Transcript Lessons from the Elim Care Group Project

Foro de investigación en Salud de
Argentina
Fijación de prioridades de investigación
sanitaria: de la agenda a la acción
October 8, 2007
Sylvia de Haan & Gabriela Montorzi
Council on Health Research for Development
Recommendations:
1. ENHR
2. Global Funding
3. Partnerships
4. Global
Platform
Council on Health Research for Development
Seven elements of ENHR:
– i) Advocacy, ii) Coordination,
iii) Networking, iv) Capacity
strengthening, v) Financing,
vi) Evaluation
– vii) Priority setting:
‘The goal is to develop
mechanisms and criteria
for identifying priorities
for health research that
would meet the broad
objective of ENHR – to
achieve equity in health
and development’
Council on Health Research for Development
National Health Research System
Informed by Bangkok conference
Definition:
The people and institutions that govern, manage,
demand, generate, communicate or use research evidence to
promote, restore, improve, or maintain the state of health and
development of the population
Functions:
1) Governance
2) Financing
3) Capacity Building
4) Knowledge generation, translation & utilisation
Council on Health Research for Development
Relationship between health system
and health research system (1)
Source: Adapted from Pang T et al. Knowledge for better health—a conceptual framework and
foundation for health research systems. Bulletin of the World Health Organization, 2003, 81:815–830.
Council on Health Research for Development
Why Health Research Priorities ? (1)
• ‘Making choices’ for the achievement of short or
long term goals
- disease/ condition specific goals; reducing health inequities
- targeting existing resources (financial, human, other)
• Researchers know where to focus - can ‘align’
• Funding and donor agencies know where to focus
• Accountability to the public & to public goals
- measure progress against objectives
- can help obtain political commitment
• Leveraging more resources
- e.g. inter-sectoral research (link to S&T, education) – financial and
human resources
Council on Health Research for Development
Why Health Research Priorities ? (2)
• If we don’t set priorities … we run the risk of…
– Going for the most publicized problems
• e.g. by the press, ‘global priorities’, or vocal advocates
– Doing ‘whatever comes first’
– Researching the ‘easiest’ … external funding
– Focusing only on ‘diseases and conditions’
• and not on determinants, system aspects, human
resources, equity-promoting interventions, etc
Council on Health Research for Development
Health Research Priority Setting
Principles
• Is not easy
– need to make many and hard choices
– there are many approaches, methods, tools all with
underlying values and assumptions
– thus there is not one correct way
• Is not ‘once-off’
– view it as a ‘process’ rather than a ‘method’
– over time – needs to be institutionalised
• Has to link to action …
– if it does not change practice, why bother ?
Council on Health Research for Development
Health Research Priority Setting
COHRED approach
Council on Health Research for Development
Priority Setting in Latin America
Mexico
El Salvador
Costa Rica
Panama
Peru
Brazil
Bolivia
Chile
Argentina
Council on Health Research for Development
Experiences from the region –
From priorities to action
Brazil:
Costa Rica:
Mexico:
Research calls for proposals; Inter-sectoral
partnerships (S&T funding to agenda);
decentralised funding
Establishment fund to support priority research;
HR HR plan; Integrate nat priorities in institutional
agendas
Dissemination agenda; Sectorial Fund for Health
& Social Security Research linked to agenda
Council on Health Research for Development
From priorities to action in
Argentina
Workshop Oct 7:
• Alignment of national funding to priorities
• Involvement civil society in priority setting
• Policy makers buy in to agenda
Key messages:
- Experience with priority setting
- Critical mass of researchers
- Agendas available
Now need to create the health research policy framework to take
forward the implementation of agenda, make it sustainable and
develop other strategies to ensure progress.
Council on Health Research for Development
www.cohred.org/HealthResearchWeb
A COHRED service
Council on Health Research for Development
www.cohred.org/HealthResearchWeb
A COHRED service
Key policies
. Key institutions . Resources . Country background
Council on Health Research for Development