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Capacity for health economics research and practice in Jordan, Lebanon, the occupied Palestinian territories and Turkey: needs assessment and options for development.

ABSTRACT: BACKGROUND:Capacity for health economics analysis and research is indispensable for evidence-informed allocations of scarce health resources; however, little is known about the experience and capacity strengthening preferences of academics and practitioners in the Eastern Mediterranean region. This study aimed to assess the needs for strengthening health economics capacity in Jordan, Lebanon, the occupied Palestinian territories and Turkey as part of the Research for Health in Conflict in the Middle East and North Africa (R4HC) project. METHODS:We combined a bibliometric analysis of health economics outputs based on a literature search conducted across seven databases with an online survey of academic researchers and non-academic practitioners. The records included in the bibliometric analysis were original studies and reviews with an explicit economic outcome related to health, disease or disability, had at least one author in Jordan, Lebanon, Palestine or Turkey, and were published between January 2014 and December 2018. Two types of analyses were conducted using VOSviewer software, namely keyword co-occurrence and co-publication networks across countries and organisations. The online survey asked academic researchers, analysts and decision-makers - identified through the bibliometric analysis and regional professional networks - about previous exposure to and priorities for capacity development in health economics. RESULTS:Of 15,185 records returned by the literature search, 566 were included in the bibliometric analysis. Organisations in Turkey contributed more than 80% of records and had the broadest and most diverse network of collaborators, nationally and internationally. Only 1% (n?=?7) of studies were collaborations between researchers in two or more different jurisdictions. Cost analysis, cost-effectiveness analysis and health system economics were the main health economics topics across the included studies. Economic evaluations, measuring the economic burden of disease and health equity, were reported by survey respondents (n?=?80) as the most important areas to develop in. Short courses, learn-by-doing and mentoring from an experienced professional were, in aggregate, the most preferred learning styles. CONCLUSIONS:Existing pockets of health economic expertise in the region can constitute the base of future capacity development efforts. Building confidence toward applying specific methods and trust toward stimulating cross-jurisdiction collaborations appear essential components for sustainably developing health economics capacity.

SUBMITTER: Gheorghe A

PROVIDER: S-EPMC7469424 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Capacity for health economics research and practice in Jordan, Lebanon, the occupied Palestinian territories and Turkey: needs assessment and options for development.

Gheorghe Adrian A Gad Mohamed M Ismail Sharif A SA Chalkidou Kalipso K

Health research policy and systems 20200903 1

<h4>Background</h4>Capacity for health economics analysis and research is indispensable for evidence-informed allocations of scarce health resources; however, little is known about the experience and capacity strengthening preferences of academics and practitioners in the Eastern Mediterranean region. This study aimed to assess the needs for strengthening health economics capacity in Jordan, Lebanon, the occupied Palestinian territories and Turkey as part of the Research for Health in Conflict i ...[more]

PMID: 32883285

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Project description:'Honour killing', the murder of women to preserve family reputation, is well recognised but infrequently systematically researched. This paper has three hypotheses. First, in families where women report an 'honour killing' there is more violence against women and girls, second these women are more likely to report more patriarchal gender attitudes than others, and third these families are exposed to higher levels of poverty. We asked (n = 1461) women enrolled in a trial in Afghanistan, and (n = 535) in a population-based sample in the occupied Palestinian Territories (oPT) if there had ever been an 'honour killing' in their family. In Afghanistan, 2.3% (n = 33), and the oPT 7.7% (n = 41), reported this. We built separate multivariable logistic regression models for each country, and for married and unmarried women in each country. Among Afghan married women, 'honour killing' was associated with borrowing because of hunger (adjusted odds ratio [aOR]8.71, 95%CI 2.27-33.40), easier access to money in emergency (aOR11.39, 95%CI 3.05-42.50), and violence within the family; intimate partner violence (IPV) (aOR3.73, 95%CI 1.12-12.36), and IPV and mother-in-law violence (aOR10.52, 2.60-42.56). For unmarried women in Afghanistan, 'honour killing' was associated with easier access money in an emergency (aOR4.06, 95%CI 0.85-19.37), household violence (hit by parent or sibling, or parent and sibling [aOR5.47, 95%CI 0.82-36.70; aOR7.37, 95%CI 1.24-43.86, respectively]); more childhood traumas (aOR1.24, 1.11-1.38), and more patriarchal personal gender attitudes (aOR1.24, 1.00-1.54). In the oPT experiencing IPV (aOR3.07, 1.02-9.23) and borrowing and experiencing IPV (aOR5.89, 1.84-18.79) were risks for married women. For unmarried women borrowing because of hunger was associated with higher risk (aOR2.33, 95%CI 1.18-4.85). Despite limitations-specifically the potential women were reporting the same 'honour killing'-our analysis suggests 'honour killings' are associated with violence, patriarchy, and poverty. Research is needed for the prevention of 'honour killing', which must address the root causes. Trial Registration: ClinicalTrials.gov NCT03236948.

Dataset Information

Capacity for health economics research and practice in Jordan, Lebanon, the occupied Palestinian territories and Turkey: needs assessment and options for development.

Publications

Capacity for health economics research and practice in Jordan, Lebanon, the occupied Palestinian territories and Turkey: needs assessment and options for development.

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