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Health Systems Research – Product, Process & Impact Mike English & Team

Health Systems Research – Product, Process & Impact Mike English & Team. What are we trying to achieve?. Research Products. ?. Question. Research. Answer. Change. Effects or Outcomes. What might affect intervention effectiveness?. Adequacy. Acceptance. Context & Modifiers. Mechanisms.

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Health Systems Research – Product, Process & Impact Mike English & Team

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  1. Health Systems Research – Product, Process & ImpactMike English & Team Professor Mike English and team, 13 Dec 2011

  2. What are we trying to achieve? Professor Mike English and team, 13 Dec 2011

  3. Research Products ? Question Research Answer Change Professor Mike English and team, 13 Dec 2011

  4. Effects or Outcomes Professor Mike English and team, 13 Dec 2011

  5. What might affect intervention effectiveness? Adequacy Acceptance Context & Modifiers Professor Mike English and team, 13 Dec 2011

  6. Mechanisms Professor Mike English and team, 13 Dec 2011

  7. Cost effectiveness – cost per DALY averted Professor Mike English and team, 13 Dec 2011

  8. Process & Impact Professor Mike English and team, 13 Dec 2011

  9. Policy Influence - Evidence based GoK guidelines • Key Clinical Questions • Child Health Evidence Week 2005 • Child Health Evidence Week 2010 • Systematic Reviews and GRADE summaries • Draft recommendations • Consensus based decision making using GRADE Grid Professor Mike English and team, 13 Dec 2011

  10. Policy influence & practice change • 22,000 copies of guidelines distributed in Kenya • Training included in government Annual Operating Plan & Global Fund application • Guidelines now printed in Rwanda and in development for Uganda Professor Mike English and team, 13 Dec 2011

  11. Practice change: Kenya Training: • 1800+ Health Care Workers • 88 lecturers at nursing and clinical officer training schools Courses for Dadaab and Kakuma Refugee Camps for International Rescue Committee Training introduced into Rwanda and Uganda and part of LSHTM’s 1st East African DTMH in 2011 Professor Mike English and team, 13 Dec 2011

  12. Practice change - Training Medical Students Trainee paediatricians become ETAT+ instructors and train 300 students per year Professor Mike English and team, 13 Dec 2011

  13. Capacity building • Kenyan researchers: • PhD 4 • MSc 5 • Multiple Kenyan 1st author publications Capacity building Project Time Professor Mike English and team, 13 Dec 2011

  14. Policy influence & practice change Effort & resources Policy Influence & Practice Change Impact Capacity building Project Direct outputs Time Professor Mike English and team, 13 Dec 2011

  15. Bigger vision – Grand challenge Project(s) Project(s) Project(s) Impact and System Change Research Capacity Technical Capacity Professor Mike English and team, 13 Dec 2011

  16. Summary Professor Mike English and team, 13 Dec 2011

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