Building Health Policy and Systems Research (HPSR) capacity in India: Reflections from the India HPSR fellowship
Shilpa John1, Sudha Ramani2, Syed Mohd Abbas2
1Health Systems Transformation Platform, New Delhi, India. shilpajohn@gmail.com.
Capacity-building for Health Policy and Systems Research (HPSR) in lower- and middle-income countries (LMICs) requires tailored curricula and addressing contextual barriers. LMIC-led initiatives can strengthen health systems and foster research-policy-practice interfaces.
Area of Science:
- Health Policy and Systems Research (HPSR)
- Capacity Building in Global Health
- Health Systems Strengthening
Background:
- Advancing Health Policy and Systems Research (HPSR) in lower- and middle-income countries (LMICs) is crucial.
- Home-grown capacity-building initiatives are essential for sustainable HPSR development.
- The India HPSR fellowship program serves as a model for LMIC-led HPSR development.
Purpose of the Study:
- To provide an overview of the India HPSR fellowship program.
- To critically reflect on the learnings from implementing the fellowship program over three cohorts (2020-2023).
- To identify key factors for successful HPSR capacity-building initiatives in LMICs.
Main Methods:
- Practice-oriented commentary based on routine program documentation.
- Inclusion of perspectives from faculty and program managers.
- Analysis of learnings from three cohorts of fellows.
Main Results:
- Global HPSR curricula require iterative modification for country-specific needs, including 'unlearning'.
- Fellowship goals must align with contextual realities, addressing barriers like publication fees and language.
- Strengthening research-policy-practice interfaces is vital for policy translation.
- Consistent funding is a challenge due to the long-term, less visible outputs of fellowship programs.
Conclusions:
- LMIC-led HPSR capacity-building initiatives can drive health system changes and evidence generation for policy.
- Sharing resources and materials fosters collaborative learning among participating institutions.
- These initiatives can establish regional and international HPSR communities of practice, combating epistemic injustice.
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