Impact of Health Systems Research on Policy and Practice Change
Health Systems Research led by Professor Mike English and team focuses on achieving direct and indirect outputs, including capacity building and policy influence to drive policy and practice change. The research aims to explore the effects, mechanisms, cost-effectiveness, and factors affecting intervention effectiveness, ultimately influencing evidence-based guidelines and protocols in Kenya and beyond.
- Health Systems Research
- Policy Change
- Capacity Building
- Professor Mike English
- Evidence-Based Guidelines
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Presentation Transcript
Health Systems Research Product, Process & Impact Mike English & Team Professor Mike English and team, 13 Dec 2011
What are we trying to achieve? All parties Direct outputs / answers Indirect outputs: Capacity building Policy influence Policy / practice change Most or some parties Dynamic engagement with co- evolution of research, policy, capacity and practice Few parties Professor Mike English and team, 13 Dec 2011
Research Products ? Question Research Answer Change Professor Mike English and team, 13 Dec 2011
Effects or Outcomes Professor Mike English and team, 13 Dec 2011
What might affect intervention effectiveness? Adequacy Acceptance Context & Modifiers Professor Mike English and team, 13 Dec 2011
Mechanisms Professor Mike English and team, 13 Dec 2011
Cost effectiveness cost per DALY averted Professor Mike English and team, 13 Dec 2011
Process & Impact Professor Mike English and team, 13 Dec 2011
Policy Influence - Evidence based GoK guidelines Key Clinical Questions Child Health Evidence Week 2005 Child Health Evidence Week 2010 Systematic Reviews and GRADE summaries Draft recommendations Consensus based decision making using GRADE Grid Professor Mike English and team, 13 Dec 2011
Policy influence & practice change 22,000 copies of guidelines distributed in Kenya Training included in government Annual Operating Plan & Global Fund application Guidelines now printed in Rwanda and in development for Uganda Ministry of Health Republic of Kenya. Paediatric Protocols for District Hospitals. December 2005 Professor Mike English and team, 13 Dec 2011
Practice change: Kenya Training: 1800+ Health Care Workers 88 lecturers at nursing and clinical officer training schools Courses for Dadaab and Kakuma Refugee Camps for International Rescue Committee Training introduced into Rwanda and Uganda and part of LSHTM s 1st East African DTMH in 2011 Professor Mike English and team, 13 Dec 2011
Practice change - Training Medical Students Trainee paediatricians become ETAT+ instructors and train 300 students per year Professor Mike English and team, 13 Dec 2011
Capacity building Kenyan researchers: PhD 4 MSc 5 Multiple Kenyan 1st author publications Capacity building Project Time Professor Mike English and team, 13 Dec 2011
Policy influence & practice change Effort & resources Policy Influence & Practice Change Impact Capacity building Project Direct outputs Time Professor Mike English and team, 13 Dec 2011
Bigger vision Grand challenge Project(s) Project(s) Project(s) Practice System Impact and System Change Research Capacity Policy Research Technical Capacity Professor Mike English and team, 13 Dec 2011
Summary All parties Direct outputs / answers Indirect outputs: Capacity building Policy influence Policy / practice change Most or some parties Dynamic engagement with co- evolution of research, policy, capacity and practice Few parties Professor Mike English and team, 13 Dec 2011
