Transcript Health Research Web and research capacity building

National Health Research Systems
and
Science Academies
Carel IJsselmuiden
Annual Meeting of the African Science Academy Development Initiative (ASADI)
London, 4-5 November 2008
COHRED – Council on Health Research for Development
Health Research Systems
• Health Systems – deliver health care
• Health Systems Research – research to improve the
efficiency of health systems
• Health Research Systems – deliver and use research
aimed at improving health
• National Health Research Systems (NHRS) – deliver
excellent health research that is ethically conducted and
relevant to national health, equity and development
priorities
COHRED – Council on Health Research for Development
Findings:
“10/90 Gap”
Recommendations:
1. ENHR
2. Global Funding
3. Partnerships
4. Global Platform
1990
Follow up:
NHRS
&
Research for
Health
COHRED – Council on Health Research for Development
Available from: www.cohred.org
COHRED
• international NGO with offices in Geneva
– ‘decentralising’: Sousse, Mexico, Tashkent …
• ‘southern alliance with key northern partners’
– board membership is 2/3 from LMICs
– strong links to Africa
– (link to ASADI)
• funding
– ‘core’: Ireland, Switzerland, Canada (IDRC)
– ‘project’: Netherlands, Wellcome Trust, Canada, Brazil, EDCTP,
Sida, in preparation – South Africa, Tunisia, NEPAD
– partnerships
COHRED – Council on Health Research for Development
what do we do ?
Type of action
1
Advocacy
2
Facilitation
3
Technical support
4
Knowledge sharing,
Advocacy
communication
5
Research &
Development
6
Supporting national
research system
innovations
country
regional /
multi-country
global
COHRED – Council on Health Research for Development
NHRS – a functional definition
1.
Governance & management
legislation and policies; national research governance; research prioritisation;
ethical review; monitoring and evaluation; financial management;
2.
Financing
secure, stable research funding; allocation according to priorities – allowing ‘blue
sky’; accountability; alignment of foreign funding; ‘overheads’;
3.
Capacity building
demand, commission, manage, partner, conduct, communicate and use research;
at individual, institutional and system levels; institution building; building systems –
not just projects
4.
Knowledge generation, translation
conducting high quality research, publishing the findings… the ‘research process’
5.
Knowledge utilisation
ensuring that research informs health policy, health practice, and public opinion;
use of research to develop drugs, vaccines, devices and systems to improve health
care delivery, and health – equity – development in general
Source: IOC 2000, Pang et al 2004, Kennedy et al 2007
COHRED – Council on Health Research for Development
research for health
Health System
Human & Social
Development
Health
Economic
Development
Health
Research
COHRED – Council on Health Research for Development
some examples of what we do
COHRED – Council on Health Research for Development
COHRED – Council on Health Research for Development
COHRED – Council on Health Research for Development
COHRED – Council on Health Research for Development
COHRED – Council on Health Research for Development
Relationships between governance structures,
policy and priorities for health research (n=38)
Governance structures
2
6
0
11
0
Policy
0
3
Priorities
16 countries had no formal governance or policy framework for health research
Governance: 11 General Research Council; 4 Health Research Council; 4 Mixed Governance
COHRED – Council on Health Research for Development
Governance & Management
of Shanghai HRS
The State
Council
MOH
MST
MOE
SMHB
SMSTC
SMEC
Independent
Research
Institutions
Hospitals
Medical
Universities
NPFPC
SMPFPC
Institute of
Biological
products
CAS
Shanghai
subsection
Shanghai Academy
of Life Science
Source: Chen 2007
COHRED – Council on Health Research for Development
• EMRO 10-country studies
– Now extended
– West Africa request
COHRED – Council on Health Research for Development
Research capacity strengthening
‘level’ of
develop
ment
•
•
locus of
intervention
individual
nature of
intervention
1
‘capacity
building’
2
‘capacity
strengthening’
3
‘performance
enhancement’
institution
research
system
socioeconomic
&
political
international
collaboration
& linkage
Capacity to - demand, commission, manage, partner, conduct, communicate and use research;
Involving all actors - practitioners, policy makers, health programme/system managers, civil society, media
& the public - as well as researchers
COHRED – Council on Health Research for Development
research to action (2)
• research communication
policy makers &
implementers
media
donors /
research sponsors
researchers
users / community
•health services
•organised civil society
•general
COHRED – Council on Health Research for Development
Tanzania coming up
COHRED – Council on Health Research for Development
working both ways
• policy advice to donors & research
sponsors
COHRED – Council on Health Research for Development
COHRED – Council on Health Research for Development
• RVP
• responsible
vertical
programming
COHRED – Council on Health Research for Development
COHRED – Council on Health Research for Development
COHRED – Council on Health Research for Development
COHRED – Council on Health Research for Development
COHRED – Council on Health Research for Development
ASADI and COHRED ?
•
•
•
•
tools, methods, approaches are available
added value in joint work or applications
link to ‘south’, link to health, link to systems
find new partners, use HRWeb
• synergy
•
•
•
•
multi-access strategy
‘Research for Health’ partnership
support relevant advocacy – RVP , AHA
HRWeb development
COHRED – Council on Health Research for Development