ケニアの組み込み新生児保健サービス/システム研究にステークホルダーを巻き込むこと;複数のアクターを含む継続的なプロセス

Kenneth Karumba¹, Dorothy Oluoch¹, Edna Mutua¹

¹Health Systems and Research Ethics, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya.

NIHR open research

|February 12, 2026

まとめ

医療システム研究における利害関係者の効果的な関与には,適応力と資源が必要です. ケニアのように,複雑な多層システムでナビゲートします.

科学分野:

医療システム研究医療システム研究
利害関係者の関与
組み込み研究組み込み研究

背景:

ステークホルダーの関与は,質の高い医療システム研究にとって極めて重要です.
分散型保健システム内の組み込み研究におけるステークホルダー関与を分析する研究はほとんどありません.
この研究は,ケニアの新生児ケア研究プログラムにおける利害関係者の関与を反映しています.

研究の目的:

国際保健システム研究プログラムにおける利害関係者の関与活動を記述し,分析する.
多種多様なステークホルダーを多レベル,分散型システムに巻き込むための課題と複雑さを特定する.
同様の研究コンテキストにおける利害関係者の効果的な関与のためのベストプラクティスの洞察を提供すること.

主な方法:

経験豊富なプロジェクトステークホルダーエンゲージメントグループを通じて,連携したエンゲージメント活動.
関与マトリックスを使用して,ステークホルダーマッピングと分析を実施しました.
行動の道徳的,戦略的,実践的な側面を区別する概念的枠組みを利用した.

主要な成果:

政策立案者,医療従事者,患者団体など,幅広いステークホルダーを巻き込みました.
関与戦略は,国際公益参加協会のモデルに基づいて決定された.
複雑さは,スタッフの移行と,異なる郡のエンゲージメントプロセスの変動から生じました.

結論:

保健研究の利害関係者の関与は複雑で,継続的な努力,資源,適応力が必要です.
柔軟性,応答性,そしてコミットメントは,エンゲージメントの道徳的,戦略的,実践的な可能性を満たすために不可欠です.
計画と経験にもかかわらず,予期せぬ課題は,適応的なエンゲージメント戦略を必要とします.

キーワード:

郡の病院郡の病院グローバル・ヘルスグローバル・ヘルス介入研究道徳的研究道徳的研究新生児ユニット新生児ユニット利害関係者の関与戦略的および実用的なコンポーネント

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