Assessing the knowledge needs of primary health care practitioners and researchers in low-and middle-income countries
Purpose To identify and prioritize the knowledge needs of primary health care (PHC) practitioners, researchers and policy-makers in low- and middle-income countries (LMIC) about the organization and financing of PHC.
Methods Three-round expert panel consultation using web-based surveys of LMIC PHC practitioners, academics and policy-makers sampled from global networks. Iterative literature review conducted in parallel. First round (Pre-Delphi survey) elicited possible research questions to address knowledge gaps about 1. Organization and 2. Financing. Responses were independently coded, collapsed, and synthesised to two lists of questions. Round 2 (Delphi Round 1) invited panellists to rate importance of each question. In Round 3 (Delphi Round 2), panellists ranked questions into order of importance.
Results Diverse range of practitioners, academics and policy-makers in LMIC from all global regions generated 744 questions for PHC organization, and 479 for financing. Round 2 provided 36 synthesized questions on organization and 31 on financing for rating. The top 16 of each were ranked in Round 3 to produce four prioritized questions in each area.
Conclusions The LMIC participants produced a prioritized list of PHC organizational and financing research questions that offer potential funders valuable guidance. This guidance from LMIC practitioners, academics, and policy-makers could increase the likelihood of research leading to effective change. Our next step is to develop research implementation plans and access funding.
Professor Felicity Goodyear-Smith, Academic Head & Goodfellow Chair MBChB, MD, FRNZCGP (Distinguished), FFFLM (RCP) Department of General Practice & Primary Health Care, University of Auckland,
The Faculty of Public Health and Policy Seminar Series provide a forum for presenting current research on health systems and policy in low-, middle- and high-income countries. The series cover empirical research, theoretical and methodological issues, and gives an opportunity for staff and students to participate in debate and learn about new developments in health systems and policy research.
Series organized by: Dina Balabanova and Alec Fraser