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Explore the challenges and opportunities in the field of sexual and reproductive health research, and learn how to enhance the utilization of research to strengthen health systems, improve health outcomes, and address key global issues. Discover the role of theory, values, and different approaches to utilization, and find ways to measure and overcome the challenges in the long run.
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GOALS OF USE OF RESEARCH • Opportunities and choices in SRH • Safer passages to adulthood • Strengthened health systems • Improved health and development
BREATHTAKING CHALLENGES • Population of 9 billion in 2050, most pregnancies wanted • 600,000 maternal deaths annually • 350 million new cases of curable STIs and 22 million infected with HIV • Healthy sexuality: violence, mutilation, inability to express and enjoy
TRADITIONAL ROLE OF RESEARCH • Testing and development of theory • Rules of design and conduct • Rules of evidence • Discreet audience • Rewards
HEALTH SYSTEMS RESEARCH • Process focused on policy and program development, decision making, services • Understandable • Acceptable • Comprehensive • Cost-effective • Capable of being improved
LINEAR MODEL OF POLICY FORMATION Predictions and Prescriptions Policy Choice Implementation Policy Outcome Researcher Policy Maker Social Forces Classes Interest Groups Parties and Voters State-Centered Forces Technocrats Bureaucrats State Interests
Multiple Streams of Negotiated Decision Making Financing Groups Implementation Process National and Local Policy Research and Analysis Policy Makers Practitioners Advocacy Groups Flow of Information/Influence Demand for Information
AUDIENCES IN NEED OF CHAMPION Policy makers Managers Researchers Advocates Public National Regional Local Networks South-South
ROLES OF THEORY AND VALUES THEORY Stage Theory Diffusion Organizational Development Communication and Social Influence VALUES Equity of care Personal choice Participation Devolution Gender relations Profit-making
TREND TOWARD LEARNING • World Bank - knowledge management • WHO - evidence based health care • DFID - shared knowledge key to development partnerships • USAID - evidence on achievement of strategic objectives
APPROACHES TO UTILIZATION • Rational: problem solving • Strategic: political, tactical • Diffusion: enlightenment, interactive • Lack insight into process of decision making and manipulatable variables
MORE PRODUCTIVE APPROACH • Content and recommendations • Actors in policy formation • Processes in development and implementation cycles • Context within which policy made • Diffuse and gradual process
ENHANCING USE • Develop research with counterparts • Build and foster close relationships • Seek interrelations with similar efforts • Focus on research quality • Disseminate to policy makers by level • Mutual formulation of recommendations • Sustainability: partners and finance • Follow-up
MEASUREMENT OF UTILIZATION • Complex: mere citation to range of options of influence within and across systems • Quality of research is not a requirement • Understanding of policy process • Multiple actors, issues and contributions • Problem of attribution of causality
CHALLENGES IN LONG RUN • Develop human resources capable of producing and using research • Improve quality of health information • Build capacity to assess new technology • Networks for essential health research • Relationship between policy makers, researchers and stakeholders