Politics and political determinants of health policy and systems research funding in Latin America and the Caribbean

Objectives and importance of study: The importance of health policy and systems research (HPSR) has been acknowledged since 2004 and was recognised by the United Nations World Health Assembly in 2005. However, many factors influence its development. This paper aims to analyse the impact of politics...

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Autores principales:	Francisco Becerra-Posada, Laura dos Santos Boeira, Bárbara García-Godoy, Elizabeth Lloyd, Héctor Xavier Martínez-Sánchez, Carolina O'Donnell \|, Ulysses de Barros Panisset, Donald T Simeon, Diana Salazar-Barragán, Patricia Villa-Maldonado, Mauricio Bustamante-Garcia
Formato:	article
Lenguaje:	EN
Publicado:	Sax Institute 2021
Materias:	health policy and systems research latin america and the caribbean Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/1580b4153a7b4957a851ab275b15f64f
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spelling	oai:doaj.org-article:1580b4153a7b4957a851ab275b15f64f2021-11-10T01:07:26ZPolitics and political determinants of health policy and systems research funding in Latin America and the Caribbean10.17061/phrp31421202204-2091https://doaj.org/article/1580b4153a7b4957a851ab275b15f64f2021-11-01T00:00:00Zhttps://doi.org/10.17061/phrp3142120https://doaj.org/toc/2204-2091Objectives and importance of study: The importance of health policy and systems research (HPSR) has been acknowledged since 2004 and was recognised by the United Nations World Health Assembly in 2005. However, many factors influence its development. This paper aims to analyse the impact of politics and political determinants on HPSR funding in selected countries of Latin America and the Caribbean. Methods: Using a standardised protocol, we performed an analysis of available data and financing structures for health research and HPSR, based on research in eight countries, including interviews with key stakeholders (n = 42). Results: Dollar depreciation and gross national product growth in the region may play a role in how governments fund research. There have been shifts in the political spectrum in governments, which have affected research coordination and funding in positive and negative ways. HPSR funding in some countries was dependent on budget decisions and although some have improved funding, others have regressed by decreasing funding or have completely cancelled financing mechanisms. Caribbean countries rely mainly on institutional funding. HPSR is recognised as important but remains underfunded; stakeholders believed it should be used more in decision making. Conclusion: Although HPSR is recognised as valuable for decision making and policy development, it does not have the financial support required to flourish in Latin America and the Carribean. Data on health research financing were not easy to access. There was little or no evidence of published reports or papers about research financing, health research funding, and HPSR funding in particular in the studied countries. Because of the fragility of health systems highlighted by the coronavirus disease 2019 (COVID-19) pandemic, HPSR should be of great relevance and value to both policy makers and funders.Francisco Becerra-PosadaLaura dos Santos Boeira Bárbara García-GodoyElizabeth LloydHéctor Xavier Martínez-SánchezCarolina O'Donnell \|Ulysses de Barros PanissetDonald T Simeon Diana Salazar-Barragán Patricia Villa-MaldonadoMauricio Bustamante-Garcia Sax Institutearticlehealth policy and systems researchlatin america and the caribbeanPublic aspects of medicineRA1-1270ENPublic Health Research & Practice, Vol 31, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	health policy and systems research latin america and the caribbean Public aspects of medicine RA1-1270
spellingShingle	health policy and systems research latin america and the caribbean Public aspects of medicine RA1-1270 Francisco Becerra-Posada Laura dos Santos Boeira Bárbara García-Godoy Elizabeth Lloyd Héctor Xavier Martínez-Sánchez Carolina O'Donnell \| Ulysses de Barros Panisset Donald T Simeon Diana Salazar-Barragán Patricia Villa-Maldonado Mauricio Bustamante-Garcia Politics and political determinants of health policy and systems research funding in Latin America and the Caribbean
description	Objectives and importance of study: The importance of health policy and systems research (HPSR) has been acknowledged since 2004 and was recognised by the United Nations World Health Assembly in 2005. However, many factors influence its development. This paper aims to analyse the impact of politics and political determinants on HPSR funding in selected countries of Latin America and the Caribbean. Methods: Using a standardised protocol, we performed an analysis of available data and financing structures for health research and HPSR, based on research in eight countries, including interviews with key stakeholders (n = 42). Results: Dollar depreciation and gross national product growth in the region may play a role in how governments fund research. There have been shifts in the political spectrum in governments, which have affected research coordination and funding in positive and negative ways. HPSR funding in some countries was dependent on budget decisions and although some have improved funding, others have regressed by decreasing funding or have completely cancelled financing mechanisms. Caribbean countries rely mainly on institutional funding. HPSR is recognised as important but remains underfunded; stakeholders believed it should be used more in decision making. Conclusion: Although HPSR is recognised as valuable for decision making and policy development, it does not have the financial support required to flourish in Latin America and the Carribean. Data on health research financing were not easy to access. There was little or no evidence of published reports or papers about research financing, health research funding, and HPSR funding in particular in the studied countries. Because of the fragility of health systems highlighted by the coronavirus disease 2019 (COVID-19) pandemic, HPSR should be of great relevance and value to both policy makers and funders.
format	article
author	Francisco Becerra-Posada Laura dos Santos Boeira Bárbara García-Godoy Elizabeth Lloyd Héctor Xavier Martínez-Sánchez Carolina O'Donnell \| Ulysses de Barros Panisset Donald T Simeon Diana Salazar-Barragán Patricia Villa-Maldonado Mauricio Bustamante-Garcia
author_facet	Francisco Becerra-Posada Laura dos Santos Boeira Bárbara García-Godoy Elizabeth Lloyd Héctor Xavier Martínez-Sánchez Carolina O'Donnell \| Ulysses de Barros Panisset Donald T Simeon Diana Salazar-Barragán Patricia Villa-Maldonado Mauricio Bustamante-Garcia
author_sort	Francisco Becerra-Posada
title	Politics and political determinants of health policy and systems research funding in Latin America and the Caribbean
title_short	Politics and political determinants of health policy and systems research funding in Latin America and the Caribbean
title_full	Politics and political determinants of health policy and systems research funding in Latin America and the Caribbean
title_fullStr	Politics and political determinants of health policy and systems research funding in Latin America and the Caribbean
title_full_unstemmed	Politics and political determinants of health policy and systems research funding in Latin America and the Caribbean
title_sort	politics and political determinants of health policy and systems research funding in latin america and the caribbean
publisher	Sax Institute
publishDate	2021
url	https://doaj.org/article/1580b4153a7b4957a851ab275b15f64f
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Politics and political determinants of health policy and systems research funding in Latin America and the Caribbean

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