen health systems research capacities in low and middle income countries have increased. One mechanism for capacity development is the partnering of northern and southern institutions. However, detailed case-studies of north-south partnerships, at least in the domain of health systems research, remain limited. This study aims to evaluate the partnerships developed between the Health Economics and Financing Programme of the London School of Hygiene and Tropical Medicine and three research partners in South Africa and Thailand to strengthen health economics-related research capacity. Methods Data from programme documents were collected over five years to measure quantitative indicators of capacity development. Qualitative data were obtained from 25 in-depth interviews with programme staff from South Africa, Thailand and London. Results and Discussion Five years of formal partnership resulted in substantial strengthening of individual research skills and moderate instituonalised strengthening in southern partner institutions. Activities included joint proposals, research and articles, staff exchange and post-graduate training. In Thailand, individual capacities were built through post-graduate training and the partner institution developed this as part of a package aimed at retaining young researchers at the institution. In South Africa, local post-graduate teaching programs were strengthened, regular staff visits/exchanges initiated and maintained and funding secured for several large-scale, multi-partner projects. These activities could not have been achieved without good personal relationships between members of the partner institutions, built on trust developed over twenty years. In South Africa, a critical factor was the joint appointment of a London staff member on long-term secondment to one of the partner institutions. Conclusion As partnerships mature the needs of partners change and new challenges emerge. Partners' differing research priorities (national v international; policy-led v academic-led) need to be balanced and equitable funding mechanisms developed recognising the needs and constraints faced by both southern and northern partners. Institutionalising partnerships (through long-term development of trust, engagement of a broad range of staff in joint activities and joint appointment of staff), and developing responsive mechanisms for governing these partnerships (through regular joint negotiation of research priorities and funding issues), can address these challenges in mutually acceptable ways. Indeed, by late 2005 the partnership under scrutiny in this paper had evolved into a wider consortium involving additional partners, more explicit mechanisms for managing institutional relationships and some core funding for partners. Most importantly, this study has shown that it is possible for long-term north-south partnership commitments to yield fruit and to strengthen the capacities of public health research and training institutions in less developed countries.
机译：背景信息在过去的十年中，要求加强中低收入国家卫生系统研究能力的呼声越来越高。能力建设的一种机制是北方和南方机构的合作。但是，至少在卫生系统研究领域，南北合作的详细案例研究仍然有限。这项研究旨在评估伦敦卫生与热带医学学院的健康经济学与融资计划与南非和泰国的三个研究伙伴之间建立的伙伴关系，以加强与健康经济学相关的研究能力。方法五年来从计划文件中收集数据，以测量能力发展的定量指标。定性数据来自对南非，泰国和伦敦的计划人员进行的25次深度访谈。结果与讨论五年的正式合作伙伴关系大大增强了个人研究技能，并在南方合作伙伴机构中适度地加强了研究。活动包括联合提案，研究和文章，人员交流和研究生培训。在泰国，通过研究生培训提高了个人能力，合作机构将其发展为一揽子计划的一部分，旨在将年轻研究人员留在该机构。在南非，加强了当地的研究生教学计划，启动和维护了定期的员工访问/交流，并为几个大型，多伙伴项目提供了资金。没有伙伴机构成员之间建立起二十多年信任关系的良好个人关系，就不可能实现这些活动。在南非，一个关键因素是联合任命伦敦工作人员长期借调到其中一个合作机构。结论随着合作伙伴关系的成熟，合作伙伴的需求会发生变化，并且会出现新的挑战。合作伙伴的不同研究重点（国家对国际;政策主导对学术主导）需要保持平衡，并建立公平的筹资机制，以认识到南方和北方合作伙伴都面临的需求和制约因素。可以将伙伴关系制度化（通过长期发展信任，广泛的工作人员参与联合活动和联合任命工作人员），以及建立管理这些伙伴关系的响应机制（通过定期联合研究重点和资金问题进行谈判），以相互接受的方式应对这些挑战。实际上，到2005年底，本文中经过仔细研究的合作伙伴关系已经发展成为一个更广泛的财团，其中包括更多的合作伙伴，更明确的机构关系管理机制以及一些为合作伙伴提供的核心资金。最重要的是，这项研究表明，南北伙伴关系的长期承诺有可能取得成果，并加强欠发达国家的公共卫生研究和培训机构的能力。

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