Transcript Document

Summary of the “Workshop for
training institutions in health policy
and system research- HPSR”
Nguyen Thanh Huong
Hanoi School of Public Health
Place: Manila, Philippines
 Time: 13-16 January 2009
 Participants: from 11 countries
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Cambidia
Fiji
Indonesia
Laos
Malaysia
Mongolia
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Myanmar
Papua New Guinea
Philippines
Thailand
Viet Nam
Workshop objectives
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Improve the capacity of training institutions
in HPSR by:
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sharing experiences and best practices
acquiring basic knowledge in curriculum &
research protocol development, and
dissemination of research results to
policy-makers
Discuss and identify strategies for
improving the sustainability of HPSR
training programmes
Main topics of the workshop
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HPSR institutional arrangements and
training capacity
Policy-relevant research, development and
supervision of dissertations
Dissemination to policy makers
Recommendations by country teams for
organization and coordination of institutional
HPSR training, dissemination and
sustainable capacity development.
1. What is Health systems?
2. What is Health Policy and
Systems Research?
Health systems-six building blocks
(WHO-2007)
Health policy and systems research
“…the production of new knowledge to
improve how societies organize themselves to
achieve health goals” (Alliance HPSR 2007).
 “…aims to produce reliable and rigorous
evidence which helps to inform the many and
varied critical decisions that must be made by
ministers of health, senior policy-makers and
health service managers about how to
organize the health system and effect
changes” (Alliance HPSR 2007).
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Health policy and systems research
 HPSR
focuses on policies, organizations
and programmes
 It does not address clinical management of
patients or basic scientific research (e.g.
into cell or molecular structures).
Why HPSR?
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Health policy and systems research
involves health outcomes of the population.
Health outcomes contribute to social and
economic advancements.
Health technology alone does not solve
health problems.
Good HPSR reveals appropriate strategies
to reach target: ‘technology had the
potential to avert 21.5% of deaths, greater
use of services could avert 62.5% of child
deaths’ Leroy et al (2007)
Sound Choices
Growing recognition of
importance of evidenceinformed health policy
formation and implementation
 Recognition that a key
constraint is capacity at
various points in the researchpolicy interface
 Capacity very variable – a
cause and symptom of
inequality
 Hence focus of biennial
review
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11
Experiences from different countries
Thailand and Philippines: institutional
arrangement, training and use of evidence for
policy making
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Malaysia: training sustainability
Mongolia and Vietnam: dissertation
development and supervision
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Thailand case study
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Institutional arrangements
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Government organizations: Ministry of Public
Health, National Health Security Office.
Funding agencies: Health Systems Research
Institute, National Research Council of Thailand,
Thailand Research Fund, ThaiHealth Foundation
Research institutions: International Health Policy
Program, Centre for Health Equity Monitoring,
Health Care Reform Project, universities, think tanks
Knowledge management organizations: National
Health Foundation.
Advocacy and civil society organizations: Rural
Doctor Society, Consumer Protection Foundation
Thailand case study
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Influence of international agencies
World Health Organization, the process
of allocation of country budget for
capacity development and research.
 European Union: multi-phases support
for Health Care Reform Project
 DFID: multi-phases support for Health
Policy, Financing and Economics.
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Mongolia: Overview on graduate study at HSUM
Requests evidence
Report results
Ministry of Health
Announce research theme
HSUM
Submit project proposal
Improvement and Development
of Health System
Master and PhD students
Graduate research project
Project
implementation
Government
of Mongolia
MECS
Models for dissemination of HPSR
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On-call evidence for policy makers:
International Healthcare Comparisons London,
Health Evidence Network (HEN) WHO Europe
Information centres /Knowledge networks:
European Observatory on Health Systems and
Policies, EVIPNet
Centres for systematic reviews: Cochrane
Effective Practice and Organisation of Care
Group (EPOC), Centre for Reviews and
Dissemination (University of York)...
EVIDENCE-INFORMED POLICY NETWORK
 Promote systematic use of evidence in
policy-making in low and middle-income
countries.
 Promotes partnerships at country level
between policy-makers, researchers and
civil society to facilitate policy development
and implementation through use of the best
scientific evidence available.
Network’s main functions
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Acquire, assess & adapt evidence to
establish a robust knowledge base
Provide decision makers with a
"rapid response" and "one stop
shopping" for high quality evidence
Enhance interactive linkages among
producers & users of research to
promote the uptake of evidence
Provide training
Principles of HPSR: best practice
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Establish and maintain long term
relationship with policy makers
Build credibility and reputation for producing
rigorous results
Understand the policy context
Keep abreast of debate and issues and key
stakeholders positions
Disseminate results in an appropriate
manner.
Plan for future
Each or group of countries:
Identified three priority areas for
strengthening HPSR training
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Developed plan to prepare for Alliance
call for proposal in 2009:
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Vietnam-Lao-Cambodia