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An Advocacy-Research Partnership: A Successful Knowledge-Translation Platform?

An Advocacy-Research Partnership: A Successful Knowledge-Translation Platform?. M cAuliffe, E , DePinho, H., Clark, P, Sawyer, A, Shehu, D, Masanja, H, Kamwendo, F, Sidat, M, & Bradley, S. Knowledge translation.

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An Advocacy-Research Partnership: A Successful Knowledge-Translation Platform?

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  1. An Advocacy-Research Partnership: A Successful Knowledge-Translation Platform? McAuliffe, E, DePinho, H., Clark, P, Sawyer, A, Shehu, D, Masanja, H, Kamwendo, F, Sidat, M, & Bradley, S. eilish.mcauliffe@tcd.ie

  2. Knowledge translation • knowledge translation (KT) methodologies are an integral part of the health policymaking process. • KT methodologies or platforms are mechanisms designed to use evidence to improve the safety and effectiveness of health policies and policy implementation interventions. • Not just disseminating evidence but encouraging the use of evidence eilish.mcauliffe@tcd.ie

  3. Inadequate long-term human resource planning and domestic production of health workers, coupled with ageing populations in developed countries, will continue to fuel recruitment from resource-poor countries unless there is a significant commitment to address this global inequity.” • EU HRH Strategy 2005 eilish.mcauliffe@tcd.ie

  4. Rationale for Project focus • midlevel providers are already providing a significant share of maternal health services including the bulk of emergency obstetrical surgery (EmOC), in at least three countries in Africa: Malawi, Mozambique, and Tanzania. But they receive little attention. • clearly defined tasks and standards of care for the provision of maternal health and in particular emergency obstetric care that can be used to assess midlevel providers • interventions to reduce maternal and newborn deaths depend on the presence of a functioning health system that enables health worker performance. • existing data indicate that of all the MDGs, MDG 5, reducing maternal mortality ratios, is the one least likely to be achieved by 2015 • Requires change in all building blocks in WHO Health Systems framework: Governance and Leadership, Health Workforce, Financing, Information, Supplies and Infrastructure, Service Delivery. eilish.mcauliffe@tcd.ie

  5. Supported by Irish Aid and Ministry of Foreign Affairs Denmark eilish.mcauliffe@tcd.ie

  6. Project aims • four-year, multi-country research project in Malawi, Tanzania and Mozambique • to expand the evidence base in support of the effective use of mid-level providers (MLPs) in maternal and newborn health and promote greater political leadership and critical policy action on their use. • The focus on the delivery of the Emergency Obstetric Care signal functions seen as a strategic entry point to assessing the use and effectiveness of MLPs more broadly. eilish.mcauliffe@tcd.ie

  7. Partners Ministries of Health HR Directorates Reproductive Health programmes Global Advocacy – Realizing Rights (Mary Robinson) Research partners Ifakara, Tanzania College of Medicine, Malawi. EM University, Mozambique AMDD, Columbia University CGH, Trinity College Regional & Local Advocacy – Regional Prevention of Maternal Mortality Network eilish.mcauliffe@tcd.ie

  8. Advocacy activities - examples eilish.mcauliffe@tcd.ie

  9. Challenges • What is advocacy? Who should be doing it? • Timing and integration of research and advocacy elements • Communication challenges (Bradley et al. poster) • Complexity overwhelming at times • Managing and targeting outputs eilish.mcauliffe@tcd.ie

  10. Lessons • Preparing intended audience for research outputs is a valuable activity that increases the utility of research findings. • Having a champion makes it more likely that message will be heard. • Preparation time to plan specific strengths and contributions of each partner would help to manage expectations and reduce tensions. • Complex multi-stranded project - a phased approach with responsibility for specific phases being assigned to individual partners. • Integration of the advocacy elements of the project into these phases would also have ensured that the data analysis and advocacy were better aligned. • A more strategic, streamlined approach to planning the outputs from the project. eilish.mcauliffe@tcd.ie

  11. Some evidence that visibility and use of MLPs has increased • EU projects recently funded • STEM – Support train and empower managers. Improving HRM and supervision of MLPs providing obstetric care in Tanzania and Mozambique (CGH) • PERFORM- strengthening HRM in Tanzania (Liverpool School of Tropical Medicine) • Training programme for Clinical Officers in Malawi (RCSI) eilish.mcauliffe@tcd.ie

  12. With Thanks HSSE Team: • Centre for Global Health, Trinity College, University of Dublin • AMDD, Mailman School of Public Health, Columbia University, USA • Centre for Reproductive Health, College of Medicine, Malawi • Ifakara Health Institute, Tanzania • Dept. of Community Health, Eduardo Mondlane University, Mozambique • Realizing Rights: Ethical Globalization Initiative, USA • Regional Prevention of Maternal Mortality Network, Ghana Funders: • IrishAid & Ministry of Foreign Affairs, Denmark eilish.mcauliffe@tcd.ie

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