Assessment of policy makers’ individual and organizational capacity to acquire, assess, adapt and apply research evidence for maternal and child health policy making in Nigeria: A cross-sectional quantitative survey

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Study Justification:
– The study aims to address the lack of uptake of research evidence into policy and practice in Nigeria.
– It focuses on assessing the capacity of maternal and child health policy makers to acquire, access, adapt, and apply research evidence for policy making.
– The findings of the study will help identify the knowledge and capacity gaps among policy makers and inform the development of capacity development programs.
Study Highlights:
– The study was conducted at a national maternal, newborn, and child health stakeholders’ engagement event in Nigeria.
– A cross-sectional quantitative survey design was used to capture information based on data gathered at the event.
– The study involved 40 maternal and child health policy makers from various organizations, including the Federal Ministry of Health, State Ministry of Health, development partner organizations, civil society organizations, and non-governmental organizations.
– The participants completed a questionnaire that assessed their knowledge, capacity, and organizational processes related to research evidence in policy making.
– The study found low mean ratings for knowledge about research initiation/conducting, capacity to assess research evidence, and organizational capacity for using research in policy making.
– The study concludes that there is a need for capacity development programs to improve evidence-informed policy making.
Recommendations:
– Institute policy makers’ capacity development programs to improve evidence-informed policy making.
– Provide training and resources to enhance knowledge and skills in research initiation/conducting and assessing research evidence.
– Strengthen organizational capacity for promoting and using research evidence in policy making.
Key Role Players:
– West African Health Organization (WAHO)
– Federal Ministry of Health (FMOH) Nigeria
– Maternal, newborn, and child health (MNCH) stakeholders
– Officers from the Federal Ministry of Health and associated ministries, departments, and agencies
– Directors from selected State Ministry of Health
– Executive officers from development partner organizations, civil society organizations, and non-governmental organizations
Cost Items for Planning Recommendations:
– Training programs for policy makers
– Development of educational materials and resources
– Organizing capacity development workshops or conferences
– Hiring experts or consultants to provide guidance and support
– Monitoring and evaluation of the capacity development programs

The strength of evidence for this abstract is 7 out of 10.
The evidence in the abstract is based on a cross-sectional quantitative survey conducted at a national maternal, newborn and child health stakeholders’ engagement event. The study design and methodology are clearly described, and the results indicate low mean ratings for knowledge and capacity of policy makers to use research evidence. However, the abstract does not provide specific details about the sample size, data collection methods, or statistical analysis. To improve the evidence, the abstract could include more information about the sample size and how participants were selected, as well as provide more details about the data collection methods and statistical analysis used. This would enhance the transparency and replicability of the study.

Background: Throughout the world, there is increasing awareness and acknowledgement of the value of research evidence in the development of effective health policy and in quality health care practice and administration. Among the major challenges associated with the lack of uptake of research evidence into policy and practice in Nigeria is the capacity constraints of policymakers to use research evidence in policy making. Objective: To assess the capacity of maternal and child health policy makers to acquire, access, adapt and apply available research evidence. Methods: This cross-sectional quantitative survey was conducted at a national maternal, newborn and child health (MNCH) stakeholders’ engagement event. An evidence to policy self-assessment questionnaire was used to assess the capacity of forty MNCH policy makers to acquire, assess, adapt and apply research evidence for policy making. Results: Low mean ratings were observed ranging from 2.68-3.53 on a scale of 5 for knowledge about initiating/conducting research and capacity to assess authenticity, validity, reliability, relevance and applicability of research evidence and for organizational capacity for promoting and using of research for policy making. Conclusion: There is need to institute policy makers’ capacity development programmes to improve evidence-informed poli-cymaking.

The study design was a cross-sectional survey undertaken during a one-day national MNCH stakeholders’ engagement event convened under the auspices of the West African Health Organization (WAHO) and the Federal Ministry of Health (FMOH) Nigeria, in October 2015 in Abuja, Nigeria. A cross-sectional quantitative survey was used because of the need to capture information based on data gathered for a specific point in time (ie., at the stakeholders’ engagement event). The study design was also used to generate findings and outcomes that can be analysed in order to develop more in-depth research on policy makers’ capacity constraints regarding evidence-informed policy making. Among the objectives of the meeting was to assess the capacity of national policy makers and their organizations to acquire, assess, adapt and apply research evidence for MNCH policy making in Nigeria. Participants were officers of senior cadre drawn from the Federal Ministry of Health (FMOH) Abuja and its associated ministries, departments and agencies; others included directors from selected State Ministry of Health (SMOH); executive officers from development partner organizations (DPOs), civil society organizations (CSOs) and non-governmental organizations (NGOs). As part of the inclusion criterial, only individuals from the FMOH, SMOH, DPOs and CSOs/NGOs who were involved in MNCH programmes and policy making/implementation were invited. A questionnaire was administered to participants after the completion of an informed consent form. The questionnaire and the informed consent form were approved by the University Research Ethics Committee of Ebonyi State University Nigeria (the institution of the principal author). The questionnaire was designed to assess participants’ knowledge, capacity and organizational process of generation, synthesis and utilization of research evidence in policy making regarding MNCH. The questionnaire used for this assessment were modification of the self-assessment tool produced by the Canadian Health Services Research Foundation (CHSRF) available at the following websites: We chose the CHSRF self-assessment tool as the basis from which we developed our data collection tool because a number of reports have demonstrated that it can help projects evaluate their capacity to use research evidence in the design and delivery of services19–22. The questionnaire contained core questions (hints), which assessed the following:

N/A

The questionnaire used in the study assessed the following aspects:

1. Knowledge about initiating and conducting research: Participants were asked about their understanding of the process of conducting research related to maternal and child health.

2. Capacity to assess authenticity, validity, reliability, relevance, and applicability of research evidence: Participants were evaluated on their ability to critically evaluate research evidence and determine its credibility and relevance to policy making.

3. Organizational capacity for promoting and using research for policy making: The questionnaire assessed the extent to which participants’ organizations supported and encouraged the use of research evidence in policy making.

The study found that there were low mean ratings in these areas, indicating a need for capacity development programs for policy makers to improve evidence-informed policy making.

Please note that the specific questions and details of the questionnaire were not provided in the information provided.
AI Innovations Description
The recommendation to improve access to maternal health based on the study is to institute policy makers’ capacity development programs. This means providing training and support to policymakers to enhance their ability to acquire, assess, adapt, and apply research evidence in policy making. The study found that policymakers in Nigeria had low ratings in terms of their knowledge about initiating and conducting research, as well as their capacity to assess the authenticity, validity, reliability, relevance, and applicability of research evidence. There was also a lack of organizational capacity for promoting and using research for policy making.

To address these capacity constraints, it is recommended to implement targeted capacity development programs for policymakers. These programs should focus on improving their understanding of research methodologies, data analysis, and evidence synthesis. Additionally, training should be provided on how to critically evaluate research evidence and determine its relevance and applicability to maternal and child health policy making. Organizational capacity should also be strengthened to create an enabling environment for evidence-informed policy making.

By enhancing the capacity of policymakers to effectively use research evidence, it is expected that maternal health policies and practices in Nigeria will be more evidence-based and effective. This, in turn, can lead to improved access to maternal health services and better health outcomes for mothers and children.
AI Innovations Methodology
Based on the provided information, here are some potential recommendations to improve access to maternal health:

1. Strengthening capacity building programs: Implement comprehensive capacity development programs for policymakers to enhance their knowledge and skills in acquiring, assessing, adapting, and applying research evidence for policy making. These programs can include training workshops, seminars, and mentorship opportunities.

2. Establishing knowledge exchange platforms: Create platforms for policymakers, researchers, and healthcare practitioners to exchange knowledge and share research evidence related to maternal health. This can be done through conferences, webinars, online forums, and networking events.

3. Promoting research utilization in policy making: Develop strategies to encourage policymakers to use research evidence in their decision-making processes. This can involve creating incentives, providing access to relevant research findings, and fostering collaborations between researchers and policymakers.

4. Strengthening collaboration between stakeholders: Foster partnerships and collaborations between government agencies, non-governmental organizations, civil society organizations, and development partners to collectively address the challenges in maternal health and improve access to quality care.

To simulate the impact of these recommendations on improving access to maternal health, a methodology could involve the following steps:

1. Baseline assessment: Conduct a comprehensive assessment of the current state of access to maternal health services, including factors such as availability, affordability, and quality of care. This assessment will serve as a baseline for comparison.

2. Intervention implementation: Implement the recommended innovations, such as capacity building programs, knowledge exchange platforms, and strategies to promote research utilization in policy making. Ensure that these interventions are targeted towards policymakers and other relevant stakeholders.

3. Data collection: Collect data on key indicators related to access to maternal health services before and after the implementation of the interventions. This can include data on the number of trained policymakers, the utilization of research evidence in policy making, and changes in maternal health outcomes.

4. Analysis and evaluation: Analyze the collected data to assess the impact of the interventions on improving access to maternal health. Compare the pre- and post-intervention data to identify any significant changes or improvements. This analysis can be done using statistical methods and qualitative assessments.

5. Feedback and refinement: Share the findings of the impact assessment with relevant stakeholders, including policymakers and healthcare providers. Use this feedback to refine and improve the implemented interventions, if necessary.

By following this methodology, it will be possible to simulate the impact of the recommended innovations on improving access to maternal health and make evidence-informed decisions for policy making in Nigeria.

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