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National Health Research Systems and Science Academies

National Health Research Systems and Science Academies. Carel IJsselmuiden Annual Meeting of the African Science Academy Development Initiative (ASADI) London, 4-5 November 2008. Health Research Systems. Health Systems – deliver health care

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National Health Research Systems and Science Academies

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  1. National Health Research SystemsandScience Academies Carel IJsselmuiden Annual Meeting of the African Science Academy Development Initiative (ASADI) London, 4-5 November 2008

  2. 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

  3. Findings: • “10/90 Gap” • Recommendations: • ENHR • Global Funding • Partnerships • Global Platform • Follow up: • NHRS • & • Research for • Health 1990 Available from: www.cohred.org

  4. 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

  5. what do we do ?

  6. NHRS – a functional definition • Governance & management legislation and policies; national research governance; research prioritisation; ethical review; monitoring and evaluation; financial management; • Financing secure, stable research funding; allocation according to priorities – allowing ‘blue sky’; accountability; alignment of foreign funding; ‘overheads’; • Capacity building demand, commission, manage, partner, conduct, communicate and use research; at individual, institutional and system levels; institution building; building systems – not just projects • Knowledge generation, translation conducting high quality research, publishing the findings… the ‘research process’ • 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

  7. research for health Health System Human & Social Development Health Health Research Economic Development

  8. some examples of what we do

  9. Relationships between governance structures, policy and priorities for health research (n=38) 2 6 0 11 0 0 3 16 countries had no formal governance or policy framework for health research Governance: 11 General Research Council; 4 Health Research Council; 4 Mixed Governance

  10. Governance & Management of Shanghai HRS The State Council MST NPFPC CAS MOH MOE Shanghai subsection SMSTC SMHB SMPFPC SMEC Independent Research Institutions Shanghai Academy of Life Science Institute of Biological products Hospitals Medical Universities Source: Chen 2007

  11. EMRO 10-country studies • Now extended • West Africa request

  12. Research capacity strengthening • 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

  13. research to action (2) • research communication policy makers & implementers researchers media • users / community • health services • organised civil society • general donors / research sponsors

  14. Tanzania coming up

  15. working both ways • policy advice to donors & research sponsors

  16. RVP • responsible vertical programming

  17. 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

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