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Computer-aided evaluation of health policy s compliance with evidence-informed policymaking perspectives – implications for improved health systems in Nigeria
Non-utilization of pieces of reliable evidence especially those from research, has resulted in most Nigeria health policies being a very weak tool. This consequently constrains effective policy implementation, resulting to health inequities. This study adopted a computer-aided tool known as PROPHET to evaluate some Nigerian health policies with a view to determine their evidence content and implications on health system. PROPHET denotes Policy Research-evidence Organizer for Public Health-policy Evaluation Tool, a computing paradigm for determining potential evidence content in policy documents. It is a structural and domain-defined protocol built for the promotion of evidence-informed policymaking (EIP) by evaluating appropriate and equitable resource schedule. Details of its development process was earlier published elsewhere. This study profiled and evaluated thirty-three (33) policy documents extracted from the Nigeria electronic policy information platform (pipnigeria.net) in the year 2018. Following the step-by-step procedure described in the PROPHET, these document were assessed and results recorded accordingly. It rated designated key policy features on domain-by-domain basis across all its six domains, aggregated scores and calculated final cumulative policy weighted grade-point (PWGp). The results indicated that only eleven (11) policies representing 34% passed the fifty percent minimum threshold, while twenty-two (22) others representing 66% failed short. This outcome is considerably very poor, and it amplifies the import of policymakers prioritizing evidence use in context, for improved health outcomes.
Keywords: PROPHET, software paradigm, domain, EIP, rating, weighted grade-point.
