1 / 30

Operational Research

Operational Research. HIV Programmatic Training Cape Town 2019. Petros Isaakidis Senior OR Advisor, SAMU Emilie Venables Qualitative Research Focal Point, SAMU/ LuxOR. Objectives of session. Identify how operational research can contribute to operational objectives

jphelan
Download Presentation

Operational Research

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Operational Research HIV Programmatic Training Cape Town 2019 Petros Isaakidis Senior OR Advisor, SAMU Emilie Venables Qualitative Research Focal Point, SAMU/LuxOR

  2. Objectives of session Identify how operational research can contribute to operational objectives Understand process and components of OR through examples Identify available resources for OR

  3. Quiz 1 Is MSF a research organization? • Yes, it is! • No, it is not! • I have no clue!

  4. Operational research Implementation Research (IR/IS) Health Systems Research (HSR)

  5. And for MSF?

  6. Quiz 2 How many papers are published every year by MSF OCB alone? • 1-2 • 10-20 • 100-150

  7. And for MSF?

  8. The OR process

  9. OR in MSF TB/HIV projects New tests and diagnostics New drugs and clinical approaches Prevention Monitoring and evaluation Models of care

  10. From analysis of routine M&E to multisite randomized control trials Different levels: project, country, OC, inter-national/-sectional “Top-down”/”Down-top” Partners/support, epidemiologists and M&E coordinators (project, national, OC), OC research units, Epicentre, academic institutions & MoH How is OR done in MSF?

  11. Ethical approval process • MSF ERB ethics framework / guidelines* • MSF ERB ethics application forms* • 7 MSF ERB criteria for an exemption from MSF ERB review* • Full ethics review • Expedite ethics review • Exemption • Do not forget the LOCAL ethics Usually 6-8 weeks… Worry not…

  12. Quiz 3 Who in the field is in charge of OR? • The epi • The PMR/Fieldco • The Medco • Nobody in the field • Everybody

  13. OCP  Epicentre (+ field) OCA  field+ HQ + Manson Unit OCG field+ HQ (+ Epicentre) OCBA field+ HQ (+ Epicentre) OCB  field+ HQ (+ Epicentre) HIV/TB/HCV  SAMU Other topics  LuxOR How is OR done in MSF?

  14. The OR process

  15. Quiz 3 • What form(s) can qualitative research data take? • Numbers • Western blot lab test • Words • WhatsApp messages • Photos/pictures • Videos

  16. How and when do we do qualitative research?

  17. Examples of qualitative research

  18. Example: PrEP in Beira, Mozambique • Qualitative research was conducted to understand the experiences of sex-workers taking PrEP in Beira • Part of mixed methods study on PrEP in Tete and Beira • In-depth interviews and focus group discussions carried out with female sex-workers and MSF staff • Data shows: • Lack of knowledge of PrEP before being informed by MSF • Some misunderstandings about how PrEP worked • Some women stopped PrEP because of side-effects and travel • Appreciation for services and support received from MSF

  19. The OR process

  20. The long walk from idea to implementation to policy change : the example of DR TB decentralization in SA 2007 idea –> 2011 report –> 2012 national policy –> 2014 publication

  21. Case study for group work You are working in CHK in Kinshasa. Over the last 6 months, you have noticed that an increasing number of adult patients are being admitted with advanced HIV disease. You have routine patient data and observations from the staff but you want to learn more Group 1: Brainstorm and list a research agenda (max 4 studies) for CHK and then prioritise ONE project and justify your choice Group 2: design a quantitative study to find out more… Group 3: design a qualitative study to find out more… Group 4: Your study is complete. Who will you share the results with? Make a plan for advocacy and action.

  22. Group exercise Write answers on flipchart 20 minutes preparation then each group presents for 5 minutes 5 minutes questions per group

  23. Wrap up Research is a tool and a culture and not a skillset Research should be integrated into programmes & field teams OWN the research projects The aim of any OR is to improve the services we offer to patients and communities and to advocate for change

  24. Some practical information and OR resources

  25. OR Resources • PubMed literature search: http://www.ncbi.nlm.nih.gov/pubmed/ • Repository: - http://fieldresearch.msf.org/msf/ • Journal articles & TOC: aline.raymond@brussels.msf.org • MSF HIV domains & topics (to align OR & advocacy)* • OR concept note template* • OR protocol template* • OR methodological support people (protocol development, data analysis, writing-up of results)

  26. Trainings and support • SORT-IT courses: quantitative and qualitative and thematic • Country-specific OR workshops (designed for specific needs) • Ongoing mentoring and field support

  27. SORT IT Courses (2009 – 2017) Total: 53 courses with 579 participants from 87 countries Asia 108India 9 Bangladesh 24 Pakistan 5 Afghanistan 7Nepal 10 Bhutan 5 Sri Lanka 4 Uzbekistan 3 Tadjikistan 1 Singapore 7 China 3 Vietnam 1 Mongolia 4 Cambodia 45 Myanmar 2 Kazaksthan 1 Turkmenistan 2 Kyrgysthan 1 Timor Leste 1 Indonesia 1 Malaysia Europe 1 Georgia 14 Ukraine 1 Estonia 2 Latvia 3Belarus 2 Moldova 15Armenia 1 Azerbaijan 1 Denmark 4 Italy 1 Switzerland 1 Greece 2 Serbia South Pacific 3New Caledonia 1 Cook Islands 2 Tonga 3 Marshall Islands 3Federated States of Micronesia 2 Solomon Islands 3Vanuata 25 Fiji 1 American Somoa 1 Somoa 1 Guam 4 Kiribati 2 Palau South America 5 Brazil 11 Peru 2 Mexico 1 El Salvador 11 Colombia 1 Dominican Republic 1 Guatemala 1 Honduras 2 Haiti Africa 36Kenya 11South Africa 10 Ethiopia 17Malawi 25Zimbabwe 1 Benin 2Somaliland 5Rwanda 5Uganda 3Ghana 2Tanzania 3Namibia 6 Burundi 3 Botswana 1 Madagascar 1 Lesotho 8Swaziland 4Democratic Republic of the Congo 3Sudan 4Mozambique 4 Nigeria 1 Niger 2Somalia 18Sierra Leone 1 North Sudan 10 Liberia 6 Guinea 1 Ivory Coast 1 Zambia 1 Mauritania 1 Egypt Multi-Country 1 Africa/ Asia

  28. OR Resources/ Ethics /Contact persons • Ask your epi/OR coordo/Medco/SAMU CFP • Ethics accountable: Medical Directors • OR advice/ Ethics focal points • OCB: HIV/TB: CFPs/Petros/EmilieOther subjects: LuxOR • OCG: Iza Ciglenecki • OCP: Brigitte Vasset • OCA: Sidney Wong/ Annick Lenglet • OCBA: Jean-Francois Saint-Saveur

  29. MSF supports evidence generation through OR in almost every project to inform policy and practice • OR should be embedded in the projects • Resources are available to support OR at different levels

More Related