<prompt> Translate the following text to SwahiliThis research is crucial as the field progresses from evaluating efficacy in research settings to examining effectiveness in the current, complex health care delivery system.  <response>: Utafiti huu ni muhimu kama uwanja unaendelea kutoka kwa kutathmini ufanisi katika mipangilio ya utafiti hadi kuchunguza ufanisi katika mfumo wa sasa, tata wa utoaji wa huduma za afya. 