BACKGROUND There is a current need to build the capacity of Health Policy and Systems Research + Analysis (HPSR+A) in low and middle-income countries (LMICs) as this enhances the processes of decision-making at all levels of the health system. This paper provides information on the HPSR+A knowledge and practice among producers and users of evidence in priority setting for HPSR+A regarding control of endemic diseases in two states in Nigeria. It also highlights the HPSR+A capacity building needs and interventions that will lead to increased HPSR+A and use for actual policy and decision making by the government and other policy actors. METHODS Data was collected from 96 purposively selected respondents who are either researchers/ academia (producers of evidence) and policy/decision-makers, programme/project managers (users of evidence) in Enugu and Anambra states, southeast Nigeria. A pre-tested questionnaire was the data collection tool. Analysis was by univariate and bivariate analyses. RESULTS The knowledge on HPSR+A was moderate and many respondents understood the importance of evidence-based decision making. Majority of researcher stated their preferred channel of dissemination of research finding to be journal publication. The mean percentage of using HPSR evidence for programme design & implementation of endemic disease among users of evidence was poor (18.8%) in both states. There is a high level of awareness of the use of evidence to inform policy across the two states and some of the respondents have used some evidence in their work. CONCLUSION The high level of awareness of the use of HPSR+A evidence for decision making did not translate to the significant actual use of evidence for policy making. The major reasons bordered on lack of autonomy in decision making. Hence, the existing yawning gap in use of evidence has to be bridged for a strengthening of the health system with evidence.

中文翻译：

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建立卫生政策和系统研究中证据使用者和生产者的能力，以更好地控制尼日利亚的地方病：一种情况分析。

背景技术当前需要在中低收入国家（LMIC）中建立卫生政策和系统研究+分析（HPSR + A）的能力，因为这将增强卫生系统各个层面的决策过程。本文提供了有关在尼日利亚两个州控制流行病的HPSR + A优先制定证据的生产者和使用者中HPSR + A知识和实践的信息。它还强调了HPSR + A能力建设的需求和干预措施，这些需求和干预措施将导致HPSR + A的增加以及用于政府和其他政策参与者的实际政策和决策中。方法数据是从96名有针对性地选择的调查对象/研究人员/学术界（证据产生者）和政策/决策制定者中收集的，尼日利亚东南部的Enugu和Anambra州的计划/项目经理（证据使用者）。预先测试的问卷是数据收集工具。通过单变量和双变量分析进行分析。结果对HPSR + A的知识是中等的，许多受访者理解基于证据的决策的重要性。大多数研究人员表示，他们首选的传播研究成果的渠道是期刊出版。在这两个州中，使用HPSR证据进行程序设计和实施地方病的证据使用者的平均比例很差（18.8％）。人们对利用证据为两个州的政策提供信息有很高的意识，一些受访者在其工作中使用了一些证据。结论对使用HPSR + A证据进行决策的高度了解并没有转化为在决策中大量实际使用证据。主要原因是决策缺乏自主权。因此，必须弥合现有证据使用方面的巨大差距，以加强具有证据的卫生系统。