Domestic funding for health policy and systems research: why is it invisible?

Objectives and importance of study: Health policy and systems research (HPSR) informs stronger health systems but it remains chronically underfunded, especially in low- and middle-income countries (LMICs). Domestic funding for HPSR helps to ensure research is aligned with local priorities. As LMICs...

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Autores principales:	Geetanjali Lamba, Livia Dal Zennaro, Solip Ha, Sonam Yangchen
Formato:	article
Lenguaje:	EN
Publicado:	Sax Institute 2021
Materias:	health policy and systems research health research Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/c9fa78fc9a724aeab6a5583d4c53dfac
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spelling	oai:doaj.org-article:c9fa78fc9a724aeab6a5583d4c53dfac2021-11-10T00:54:52ZDomestic funding for health policy and systems research: why is it invisible?10.17061/31421172204-2091https://doaj.org/article/c9fa78fc9a724aeab6a5583d4c53dfac2021-11-01T00:00:00Zhttps://doi.org/10.17061/3142117https://doaj.org/toc/2204-2091Objectives and importance of study: Health policy and systems research (HPSR) informs stronger health systems but it remains chronically underfunded, especially in low- and middle-income countries (LMICs). Domestic funding for HPSR helps to ensure research is aligned with local priorities. As LMICs transition from international donor assistance for health research, HPSR will increasingly need to rely on domestic funding. However, domestic funding flows remain poorly understood. This study aims to understand how, and how much, HPSR is funded domestically in LMICs. It explores challenges associated with estimating HPSR funding and suggests strategies to improve domestic support for HPSR. Study type: Mixed methods. Methods: We reviewed regional technical reports commissioned by the Alliance for Health Policy and Systems Research, which studied domestic HPSR funding through desk reviews and key informant interviews. Data were qualitatively and quantitatively analysed and findings were triangulated. We also conducted a separate bibliometric analysis to understand HPSR capacity. Results: Despite many efforts from different angles, we were unable to reliably estimate HPSR funding in most of the countries studied. The reasons for this included a lack of a common understanding of HPSR, difficulty disentangling HPSR funding from other research funding, and bureaucratic and data transparency hurdles. We also describe which domestic bodies fund HPSR and examine the interrelatedness of HPSR capacity and funding. Conclusion: Domestic funding flows for HPSR remain almost invisible. This finding informs concrete recommendations to improve HPSR funding transparency, and for national research funders and ministries of health and finance to invest in HPSR for stronger health systems.Geetanjali Lamba Livia Dal ZennaroSolip HaSonam YangchenSax Institutearticlehealth policy and systems researchhealth researchPublic aspects of medicineRA1-1270ENPublic Health Research & Practice, Vol 31, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	health policy and systems research health research Public aspects of medicine RA1-1270
spellingShingle	health policy and systems research health research Public aspects of medicine RA1-1270 Geetanjali Lamba Livia Dal Zennaro Solip Ha Sonam Yangchen Domestic funding for health policy and systems research: why is it invisible?
description	Objectives and importance of study: Health policy and systems research (HPSR) informs stronger health systems but it remains chronically underfunded, especially in low- and middle-income countries (LMICs). Domestic funding for HPSR helps to ensure research is aligned with local priorities. As LMICs transition from international donor assistance for health research, HPSR will increasingly need to rely on domestic funding. However, domestic funding flows remain poorly understood. This study aims to understand how, and how much, HPSR is funded domestically in LMICs. It explores challenges associated with estimating HPSR funding and suggests strategies to improve domestic support for HPSR. Study type: Mixed methods. Methods: We reviewed regional technical reports commissioned by the Alliance for Health Policy and Systems Research, which studied domestic HPSR funding through desk reviews and key informant interviews. Data were qualitatively and quantitatively analysed and findings were triangulated. We also conducted a separate bibliometric analysis to understand HPSR capacity. Results: Despite many efforts from different angles, we were unable to reliably estimate HPSR funding in most of the countries studied. The reasons for this included a lack of a common understanding of HPSR, difficulty disentangling HPSR funding from other research funding, and bureaucratic and data transparency hurdles. We also describe which domestic bodies fund HPSR and examine the interrelatedness of HPSR capacity and funding. Conclusion: Domestic funding flows for HPSR remain almost invisible. This finding informs concrete recommendations to improve HPSR funding transparency, and for national research funders and ministries of health and finance to invest in HPSR for stronger health systems.
format	article
author	Geetanjali Lamba Livia Dal Zennaro Solip Ha Sonam Yangchen
author_facet	Geetanjali Lamba Livia Dal Zennaro Solip Ha Sonam Yangchen
author_sort	Geetanjali Lamba
title	Domestic funding for health policy and systems research: why is it invisible?
title_short	Domestic funding for health policy and systems research: why is it invisible?
title_full	Domestic funding for health policy and systems research: why is it invisible?
title_fullStr	Domestic funding for health policy and systems research: why is it invisible?
title_full_unstemmed	Domestic funding for health policy and systems research: why is it invisible?
title_sort	domestic funding for health policy and systems research: why is it invisible?
publisher	Sax Institute
publishDate	2021
url	https://doaj.org/article/c9fa78fc9a724aeab6a5583d4c53dfac
work_keys_str_mv	AT geetanjalilamba domesticfundingforhealthpolicyandsystemsresearchwhyisitinvisible AT liviadalzennaro domesticfundingforhealthpolicyandsystemsresearchwhyisitinvisible AT solipha domesticfundingforhealthpolicyandsystemsresearchwhyisitinvisible AT sonamyangchen domesticfundingforhealthpolicyandsystemsresearchwhyisitinvisible
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Domestic funding for health policy and systems research: why is it invisible?

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