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Emilie Robert1,2, Valéry Ridde3

  • 1Equipe de recherche et d'intervention transculturelles (ERIT), Montréal, Québec, Canada. emilie.robert2@mail.mcgill.ca.

Canadian Journal of Public Health = Revue Canadienne De Sante Publique
|December 11, 2019
PubMed
Summary

This commentary proposes four principles—complementarity, interdisciplinarity, cross-cutting knowledge, and theoretical foundations—to improve health policy and systems research in low- and middle-income countries. Adopting these principles fosters a holistic understanding of health systems challenges.

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Area of Science:

  • Health Policy and Systems Research
  • Global Health
  • Healthcare Reform

Context:

  • Low- and middle-income countries (LMICs) face complex health system challenges.
  • Dominant research approaches often focus narrowly on performance and financing.
  • Sub-Saharan Africa serves as a case study for health reform analysis.

Purpose:

  • To propose four foundational principles for health policy and systems research in LMICs.
  • To advocate for a more holistic and systemic approach to research.
  • To move beyond technocratic and performance-focused research paradigms.

Summary:

  • The commentary introduces four key principles: complementarity of analytical perspectives, interdisciplinarity, cross-cutting knowledge, and theoretical/conceptual foundations.
Keywords:
AfricaHealth systemshealth policylow- and middle-income countriesresearch

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  • These principles are illustrated using examples of user fee exemption policies and results-based financing reforms in sub-Saharan Africa.
  • Applying these principles enhances the understanding of health system challenges and nuances.

    • Impact:

    • Encourages a broader, more nuanced understanding of health systems.
    • Promotes a shift from technocratic to holistic research perspectives.
    • Aims to improve the quality and relevance of health policy and systems research in LMICs.