Andy Ramsay (ramsaya@whot)

1. Andy Ramsay (ramsaya@who.int)

2. PHCPI • The Primary Health Care Performance Initiative (PHCPI), proposes to • act as a catalyst to mobilize low and middle income countries, as well • as the community of donors and international organizations, to focus • their health system strengthening efforts on delivering measurable • progress in primary health care systems. • It aims to explain the gap between aspiration and performance in PHC • systems across the world. • Then it can identify the causes of that gap and a menu of possible • solutions to address these gaps.

3. The three questions…… What is happening in our public health programme? Is it what we want? Why is it happening like this?

4. “Our country is data rich but information poor” Minister of Health, Fiji

5. Public health programmes often not doing simple research that could improve performance and public health Professional researchers linking with public health programmes (and data) but research questions those of researchers

6. Global Research Capacity Gaps – Researchers per million inhabitants / Country

7. Structured Operational Research and Training Initiative Aims to help countries to: • Conduct operational research (OR) in accordance with their own priorities • Develop adequate and sustainable OR capacity in public health programmes; and • Make evidence-informed improvements in public health programmes

8. SORT IT Programmes have 8 phases: • 1. Research prioritization and planning for capacity building • 2. OR and training (protocol development to paper writing) • 3. Dissemination • 4. Research to policy briefs • 5. Policy briefs to dialogues • 6. Consolidation of gains made • 7. Leadership development • 8. Assessment

9. SORT IT Programmes have 8 phases: • 1. Research prioritization and planning for capacity building • 2. OR and training (protocol development to paper writing) • 3. Dissemination • 4. Research to policy briefs • 5. Policy briefs to dialogues • 6. Consolidation of gains made • 7. Leadership development • 8. Assessment

10. SORT IT Programmes have 8 phases: • 1. Research prioritization and planning for capacity building • 2. OR and training (protocol development to paper writing) • 3. Dissemination • 4. Research to policy briefs • 5. Policy briefs to dialogues • 6. Consolidation of gains made • 7. Leadership development • 8. Assessment

11. SORT IT Programmes have 8 phases: • 1. Research prioritization and planning for capacity building • 2. OR and training (protocol development to paper writing) • 3. Dissemination • 4. Research to policy briefs • 5. Policy briefs to dialogues • 6. Consolidation of gains made • 7. Leadership development • 8. Assessment

12. SORT IT Phase 2 Workshop 1: [5 days] Research Protocol Workshop 2: [5 days] Data and analysis milestone1 milestone 2 milestone 3 Workshop 3: [5 days]The Paper milestone 4

13. Total SORT IT OR training phases/courses) started: 37 Participants enrolled:421 Countries: 82 Completed OR training phases/courses: 26 Participants enrolled on completed phases 305 Successful participants: 279 (91%) SORT IT papers submitted: 315 SORT IT papers accepted or published (7/3/16) 248 (91%) Published papers assessed for influence on P&P: 170 Self-reported influence on policy and practice: 110 (65%) Participants 2015 SORT IT 1-day skills training: 181

14. SORT IT Operational Research Project Sites • (2009 – 2016) • TOTAL: 421 participants, 82 project countries Europe 1 Georgia 14 Ukraine 1 Estonia 2 Latvia 3Belarus 2 Moldova 2 Armenia 1 Azerbaijan 1 Denmark 2 Italy 1 Switzerland Asia 72 India 8 Bangladesh 7Pakistan 5 Afghanistan 6Nepal 8Bhutan 5 Sri Lanka 4 Uzbekistan 3 Tajikistan 1 Singapore 6 China 3 Vietnam 1 Mongolia 4 Cambodia 19 Myanmar 2 Kazakhstan 1 Turkmenistan 2 Kyrgyzstan 1 Timor Leste 1 Indonesia 1 Malaysia South Pacific 3New Caledonia 1 Cook Islands 2 Tonga 3 Marshall Islands 3Federated States of Micronesia 2 Solomon Islands 2 Vanuata 25 Fiji 1 American Somoa 1 Somoa 1 Guam 4 Kiribati 2 Palau South America 5 Brazil 2 Peru 2 Mexico 1 El Salvador 1 Colombia 1 Dominican Republic 1 Guatemala 1 Honduras 1 Haiti Africa 26Kenya 9South Africa 8Ethiopia 13Malawi 11Zimbabwe 1 Benin 2Somaliland 5Rwanda 5Uganda 2Ghana 2Tanzania 3Namibia 6 Burundi 3 Botswana 1 Madagascar 1 Lesotho 7Swaziland 4Democratic Republic of the Congo 4Sudan 3Mozambique 3Nigeria 2Somalia 17Sierra Leone 10 Liberia 3 Guinea 1 Ivory Coast 1 Zambia 1 Mauritania Multi-Country 1 Africa/ Asia

15. Outputs from the first 8 trainings 88 papers assessed for policy and practice 65 (74%) made a difference Change in programme implementation N=27 Adaptation of monitoring tools N=24 Change in existing guidelines N=20 Some papers had more than one effect on policy and practice * Data are self-reported through a questionnaire Zachariah et al, TMIH 2014; 19: 1068-1075

16. Beyond the training…. *Data are self-reported through a questionnaire 83 successful participants completed the course: 76 (92%) returned questionnaire

17. Kenya • Leads: • Dr Rose J. Kosgei, Deptof Obstetrics and Gynaecology, University of Nairobi. • Dr Joseph. K. Sitienei, Head, Division of Disease Control, Ministry of Health, Kenya

19. SORT IT Programmes have 8 phases: • 1. Research prioritization and planning for capacity building • 2. OR and training (protocol development to paper writing) • 3. Dissemination • 4. Research to policy briefs • 5. Policy briefs to dialogues • 6. Consolidation of gains made • 7. Leadership development • 8. Assessment

21. Thank-you