Towards Core Competencies for Health Policy and Systems Research (HPSR) Training: Results From a Global Mapping and Consensus-Building Process

Document Type : Original Article

Authors

1 Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

2 University of Tennessee, Knoxville, TN, USA

3 Ministry of Health, San José, Costa Rica

4 School of Public Health, University of Costa Rica, San José, Costa Rica

5 Center for Health Systems and Policy Research at GIMPA, Accra, Ghana

6 London School of Hygiene and Tropical Medicine, London, UK

Abstract

Background
As the field of health policy and systems research (HPSR) continues to grow, there is a recognition of the need for training in HPSR. This aspiration has translated into a multitude of teaching programmes of variable scope and quality, reflecting a lack of consensus on the skills and practices required for rigorous HPSR. The purpose of this paper is to identify an agreed set of core competencies for HPSR researchers, building on the previous work by the Health Systems Global (HSG) Thematic Working Group on Teaching & Learning.
 
Methods
Our methods involved an iterative approach of four phases including a literature review, key informant interviews and group discussions with HPSR educators, and webinars with pre-post surveys capturing views among the global HPSR community. The phased discussions and consensus-building contributed to the evolution of the HPSR competency domains and competencies framework.
 
Results
Emerging domains included understanding health systems complexity, assessing policies and programs, appraising data and evidence, ethical reasoning and practice, leading and mentoring, building partnerships, and translating and utilizing knowledge and HPSR evidence. The development of competencies and their application were often seen as a continuous process spanning evidence generation, partnering, communicating and helping to identify new critical health systems questions.
 
Conclusion
The HPSR competency set can be seen as a useful reference point in the teaching and practice of high-quality HPSR and can be adapted based on national priorities, the particularities of local contexts, and the needs of stakeholders (HPSR researchers and educators), as well as practitioners and policy-makers. Further research is needed in using the core competency set to design national training programmes, develop locally relevant benchmarks and assessment methods, ad evaluate their use in different settings.

Keywords


  1. Hogan DR, Stevens GA, Hosseinpoor AR, Boerma T. Monitoring universal health coverage within the Sustainable Development Goals: development and baseline data for an index of essential health services. Lancet Glob Health. 2018;6(2):e152-e168. doi:10.1016/s2214-109x(17)30472-2
  2. Rasanathan K, Diaz T. Research on health equity in the SDG era: the urgent need for greater focus on implementation. Int J Equity Health. 2016;15(1):202. doi:10.1186/s12939-016-0493-7
  3. Hone T, Macinko J, Millett C. Revisiting Alma-Ata: what is the role of primary health care in achieving the Sustainable Development Goals? Lancet. 2018;392(10156):1461-1472. doi:10.1016/s0140-6736(18)31829-4
  4. WHO. Health Policy and Systems Research: A Methodology Reader. In: Gilson L, ed. Geneva, Switzerland: WHO; 2014.
  5. The Alliance for Health Policy and Systems Research (AHPSR). What is Health Policy and Systems Research and Why Does it Matter? Geneva: World Health Organization; 2007.
  6. Gilson L, Hanson K, Sheikh K, Agyepong IA, Ssengooba F, Bennett S. Building the field of health policy and systems research: social science matters. PLoS Med. 2011;8(8):e1001079. doi:10.1371/journal.pmed.1001079
  7. Strengthening Capacity for Health Policy and Systems: What You Told Us. Health Systems Global; 2020.
  8. Macarayan EK, Balabanova D, Gotsadze G. Assessing the field of health policy and systems research using symposium abstract submissions and machine learning techniques. Health Policy Plan. 2019;34(10):721-731. doi:10.1093/heapol/czz086
  9. Tancred TM, Schleiff M, Peters DH, Balabanova D. Health policy and systems research training: global status and recommendations for action. Bull World Health Organ. 2016;94(7):491-500. doi:10.2471/blt.15.162818
  10. Erasmus E, Lehmann U, Agyepong IA, et al. Strengthening post-graduate educational capacity for health policy and systems research and analysis: the strategy of the Consortium for Health Policy and Systems Analysis in Africa. Health Res Policy Syst. 2016;14:29. doi:10.1186/s12961-016-0097-0
  11. Mirzoev T, Lê G, Green A, et al. Assessment of capacity for Health Policy and Systems Research and Analysis in seven African universities: results from the CHEPSAA project. Health Policy Plan. 2014;29(7):831-841. doi:10.1093/heapol/czt065
  12. Teaching & Learning TWG. Health Policy and Systems Research Training Database. Tbilisi, Georgia: Health Systems Global; 2018.
  13. Tancred T, Schleiff M, Peters DH, Balabanova D. Global Mapping of Health Policy and Systems Research Training. London, United Kingdom: Health Systems Global, Alliance for Health Policy and Systems Research; 2014.
  14. Sawleshwarkar S, Negin J. A review of global health competencies for postgraduate public health education. Front Public Health. 2017;5:46. doi:10.3389/fpubh.2017.00046
  15. Jogerst K, Callender B, Adams V, et al. Identifying interprofessional global health competencies for 21st-century health professionals. Ann Glob Health. 2015;81(2):239-247. doi:10.1016/j.aogh.2015.03.006
  16. ASPH Education Committee. Master's Degree in Public Health Core Competency Development Project. Version 2.3. Atlanta, GA: ASPH; 2006.
  17. Calhoun JG, Spencer HC, Buekens P. Competencies for global heath graduate education. Infect Dis Clin North Am. 2011;25(3):575-592, viii. doi:10.1016/j.idc.2011.02.015
  18. Ablah E, Biberman DA, Weist EM, et al. Improving global health education: development of a Global Health Competency Model. Am J Trop Med Hyg. 2014;90(3):560-565. doi:10.4269/ajtmh.13-0537
  19. Lembani M, Teddy G, Molosiwa D, Hwabamungu B. Post-doctoral research fellowship as a health policy and systems research capacity development intervention: a case of the CHESAI initiative. Health Res Policy Syst. 2016;14(1):89. doi:10.1186/s12961-016-0159-3
  20. Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013;13:117. doi:10.1186/1471-2288-13-117
  21. Eubank BH, Mohtadi NG, Lafave MR, et al. Using the modified Delphi method to establish clinical consensus for the diagnosis and treatment of patients with rotator cuff pathology. BMC Med Res Methodol. 2016;16:56. doi:10.1186/s12874-016-0165-8
  22. Wong ST, Browne AJ, Varcoe C, et al. Development of health equity indicators in primary health care organizations using a modified Delphi. PLoS One. 2014;9(12):e114563. doi:10.1371/journal.pone.0114563
  23. Havers SM, Martin E, Wilson A, Hall L. Implementation of government-directed policy in the hospital setting: a modified Delphi study. Health Res Policy Syst. 2019;17(1):91. doi:10.1186/s12961-019-0500-8
  24. Iqbal S, Pipon-Young L. The Delphi method--a guide. Psychologist. 2009;22(7):598-601.
  25. Consortium for Health Policy and Systems Analysis in Africa (CHEPSAA). Principles and Practice of Good Curriculum Design. Cape Town: CHEPSAA; 2013.
  26. Nxumalo N. Emerging Leaders in Health Policy and Systems Research Analysis in Africa: Developing the Practices of HPSR+A Leadership. Johannesburg: Consortium for Health Policy and Systems Analysis; 2015.
Volume 11, Issue 7
July 2022
Pages 1058-1068
  • Receive Date: 09 July 2020
  • Revise Date: 04 December 2020
  • Accept Date: 14 December 2020
  • First Publish Date: 30 December 2020