National Health Research Systems and Science Academies

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National Health Research Systems andScience
Academies

• Carel IJsselmuiden
• Annual Meeting of the African Science Academy
  Development Initiative (ASADI)
• London, 4-5 November 2008

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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

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• Findings
• 10/90 Gap
• Recommendations
• ENHR
• Global Funding
• Partnerships
• Global Platform
• Follow up
• NHRS
• Research for

1990
Available from www.cohred.org
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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

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what do we do ?
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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
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research for health
Health System
Health
Human Social Development
Health Research
Economic Development
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some examples of what we do
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NHR Policy Implementation Framework
Actors
Min Ed.
Min ST
Min Health
Stage 1
Intensity
Stage 2
Stage 3
Timeline
Act
Regulation
Departmental policy
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Relationships between governance structures,
policy and priorities for health research (n38)
2
6
0
11
3
0
0
16 countries had no formal governance or policy
framework for health research Governance 11
General Research Council 4 Health Research
Council 4 Mixed Governance
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Governance Management of Shanghai HRS
The State Council
MST
MOH
CAS
NPFPC
MOE
Shanghai subsection
SMHB
SMSTC
SMPFPC
SMEC
Independent Research Institutions
Shanghai Academy of Life Science
Hospitals
Institute of Biological products
Medical Universities
Source Chen 2007
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• EMRO 10-country studies
• Now extended
• West Africa request

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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

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research to action (2)

• research communication

policy makers implementers
researchers
media

• users / community
• health services
• organised civil society
• general

donors / research
sponsors
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Tanzania coming up
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working both ways

• policy advice to donors research sponsors

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• RVP
• responsible vertical programming

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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