Transcript OBJETIVO DEL TALLER - Oxford Health Alliance

CAPCoD Projects
Research in Action
Mahmood Adil MD, MPH, MHSM, FFPH
Visiting Scholar
Yale School of Public Health
Deputy Regional Director of Public Health
Department of Health, England
CAPCoD
• Community action to prevent chronic disease
(CAPCoD)
• Practical idea – generated by Oxford Health
Alliance (formally Oxford Vision 20:20)
• Yale is going to steer and deliver on this
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Why CAPCoD?
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Major epidemiological trends:
– 35 million mortality/ 80% developing countries / 2%
reduction challenge for next 10 years to save 36
million lives
Evidence:
– Where reductions in chronic diseases were seen,
primary prevention accounts for 50-70% of these
reductions
Impediments to change:
– a massive under-investment in health research that
directly addresses the health problems of low- and
middle-income countries (10/90 Gap)
Research in Action:
– To make the difference on the ground by
researching and working with local
communities
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Global problem – global solution
– International collaboration
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Why CAPCoD?
Need to transfer evidence to action
Behavioral determinants are known
Health
Promoting
Policy
Individual
responsibility
Change in the
environment
Puska 2001
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A CAPCoD Project
• Envisaged to deal with the reduction of the three
prime risk factors together i.e. tobacco, unhealthy
diet and the lack of physical exercise.
• Cover community settings in developing countries
and underserved or historically disadvantaged
populations in developed world.
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• Sustainability plan that consider broad range of
resources and local factors
• Builds on current body of knowledge and local data
• Experienced group of multi-disciplined investigators
& implementers
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Project Objectives
• Utilise the evidence that concerted
actions at community level involving
workplaces, schools, health services and
selected other settings can reduce the
level of major risks for chronic diseases
in target communities over a period of
five years
• Demonstrate the value of innovative
forms of creative public-privateacademic-civil society interactions to
improve community health
• Develop models of how successful
projects could be sustainable and
replicated over time
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Project Objectives (continued)
• Ensure that progress and results are
effectively communicated to key decision
makers and the media.
• Develop a network of chronic disease
prevention and research sites
worldwide to act as regional training
centres for chronic disease work in the
future.
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CAPCoD PROJECTS
UNITED STATES
Anchorage (Alaska)
Arlington (Illinois)
Dorchester (Massachusetts)
Brooklyn (New York)
Dallas (Texas)
La Crosse (Wisconsin)
GLOBAL
Australia
Brazil
Bulgaria
Cameroon
China
Croatia
Israel
Indonesia
India (3 projects)
Pakistan
Latin America
Philippines
-Buenos Aires
Russia
-Mexico City
South Africa -Barquisimeto
Tunisia
Vietnam
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Salient Features
• Develop world class research protocol for
prevention by dealing with all 3 risk factors at
the same time.
• A comprehensive approach to involve
countries in community based project
• Unique opportunity to use the standard
research & surveillance tools (e.g.
STEPS/BRFSS) to collect baseline data from all
different projects at the same time and make a
meaningful comparison
• Putting developing countries on the chronic
diseases intervention map by bringing
researcher and funders together and to make a
difference on the ground
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Salient Features
• Built-in outcome evaluation leading to local,
national and international ploicy implications
• Opportunity to develop strong relationship
with government, NGOs, private sector,
academia civil society based on the common
ground to improve health
• Development of strong international network
permitting sustainability and capacity building
to deal with chronic disease at community level
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Process
• January 05 – Request for Application (67
application received)
• Feb 05: Selection of 18 global and 6 US projects
• Criteria
– Important & clearly defined research need
– Impact/Scale
– An outlined plan to address that need
– Community/partnership opportunities
• March 05 – informed the selected teams (24) to
develop detailed proposal
• May 05 – 10 Days intensive Research Protocol
Development Workshop at Yale and teams evolved
into 2 groups
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Protocol Development Workshop
11th – 20th May 2005
• initial project planning and information
gathering
• provide academic support to develop
scientifically and economically sound
projects,
• provide professional support to write
competitive and high quality research
proposals
• Provided a platform for international
exposure and networking among the
global researchers
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• August 05: Multi-setting group met at Yale
• September 05: Uni-setting (School-based)
group met in South Africa
• October 05: High quality research protocols
have been developed by the 2 groups for
funding + individual countries improved their
local protocols through this learning
experience
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Summary
– Generate the questions and deal with
challenges (local data + tailor-made
interventions)
– Develop high quality proposals & securing
research funding for community
intervention
– Build research capacity and capability
– Support the Dissemination &
implementation of good programmes and
policies to deal with burden of Chronic
Diseases globally
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“Never doubt the capacity of a few
dedicated individuals to change the world:
in fact it is the only way it ever has”
Margaret Mead
Thank you