Transcript Global Health Initiative

Doris Duke Charitable Foundation
African Health Initiative
Doris Duke Charitable Foundation’s Mission
Improving the quality of people's lives through:
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The performing arts
Environmental conservation
Medical research
The prevention of child maltreatment
Preservation of the cultural and environmental legacy of
Doris Duke's properties
Challenge from Foundation’s Board
• Ideas for new grantmaking initiatives
– fit within foundation’s general grant
making programs, but be “new and
catalytic”
• In 2007, two $100 million initiatives
were launched.
– Environment Program - Climate Change
Initiative
– Medical Research Program - African Health
Initiative
African Health Initiative
Goal: To help catalyze a shift from the current
focus on single disease programs, to an emphasis
on strengthening health systems that are able to
deliver integrated primary care to underserved
populations
Specific Aims:
• Increase the knowledge required for evidence-based health systems
planning
• Achieve significant, measurable health improvements in up to 6
communities/districts in sub-Saharan Africa
• Strengthen health systems in those regions in a manner that enables
local and national governments to sustain those improvements
Approach:
• Fund up to 6 Population Health
Implementation and Training (PHIT)
Partnerships
• $8 to $16 million each to support:
– Delivery of integrated primary health care to
populations of >250,000
– Strengthening of regional health systems
– Implementation research to measure what
works
Implementation Research
• Each PHIT Partnership is expected to design an
implementation research plan that includes:
- Program evaluation
- Economic evaluation and;
- Monitoring and operations research.
• Implementation Research Framework - developed by the
Institute of Health Metrics and Evaluation provides a
starting point for applicants.
PHIT Partnership Selection Process
September 2007
Call for Letters of Interest
February 2008
29 teams invited to submit planning grant proposals
October 2008
Awarded 6 month Planning Grants to 11 teams
June 2009
Award PHIT Implementation Grants to up to 6 teams
The Challenge: Translating
Evidence to Policy
• What information is needed?
– Within the original country
– Before transfer to another country
• How to evaluate conflicting evidence?
• What happens when evidence conflicts
with current accepted practice?
The role of science academies
• Sifting all evidence
• Analyzing the reasons for disparate results
• Looking at context—can one country’s
success be transferred across borders?
• Challenging projects like this one to
produce evidence of maximum utility