SlideShare una empresa de Scribd logo
1 de 36
Descargar para leer sin conexión
FHI 360 – Program Sciences and Health Services
Research (HSR)
Presented by
Johannes van Dam Sr. Director, Program Sciences
and
Theresa Hoke, Scientist II

January 10, 2012
Introduction



           Frank Beadle de Palomo
           Senior Vice President and Director, GHPN
Presenters


  Johannes van Dam             Theresa Hoke
  Director, Program Sciences   Scientist III
Program Sciences

Presented by Johannes van Dam Sr. Director, Program Sciences
Overview


• New organizational structure - ??
• New opportunities
• Collaboration between country programs and US-
  based programs
Global Health and Development
(effective Oct. 1 2010)
                                                                          Chief Operating Officer

                                                                                                                                       Global Research Services




                                        Health and Development                                                      Global Portfolio
                                                Sciences                                                             Management




                                   Country Office       Country Office        Country Office                Country Office
  Science to Practice Sites                                                                         ...
                                         1                    2                     3                             N


      Practice Areas                                     Global Systems        Africa Team 1,
                                 Program Management                                                 Africa Team 2      Africa Team 3      APRO Team          Global Projects
                                                            Support            including Haiti

                                                                                           Program Sciences


                                                                                    Behavioral and Social Sciences


                                                                                Science and Technical Learning Services


                                                                                            Clinical Sciences


                                                                                         Quantitative Sciences


                                                                                          Science Facilitation


                                                                                    Product Quality and Compliance




                                  Information Technology (IT)
                                                                                                                                   Operations Support (OS)
                              (includes Knowledge Management)
Program Sciences

•   Africa Regional Technical Team
•   Health Services Research
•   Health Systems Strengthening
•   Strategic Information/M&E
•   Technical Support
•   Laboratory Services
•   PROGRESS
Program Sciences – interface of science and programs

• Health Services Research (HSR)
   – To follow



• Strategic Information
   – M&E, HMIS and surveillance
   – Data Quality Assessment tool
   – BBSS
Program Sciences - continued

• PROGRESS
   – Expanded access to quality FP services (R to P)
   – Task shifting: e.g. CBA2I
   – Increase method mix: post-partum IUD, sino-implant, LNG
     IUS
   – Non-health sector: MF institutions; environmental groups;
     agriculture sector (LOL)
• Health Systems Strengthening (HSS)
   – HSS strategy
   – Rapid assessment tool
   – QA/QI and CQI model to go to scale
Program Sciences - continued

• Laboratory Sciences
   – Lab quality improvement (incl. international accreditation)
   – Medical waste management
   – Expand in Africa and Asia
• Technical Assistance and Support
   – A global network, with a hub in the Africa Regional
     Technical Team
   – Provides TA in program design and implementation
   – Support for research & builds research capacity
FHI 360 Global TA System

• Push and pull system, meeting program needs
  (“pull”) and quality assurance (“push”)
• Linked to Technical Quality Assessment tool,
  currently being field-tested
• Seeks to make optimal use of technical expertise in
  FHI 360, regardless of location
• Africa Technical Team well positioned to identify,
  nurture and broker regional TA
• Track and monitor quality of TA provided
New Funding Environment

•   Country ownership
•   Responsive to national priorities
•   Better M&E, more operational research
•   Better value for money:
    – Costing
    – Efficiency
    – Outcomes and impact
• Sustainability
• From implementation to capacity building
New and Old Priorities

• Increase efficiency of ART programs
• Chronic/non-communicable diseases
  (CVD, hypertension, diabetes, lung disease, cancers)
• Health Systems Strengthening
• HIV prevention (PrEP, male circumcision, microbicides)
• Prevention for Positives
• Strengthen PMTCT
• FP/RH, including maternal health
• Other infectious diseases (TB, malaria)
Programs and Program Science




Program Science in support of Country Programs
HEALTH SERVICES RESEARCH (HSR)

     Presented by Theresa Hoke, Scientist II
Who We Are


Specialists in…
• Public health
• Maternal and Child Health
• Economics
• Statistics
• Epidemiology
• Health behavior
• Health policy
• Engineering
• Medicine
What we do

• Conduct APPLIED RESEARCH

• Focus on optimizing
   –   Access
   –   Quality
   –   Effectiveness
   –   Cost

• Build capacity in research and evidence-based
  programming
Why applied research is useful

Through applied research
we…
• Evaluate programs
• Identify and diagnose
  service delivery problems
• Develop and test
  programmatic solutions
• Examine costs and cost-
  effectiveness
• Investigate determinants of
  intervention effectiveness
Traditional research contexts

• Family planning
• HIV prevention, care and treatment
• Maternal and newborn health
• Post-abortion care
• Reproductive health services & education for
  youth
• Male circumcision for HIV prevention
Moving into new sectors

• Agriculture
• Environment
• Micro-finance
• Waste management
• Behavioral economics
• Health systems
  research
Who we work with

• Host country
  government partners
• NGOs
• Grassroots
  organizations/ CBOs
• FHI360 Country
  offices
• USAID CAs
Where we work

• National, regional and
  district levels
• Facilities
   – clinics
   – schools
   – program sites
• Communities
• Sub-group populations
   – postpartum
      women
   – PLWHA
   – youth
   – MARPs
Selected examples of recent HSR research
Increasing access to family planning services

•Is it feasible and effective to strengthening linkages
within health services?
•Does task shifting/task sharing increase access to
services?
• What are the alternatives to public sector services?
Increasing access: Facilitated referrals in Tanzania

Aim
Develop & test a facilitated referral
   model to integrate FP and HIV
   services

Approach
• Trained providers
• Introduced service delivery
   guidelines & job aids
• Evaluated service delivery process &
   measured impact of contraceptive
   uptake by Care & Treatment clients

Key Findings
• Modern FP use increased from 78%
   to 93%
• Service quality improved
Improving quality

• How is service quality affected
   – by integration?
   – by task shifting?
• What is the effect of trainings and job aids on
  provider performance?
• Does client satisfaction increase with service
  innovations?
• How can systems be strengthened to ensure
  technical and material resources are in place to
  permit high quality service delivery?
Improving Quality: Emergency Obstetric & Newborn
    Care
Aim
To identify gaps in delivery of
essential emergency obstetric and
newborn care (EmONC)

Approach
Provide TA to MOH and UN partners
in conducting national facility-based
surveys

Assess availability of “signal
functions” for EmONC service
delivery
 Learn all about FHI's Health Services Research Group and the Program Sciences Department
Improving effectiveness

• How can we encourage full use of available
  technologies?
• Is integration of family planning into the work of
  other sectors an effective approach to achieving
  mutual programmatic goals?
Improving effectiveness: Integrating Family Planning
  Promotion into the Green Belt Movement
Aim
• Assess the feasibility and effect
  adding FP promotion to the
  duties of Green Volunteers
Approach
• Design and implementation of
  multi-component intervention
• Collect post-intervention data
  collection to assess Green
  Volunteers’ success with
  incorporating the innovation
  into their duties.
Cost Issues: Improving efficiency & increasing
sustainability
 • Estimating the cost of service delivery
 • Estimating cost of scaling-up interventions
 • Assessing cost-effectiveness of alternative
   approaches to service delivery
 • Documenting resources required to support
   transition to local ownership
 • Preparing costed implementation plans to support
   resource mobilization
 • Linking resources used to outputs produced (value
   for money assessments)
Capacity Building

Africa Regional Technical Team is strengthening FHI360
staff capacity to:
•    Identify challenges and knowledge gaps
•    Articulate research questions
•    Integrate evaluation and research into program proposals
•    Conduct programmatic research and evaluation
PROGRESS Project: Building programmatic research skills
with local partners
• National University of Rwanda School of Public Health
• National Institute of Medical Research – MMRC (Tanzania)
How we can collaborate

Transferability
• Our skills in applied research /
   program evaluation are
   transferable to programs
   outside the health sector.

Complementarity
• Skills in study design,
  operations research, data
  collection and analysis, and
  results interpretation and
  dissemination complement
  program implementation
  capabilities.
Conclusion

• Donors/programs in all sectors are increasingly
  concerned about issues of access, quality,
  effectiveness, and cost.
• Opportunities to conduct applied research continue
  to arise.
• We are seeking mutually beneficial opportunities to
  collaborate and learn more about the programs you
  support.
Discussion
THANK YOU!!!

Más contenido relacionado

Similar a Learn all about FHI's Health Services Research Group and the Program Sciences Department

Earma Presentation - Cora Hors (Brasil)
Earma Presentation - Cora Hors (Brasil)Earma Presentation - Cora Hors (Brasil)
Earma Presentation - Cora Hors (Brasil)Vitor Pereira
 
A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...
A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...
A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...MEASURE Evaluation
 
ILRI program outline: Impact at Scale
ILRI program outline: Impact at ScaleILRI program outline: Impact at Scale
ILRI program outline: Impact at ScaleILRI
 
Progress With Professionalism - Jean Roberts
Progress With Professionalism - Jean RobertsProgress With Professionalism - Jean Roberts
Progress With Professionalism - Jean Robertshealthcareisi
 
Implementation of an Evaluation Model for Evaluating Complex Health Research ...
Implementation of an Evaluation Model for Evaluating Complex Health Research ...Implementation of an Evaluation Model for Evaluating Complex Health Research ...
Implementation of an Evaluation Model for Evaluating Complex Health Research ...aihs
 
From logic model to data model: real and perceived barriers to research asses...
From logic model to data model: real and perceived barriers to research asses...From logic model to data model: real and perceived barriers to research asses...
From logic model to data model: real and perceived barriers to research asses...ORCID, Inc
 
Annual Environment, Health and Wellbeing Conference 2019 - Dr Aisling Sheehan...
Annual Environment, Health and Wellbeing Conference 2019 - Dr Aisling Sheehan...Annual Environment, Health and Wellbeing Conference 2019 - Dr Aisling Sheehan...
Annual Environment, Health and Wellbeing Conference 2019 - Dr Aisling Sheehan...Environmental Protection Agency, Ireland
 
From Logic Model to Data Model
From Logic Model to Data ModelFrom Logic Model to Data Model
From Logic Model to Data Modeldpokusa
 
LIVES action-oriented research and capacity development
LIVES action-oriented research and capacity developmentLIVES action-oriented research and capacity development
LIVES action-oriented research and capacity developmentILRI
 
Data Management Planning presentation at JISC workshop
Data Management Planning presentation at JISC workshopData Management Planning presentation at JISC workshop
Data Management Planning presentation at JISC workshopResearch Data Leeds
 
The Africa RISING project in Ethiopia
The Africa RISING project in EthiopiaThe Africa RISING project in Ethiopia
The Africa RISING project in EthiopiaILRI
 
Health Research Board
Health Research BoardHealth Research Board
Health Research Boarddoctrid2012
 
Presentation i2HealthSantPau
Presentation i2HealthSantPauPresentation i2HealthSantPau
Presentation i2HealthSantPaui2healthsantpau
 
Livestock CRP capacity needs assessment: Summary of 2017 country needs assess...
Livestock CRP capacity needs assessment: Summary of 2017 country needs assess...Livestock CRP capacity needs assessment: Summary of 2017 country needs assess...
Livestock CRP capacity needs assessment: Summary of 2017 country needs assess...ILRI
 
Through the keyhole: why do we need research on research?
Through the keyhole: why do we need research on research?Through the keyhole: why do we need research on research?
Through the keyhole: why do we need research on research?Emma Kirkpatrick
 
Readiness to Train Assessment Tool™ - National Launch
Readiness to Train Assessment Tool™ - National LaunchReadiness to Train Assessment Tool™ - National Launch
Readiness to Train Assessment Tool™ - National LaunchCHC Connecticut
 
Working on Program Implementation and Fidelity: The DEBI Experience
Working on Program Implementation and Fidelity: The DEBI ExperienceWorking on Program Implementation and Fidelity: The DEBI Experience
Working on Program Implementation and Fidelity: The DEBI ExperienceCDC NPIN
 

Similar a Learn all about FHI's Health Services Research Group and the Program Sciences Department (20)

Earma Presentation - Cora Hors (Brasil)
Earma Presentation - Cora Hors (Brasil)Earma Presentation - Cora Hors (Brasil)
Earma Presentation - Cora Hors (Brasil)
 
A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...
A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...
A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...
 
ILRI program outline: Impact at Scale
ILRI program outline: Impact at ScaleILRI program outline: Impact at Scale
ILRI program outline: Impact at Scale
 
Progress With Professionalism - Jean Roberts
Progress With Professionalism - Jean RobertsProgress With Professionalism - Jean Roberts
Progress With Professionalism - Jean Roberts
 
Implementation of an Evaluation Model for Evaluating Complex Health Research ...
Implementation of an Evaluation Model for Evaluating Complex Health Research ...Implementation of an Evaluation Model for Evaluating Complex Health Research ...
Implementation of an Evaluation Model for Evaluating Complex Health Research ...
 
Capacity for Health Policy and Systems Research and Analysis in seven African...
Capacity for Health Policy and Systems Research and Analysis in seven African...Capacity for Health Policy and Systems Research and Analysis in seven African...
Capacity for Health Policy and Systems Research and Analysis in seven African...
 
From logic model to data model: real and perceived barriers to research asses...
From logic model to data model: real and perceived barriers to research asses...From logic model to data model: real and perceived barriers to research asses...
From logic model to data model: real and perceived barriers to research asses...
 
IIHMR Jaipur
IIHMR JaipurIIHMR Jaipur
IIHMR Jaipur
 
Annual Environment, Health and Wellbeing Conference 2019 - Dr Aisling Sheehan...
Annual Environment, Health and Wellbeing Conference 2019 - Dr Aisling Sheehan...Annual Environment, Health and Wellbeing Conference 2019 - Dr Aisling Sheehan...
Annual Environment, Health and Wellbeing Conference 2019 - Dr Aisling Sheehan...
 
From Logic Model to Data Model
From Logic Model to Data ModelFrom Logic Model to Data Model
From Logic Model to Data Model
 
LIVES action-oriented research and capacity development
LIVES action-oriented research and capacity developmentLIVES action-oriented research and capacity development
LIVES action-oriented research and capacity development
 
Gaynor Heading Presentation
Gaynor Heading PresentationGaynor Heading Presentation
Gaynor Heading Presentation
 
Data Management Planning presentation at JISC workshop
Data Management Planning presentation at JISC workshopData Management Planning presentation at JISC workshop
Data Management Planning presentation at JISC workshop
 
The Africa RISING project in Ethiopia
The Africa RISING project in EthiopiaThe Africa RISING project in Ethiopia
The Africa RISING project in Ethiopia
 
Health Research Board
Health Research BoardHealth Research Board
Health Research Board
 
Presentation i2HealthSantPau
Presentation i2HealthSantPauPresentation i2HealthSantPau
Presentation i2HealthSantPau
 
Livestock CRP capacity needs assessment: Summary of 2017 country needs assess...
Livestock CRP capacity needs assessment: Summary of 2017 country needs assess...Livestock CRP capacity needs assessment: Summary of 2017 country needs assess...
Livestock CRP capacity needs assessment: Summary of 2017 country needs assess...
 
Through the keyhole: why do we need research on research?
Through the keyhole: why do we need research on research?Through the keyhole: why do we need research on research?
Through the keyhole: why do we need research on research?
 
Readiness to Train Assessment Tool™ - National Launch
Readiness to Train Assessment Tool™ - National LaunchReadiness to Train Assessment Tool™ - National Launch
Readiness to Train Assessment Tool™ - National Launch
 
Working on Program Implementation and Fidelity: The DEBI Experience
Working on Program Implementation and Fidelity: The DEBI ExperienceWorking on Program Implementation and Fidelity: The DEBI Experience
Working on Program Implementation and Fidelity: The DEBI Experience
 

Más de GHPN

Actions first boosting impact of community health programs. september 26, 2012
Actions first boosting impact of community health programs. september 26, 2012Actions first boosting impact of community health programs. september 26, 2012
Actions first boosting impact of community health programs. september 26, 2012GHPN
 
Presentation by NPI Grantee -Handicap International
Presentation by NPI Grantee -Handicap InternationalPresentation by NPI Grantee -Handicap International
Presentation by NPI Grantee -Handicap InternationalGHPN
 
Fhi360 ugm brownbag 7.19.12
Fhi360  ugm brownbag 7.19.12Fhi360  ugm brownbag 7.19.12
Fhi360 ugm brownbag 7.19.12GHPN
 
Npi brownbag final with pictures
Npi brownbag   final with picturesNpi brownbag   final with pictures
Npi brownbag final with picturesGHPN
 
Sumitro roy design and findings hq- edited version
Sumitro roy  design and findings hq- edited versionSumitro roy  design and findings hq- edited version
Sumitro roy design and findings hq- edited versionGHPN
 
Opportunities and Models for Increasing Impact by Collaborating with the Priv...
Opportunities and Models for Increasing Impact by Collaborating with the Priv...Opportunities and Models for Increasing Impact by Collaborating with the Priv...
Opportunities and Models for Increasing Impact by Collaborating with the Priv...GHPN
 
Combining Collective and Individual Paths to Behavior Change?
Combining Collective and Individual  Paths to Behavior Change?Combining Collective and Individual  Paths to Behavior Change?
Combining Collective and Individual Paths to Behavior Change?GHPN
 
Challenges of Health Behavior Change in the Democratic Republic of Congo (DRC)
Challenges of Health Behavior Change in the Democratic Republic of Congo (DRC)Challenges of Health Behavior Change in the Democratic Republic of Congo (DRC)
Challenges of Health Behavior Change in the Democratic Republic of Congo (DRC)GHPN
 
C change drc yd presentation draft 3 jan 2012 03 version
C change drc yd presentation draft 3 jan 2012 03 versionC change drc yd presentation draft 3 jan 2012 03 version
C change drc yd presentation draft 3 jan 2012 03 versionGHPN
 

Más de GHPN (9)

Actions first boosting impact of community health programs. september 26, 2012
Actions first boosting impact of community health programs. september 26, 2012Actions first boosting impact of community health programs. september 26, 2012
Actions first boosting impact of community health programs. september 26, 2012
 
Presentation by NPI Grantee -Handicap International
Presentation by NPI Grantee -Handicap InternationalPresentation by NPI Grantee -Handicap International
Presentation by NPI Grantee -Handicap International
 
Fhi360 ugm brownbag 7.19.12
Fhi360  ugm brownbag 7.19.12Fhi360  ugm brownbag 7.19.12
Fhi360 ugm brownbag 7.19.12
 
Npi brownbag final with pictures
Npi brownbag   final with picturesNpi brownbag   final with pictures
Npi brownbag final with pictures
 
Sumitro roy design and findings hq- edited version
Sumitro roy  design and findings hq- edited versionSumitro roy  design and findings hq- edited version
Sumitro roy design and findings hq- edited version
 
Opportunities and Models for Increasing Impact by Collaborating with the Priv...
Opportunities and Models for Increasing Impact by Collaborating with the Priv...Opportunities and Models for Increasing Impact by Collaborating with the Priv...
Opportunities and Models for Increasing Impact by Collaborating with the Priv...
 
Combining Collective and Individual Paths to Behavior Change?
Combining Collective and Individual  Paths to Behavior Change?Combining Collective and Individual  Paths to Behavior Change?
Combining Collective and Individual Paths to Behavior Change?
 
Challenges of Health Behavior Change in the Democratic Republic of Congo (DRC)
Challenges of Health Behavior Change in the Democratic Republic of Congo (DRC)Challenges of Health Behavior Change in the Democratic Republic of Congo (DRC)
Challenges of Health Behavior Change in the Democratic Republic of Congo (DRC)
 
C change drc yd presentation draft 3 jan 2012 03 version
C change drc yd presentation draft 3 jan 2012 03 versionC change drc yd presentation draft 3 jan 2012 03 version
C change drc yd presentation draft 3 jan 2012 03 version
 

Último

CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentsaileshpanda05
 
A presentation on Thermal gravimetry analysis (TGA)
A presentation on Thermal gravimetry analysis (TGA)A presentation on Thermal gravimetry analysis (TGA)
A presentation on Thermal gravimetry analysis (TGA)1922Jaygohel
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)kishan singh tomar
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
AI in Action: Elevating Patient Insights
AI in Action: Elevating Patient InsightsAI in Action: Elevating Patient Insights
AI in Action: Elevating Patient InsightsEmily Kunka, MS, CCRP
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint HealthArthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint HealthGokuldas Hospital
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdfHongBiThi1
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxNaveenkumar267201
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .Mohamed Rizk Khodair
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 

Último (20)

CPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing studentCPR.nursingoutlook.pdf , Bsc nursing student
CPR.nursingoutlook.pdf , Bsc nursing student
 
A presentation on Thermal gravimetry analysis (TGA)
A presentation on Thermal gravimetry analysis (TGA)A presentation on Thermal gravimetry analysis (TGA)
A presentation on Thermal gravimetry analysis (TGA)
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...Biologic therapy ice breaking in rheumatology, Case based approach with appli...
Biologic therapy ice breaking in rheumatology, Case based approach with appli...
 
High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)High-Performance Thin-Layer Chromatography (HPTLC)
High-Performance Thin-Layer Chromatography (HPTLC)
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
AI in Action: Elevating Patient Insights
AI in Action: Elevating Patient InsightsAI in Action: Elevating Patient Insights
AI in Action: Elevating Patient Insights
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint HealthArthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
Arthroscopic Surgery in Indore : A Minimally Invasive Guide to Joint Health
 
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdfSGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA    .pdf
SGK NGẠT NƯỚC ĐHYHN RẤT LÀ HAY NHA .pdf
 
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptxBreast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
Breast cancer -ONCO IN MEDICAL AND SURGICAL NURSING.pptx
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 

Learn all about FHI's Health Services Research Group and the Program Sciences Department

  • 1. FHI 360 – Program Sciences and Health Services Research (HSR) Presented by Johannes van Dam Sr. Director, Program Sciences and Theresa Hoke, Scientist II January 10, 2012
  • 2. Introduction Frank Beadle de Palomo Senior Vice President and Director, GHPN
  • 3. Presenters Johannes van Dam Theresa Hoke Director, Program Sciences Scientist III
  • 4. Program Sciences Presented by Johannes van Dam Sr. Director, Program Sciences
  • 5. Overview • New organizational structure - ?? • New opportunities • Collaboration between country programs and US- based programs
  • 6. Global Health and Development (effective Oct. 1 2010) Chief Operating Officer Global Research Services Health and Development Global Portfolio Sciences Management Country Office Country Office Country Office Country Office Science to Practice Sites ... 1 2 3 N Practice Areas Global Systems Africa Team 1, Program Management Africa Team 2 Africa Team 3 APRO Team Global Projects Support including Haiti Program Sciences Behavioral and Social Sciences Science and Technical Learning Services Clinical Sciences Quantitative Sciences Science Facilitation Product Quality and Compliance Information Technology (IT) Operations Support (OS) (includes Knowledge Management)
  • 7. Program Sciences • Africa Regional Technical Team • Health Services Research • Health Systems Strengthening • Strategic Information/M&E • Technical Support • Laboratory Services • PROGRESS
  • 8. Program Sciences – interface of science and programs • Health Services Research (HSR) – To follow • Strategic Information – M&E, HMIS and surveillance – Data Quality Assessment tool – BBSS
  • 9. Program Sciences - continued • PROGRESS – Expanded access to quality FP services (R to P) – Task shifting: e.g. CBA2I – Increase method mix: post-partum IUD, sino-implant, LNG IUS – Non-health sector: MF institutions; environmental groups; agriculture sector (LOL) • Health Systems Strengthening (HSS) – HSS strategy – Rapid assessment tool – QA/QI and CQI model to go to scale
  • 10. Program Sciences - continued • Laboratory Sciences – Lab quality improvement (incl. international accreditation) – Medical waste management – Expand in Africa and Asia • Technical Assistance and Support – A global network, with a hub in the Africa Regional Technical Team – Provides TA in program design and implementation – Support for research & builds research capacity
  • 11. FHI 360 Global TA System • Push and pull system, meeting program needs (“pull”) and quality assurance (“push”) • Linked to Technical Quality Assessment tool, currently being field-tested • Seeks to make optimal use of technical expertise in FHI 360, regardless of location • Africa Technical Team well positioned to identify, nurture and broker regional TA • Track and monitor quality of TA provided
  • 12. New Funding Environment • Country ownership • Responsive to national priorities • Better M&E, more operational research • Better value for money: – Costing – Efficiency – Outcomes and impact • Sustainability • From implementation to capacity building
  • 13. New and Old Priorities • Increase efficiency of ART programs • Chronic/non-communicable diseases (CVD, hypertension, diabetes, lung disease, cancers) • Health Systems Strengthening • HIV prevention (PrEP, male circumcision, microbicides) • Prevention for Positives • Strengthen PMTCT • FP/RH, including maternal health • Other infectious diseases (TB, malaria)
  • 14. Programs and Program Science Program Science in support of Country Programs
  • 15. HEALTH SERVICES RESEARCH (HSR) Presented by Theresa Hoke, Scientist II
  • 16. Who We Are Specialists in… • Public health • Maternal and Child Health • Economics • Statistics • Epidemiology • Health behavior • Health policy • Engineering • Medicine
  • 17. What we do • Conduct APPLIED RESEARCH • Focus on optimizing – Access – Quality – Effectiveness – Cost • Build capacity in research and evidence-based programming
  • 18. Why applied research is useful Through applied research we… • Evaluate programs • Identify and diagnose service delivery problems • Develop and test programmatic solutions • Examine costs and cost- effectiveness • Investigate determinants of intervention effectiveness
  • 19. Traditional research contexts • Family planning • HIV prevention, care and treatment • Maternal and newborn health • Post-abortion care • Reproductive health services & education for youth • Male circumcision for HIV prevention
  • 20. Moving into new sectors • Agriculture • Environment • Micro-finance • Waste management • Behavioral economics • Health systems research
  • 21. Who we work with • Host country government partners • NGOs • Grassroots organizations/ CBOs • FHI360 Country offices • USAID CAs
  • 22. Where we work • National, regional and district levels • Facilities – clinics – schools – program sites • Communities • Sub-group populations – postpartum women – PLWHA – youth – MARPs
  • 23. Selected examples of recent HSR research
  • 24. Increasing access to family planning services •Is it feasible and effective to strengthening linkages within health services? •Does task shifting/task sharing increase access to services? • What are the alternatives to public sector services?
  • 25. Increasing access: Facilitated referrals in Tanzania Aim Develop & test a facilitated referral model to integrate FP and HIV services Approach • Trained providers • Introduced service delivery guidelines & job aids • Evaluated service delivery process & measured impact of contraceptive uptake by Care & Treatment clients Key Findings • Modern FP use increased from 78% to 93% • Service quality improved
  • 26. Improving quality • How is service quality affected – by integration? – by task shifting? • What is the effect of trainings and job aids on provider performance? • Does client satisfaction increase with service innovations? • How can systems be strengthened to ensure technical and material resources are in place to permit high quality service delivery?
  • 27. Improving Quality: Emergency Obstetric & Newborn Care Aim To identify gaps in delivery of essential emergency obstetric and newborn care (EmONC) Approach Provide TA to MOH and UN partners in conducting national facility-based surveys Assess availability of “signal functions” for EmONC service delivery
  • 29. Improving effectiveness • How can we encourage full use of available technologies? • Is integration of family planning into the work of other sectors an effective approach to achieving mutual programmatic goals?
  • 30. Improving effectiveness: Integrating Family Planning Promotion into the Green Belt Movement Aim • Assess the feasibility and effect adding FP promotion to the duties of Green Volunteers Approach • Design and implementation of multi-component intervention • Collect post-intervention data collection to assess Green Volunteers’ success with incorporating the innovation into their duties.
  • 31. Cost Issues: Improving efficiency & increasing sustainability • Estimating the cost of service delivery • Estimating cost of scaling-up interventions • Assessing cost-effectiveness of alternative approaches to service delivery • Documenting resources required to support transition to local ownership • Preparing costed implementation plans to support resource mobilization • Linking resources used to outputs produced (value for money assessments)
  • 32. Capacity Building Africa Regional Technical Team is strengthening FHI360 staff capacity to: • Identify challenges and knowledge gaps • Articulate research questions • Integrate evaluation and research into program proposals • Conduct programmatic research and evaluation PROGRESS Project: Building programmatic research skills with local partners • National University of Rwanda School of Public Health • National Institute of Medical Research – MMRC (Tanzania)
  • 33. How we can collaborate Transferability • Our skills in applied research / program evaluation are transferable to programs outside the health sector. Complementarity • Skills in study design, operations research, data collection and analysis, and results interpretation and dissemination complement program implementation capabilities.
  • 34. Conclusion • Donors/programs in all sectors are increasingly concerned about issues of access, quality, effectiveness, and cost. • Opportunities to conduct applied research continue to arise. • We are seeking mutually beneficial opportunities to collaborate and learn more about the programs you support.

Notas del editor

  1. Part of team of 21 staff who conduct or support programmatic research.The HSR staff members come with diverse backgrounds. One thing we all have in common is research experience in resource-poor settings.
  2. Our mission is to conduct applied research to strengthen health services. The term “applied” conveys the idea of our workbeing highly practical. It is driven by country and program needs. Our work is aimed at resolving programmatic challenges and producing evidence to inform programmatic decision making. We typically work in close collaboration with health program managers, host country partners and increasingly FHI 360 country offices.Studies broad range of topics, but most often the research questions revolve around optimizing health services in terms of access, quality, effectiveness at the most affordable cost. Even though our work is largely in the health sector, I suspect these issues affect most programs and services in any sectorCollaborate closely with host country partners build capacity in all steps of the research processSpecial training and technical assistance
  3. The usefulness of our work lies in its ability to respond to decision makers’ information needs.Evaluate: projects are implemented as intended and meeting their objectivesWe help to improve the integrity of health programs by examining service delivery processes, identifying problems, and then peeling the onion to understand the full scope of the problem and its underlying root causes.Once an opportunity for service improvement is identified, we conduct operations research to test solutions. In some cases we’re first asked to conduct formative research to support development of evidence-based interventions.In the interest of the sustainability and scaleability of services, we work with our staff economists to measure service costs. In some cases we pair the cost data with service outcome data to assess cost-effectiveness.We also conduct exploratory work to examine the factors associated with the success of health services.
  4. Consistent with the mission of legacy FHI, in the earliest days our work was focused almost exclusively on family planning service delivery.In more recent years we have demonstrated the transferability of our research skills to other health domains. Here you see some of the main health services that our work has addressed. I’ll point out one detail. Our work on HIV prevention includes the very current topic of service delivery to support use ofmicrobicides and pre-exposure prophylaxis. HPTN 052, funded by the U.S. National Institute of Allergy and Infectious Diseases (NIAID), was the first randomized clinical trial to show that providing early antiretroviral therapy to an HIV-infected person can dramatically lower the risk of sexual transmission of HIV to an uninfected partner — reducing the risk of infection by as much as 96 percent.
  5. Medical Waste Management addresses the issue of large amounts of waste generated in a health care system, a good part of which is potentially dangerous, either because it contains medications or infectious material – or even, more so in middle/high-income countries, radio-active. Emily Keyes is working on this, through a CDC-funded activity, Janet Robinson is working on this, and Bitra George is trying to see if we can do this as a for-fee service line. How to dispose of the waste in a safe and efficient manner, is the real issue.Example of health systems strengthening: Job worker retention: Aurélie is doing work on health worker retention, using a Discrete Choice Experiment approach – I think she is doing this in Rwanda. This involves offering health care workers a range of choices for different combinations of incentives to figure out what it takes to keep HCWs in their jobs. This falls under health systems research, and more especially the human resources building block.
  6. Our work allows us to work with a variety of partners supporting health service delivery in resource-poor settings. International NGO like Save the Children.In other cases we are called to collaborate with local community based organizations responsible for service delivery.FHI 360’s country programs provide excellent opportunities to conduct applied research highly relevant to ongoing service delivery. Look forward to identifying new opportunities for collaboration with field activities of legacy AED.Finally, we frequently have the opportunity to collaborate with other CAs. Typically they are the lead in implementing a particular service or program, and HSR is called upon to lead research to produce evidence regarding intervention effectiveness.
  7. We work at a variety of levels--wherever health services are delivered or decisions about programming get made.Often the context of our work is dictated by the populations being served. For example, services focused on postpartum women leads us to health facilities. Research on services for youth has taken us to schools and CBOs. And not surprisingly, research on most at risk populations has driven us to bars and brothels.
  8. With that overview, I’d like to provide some specific examples of the questions HSR researchers have been called on to answer, and the types of projects we have carried out.
  9. I mentioned one major aim of our work is to find service delivery solutions to improve access to care. Much of this work has been done in the family planning sector. Several studies have examined whether it is feasible and effective to create linkages between family planning and other health services. For example, we have tested the effect of integrating family planning into VCT (Kenya), PMTCT (SA), immunization (Ghana), C & T (Rwanda, Tanzania) Another potential strategy for increasing access is through task shifting, whereby clinical responsibilities are shifted to providers with less professional training. The best example of that are the studies we’ve conducted with community health workers in Uganda, Madagascar, Malawi, Zambia. We assessed whether family planning uptake increased among women in remote rural areas once community health workers were trained and authorized to provide injectable contraceptives.We have also tested the feasibility and usefulness of providing contraceptives through the commercial sector, such as pharmacies in Jamaica and drug shops inUganda.
  10. Other sectors: Microfinance (India), environment (GBM, Kenya), agriculture (LandoL, Kenya)
  11. Our health economists use their skills to assess how programs are using their resources, and the implications for the cost of programs and program effectiveness.  Since the need for resources typically exceeds the pool of available resources, making the most of limited resources becomes essential when trying to increase access, improve quality, or increase the effectiveness of programs.FHI360’s health economics group (part of HSR) is collaborating with the Social Marketing and Communication Center at FHI D360 to respond to an opportunity from the Center for Medicare and Medicaid Services (CMS).  FHI360 economists are helping to define the cost savings associated with an initiative to improve palliative care for Medicare beneficiaries. 
  12. Increasing recognition of the need to invest in the most effective and cost-efficient program strategies possible Better use of evidence to inform programming Generation of new evidence where gaps exist(Program Research for Strengthening Services) is a five-year project awarded to Family Health International (FHI) by the U.S. Agency for International Development (USAID) in June 2008.  The project seeks to improve access to family planning among underserved populations in developing countries by providing global technical leadership and undertaking concentrated activities in selected countries. In addition to strengthening our internal research presence in SSA, we are working with two local bodies to install programmatic research capacity (specifically around RH). The goal is for these bodies to become recognized local producers of high-quality programmatic research for both the Ministry of Health and other  implementing partners.  The longer term goal is for these organizations to be able to compete for and win external funding for programmatic research.
  13. D 360’s: With extensive expertise ranging from behavioral research to surveys to rapid needs assessments to program evaluation, AED helps ensure that strategies and programs are firmly grounded in science