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Creating a locally driven research agenda for the ethnic minorities of Eastern Myanmar.
Health Research Policy and Systems ( IF 4.139 ) Pub Date : 2019-06-26 , DOI: 10.1186/s12961-019-0465-7
Eva Purkey 1 , Saw Nay Htoo 2 , Rachel Whelan 3 , Naw Pue Pue Mhote 2 , Colleen M Davison 4
Affiliation  

BACKGROUND Research funding and production is inequitably distributed internationally, with emphasis placed on the priorities of funders and international partners. Research capacity development, along with agenda-setting for research priorities can create agency and self-sufficiency and should be inclusive of all relevant stakeholders. Myanmar is a fragile state, where decades of conflict have created a weakened healthcare system and health research sector. The population of Eastern Myanmar have long had their healthcare needs met by community-based organisations and ethnic health organisations operating within Eastern Myanmar and the adjoining Thai-Myanmar border. Despite a transition to civilian rule, the current context does not allow for a truly participatory health research capacity development and agenda-setting exercise between the health leaders of Eastern Myanmar and the government in Yangon. In this context, and with a desire to enhance the capacity, legitimacy and agency of their organisations, the health leaders of Eastern Myanmar are seeking to develop their own health research capacity and to take control of their own research agenda. METHODS Approximately 60 participants from 15 organisations attended a 3-day forum with the goals of (1) developing research capacity and interest through a research conference and methods workshop; (2) using a nominal group technique (NGT) to develop a locally driven research agenda; and (3) supporting the development of local research projects through ongoing funding and mentorship. RESULTS Participants were actively engaged in the workshops and NGT. Participants identified a broad range of health issues as priorities and were able to develop consensus around a list of 15 top priorities for the populations they serve. Despite availability of ongoing support, participants did not pursue the opportunity to engage in their own research projects emerging from this forum. CONCLUSIONS The NGT was an effective way to achieve engagement and consensus around research priorities between a group of healthcare providers, researchers and policy-makers from a variety of ethnic groups. More active involvement of senior leadership must happen before the energy harnessed at such a forum can be implemented in ongoing research capacity development.

中文翻译:

为缅甸东部的少数民族制定由当地推动的研究议程。

背景技术研究资金和生产在国际上分布不均,重点放在资助者和国际伙伴的优先事项上。研究能力的发展以及确定研究重点的议程可以创造机构和自给自足的精神,应包括所有相关利益攸关方。缅甸是一个脆弱的国家,数十年来的冲突造成了医疗体系和健康研究部门的薄弱。缅甸东部人民长期以来一直在缅甸东部和毗邻的泰国缅甸边境内开展活动的社区组织和种族健康组织满足他们的医疗保健需求。尽管过渡到平民统治,在目前的情况下,缅甸东部的卫生领导人和仰光政府之间无法真正开展参与性卫生研究的能力建设和议程制定工作。在这种情况下,并希望增强其组织的能力,合法性和机构性,缅甸东部的卫生领导人正在寻求发展自己的卫生研究能力并控制自己的研究议程。方法来自15个组织的大约60名参与者参加了为期3天的论坛,其目标是:(1)通过研究会议和方法研讨会提高研究能力和兴趣。(2)使用名义小组技术(NGT)制定本地驱动的研究议程;(3)通过持续的资助和指导来支持地方研究项目的发展。结果参与者积极参加了研讨会和NGT。与会者将广泛的卫生问题确定为优先事项,并能够围绕所服务人群的15个最优先事项清单达成共识。尽管可以提供持续的支持,但参与者并没有抓住机会参与此论坛中出现的自己的研究项目。结论NGT是在不同种族的医疗保健提供者,研究人员和政策制定者之间就研究重点达成参与和达成共识的有效途径。在正在进行的研究能力开发中,必须充分利用高层领导的积极参与,才能在这样一个论坛上利用能源。与会者将广泛的卫生问题确定为优先事项,并能够围绕所服务人群的15个最优先事项清单达成共识。尽管可以提供持续的支持,但是参与者并没有抓住机会参与这个论坛中出现的自己的研究项目。结论NGT是在不同种族的医疗保健提供者,研究人员和政策制定者之间就研究重点达成参与和达成共识的有效途径。在正在进行的研究能力开发中,必须充分利用高层领导的积极参与,才能在这样一个论坛上利用能源。与会者将广泛的卫生问题确定为优先事项,并能够围绕所服务人群的15个最优先事项清单达成共识。尽管可以提供持续的支持,但参与者并没有抓住机会参与此论坛中出现的自己的研究项目。结论NGT是在不同种族的医疗保健提供者,研究人员和政策制定者之间就研究重点达成参与和达成共识的有效途径。在正在进行的研究能力开发中,必须充分利用高层领导的积极参与,才能在这样一个论坛上利用能源。尽管可以提供持续的支持,但参与者并没有抓住机会参与此论坛中出现的自己的研究项目。结论NGT是在不同种族的医疗保健提供者,研究人员和政策制定者之间就研究重点达成参与和达成共识的有效途径。在正在进行的研究能力开发中,必须充分利用高层领导的积极参与,才能在这样一个论坛上利用能源。尽管可以提供持续的支持,但是参与者并没有抓住机会参与这个论坛中出现的自己的研究项目。结论NGT是在不同种族的医疗保健提供者,研究人员和政策制定者之间就研究重点达成参与和达成共识的有效途径。在正在进行的研究能力开发中,必须充分利用高层领导的积极参与,才能在这样一个论坛上利用能源。
更新日期:2019-06-26
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