Knowledge translation: Putting research and training into policy

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Presentation by Hung Nguyen-Viet at the EcoZd-FBLI One Health/Ecohealth training course held at Hanoi, Vietnam, 27-30 May 2013.

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Knowledge translation: Putting research and training into policy

  1. 1. Knowledge Translation: putting researchand training into policyHung Nguyen VietHanoi School of Public Health (HSPH)Swiss TPH and Sandec/EawagEcoZD-FBLI Ecohealth/One Health courseHanam– 29 May 2013
  2. 2. Content Need to translating our academic knowledge intopolicy Risk assessment for food safety and environmentalhealth Environmental sanitation and health
  3. 3. Research and policy impactProblem,issueResearch,enquiryFindingsPolicymakersacceptfindingsPositivepolicychange
  4. 4. …in the reality…Problem,issueResearch,enquiry FindingsPolicymakersacceptfindings?Positive policychange
  5. 5. NCCR North-South Outcome Highlight
  6. 6. RiskassessmentRiskmanagementDecisionRiskCommunicationRisk analysis• Risk analysis describes how risks are dealtwithin the society, including 3 components• Risk communication: Communication of risks to managers,stakeholders, public officials, and the public.• Risk management: how to reduce risk• Risk assessment (RA): adversehealth effects associated with exposureto hazardsSource: Codex (1999)
  7. 7. QMRA within Risk Analysis framework3.Exposure AssessmentSize & nature of the population, route, amount andduration of the exposure1.Hazard IdentificationDescribe environment, pathogens, Health effects2.Dose-response AnalysisRelationships between exposure (dose) &frequency of infection/illness (response)4.Risk CharacterizationIntegrate the information from 3 and 4 to expresspublic health outcomes, taking into account thevariability and uncertainty of the estimations.Q M R ARisk managementCommunicationwithstakeholdersDataacquisition,verification,monitoring
  8. 8. IntroductionNo official training on risk assessment universities Very limited number of Public health/preventivemedicine/ health staff in Vietnam have training onhealth risk assessment while increasing health risksdue to environmental health hazards.
  9. 9. 9/3/2009 www.google.com15/3/20114 hits 4,540,000 hitsKeyword: “Nguy cơ sức khỏe môitrường - Environmental health risk”9/3/2009 MEDLINE15/3/2011200 hits 28,355 hits “Environmental health risk”10,00 hits 304,643 hits “Health risk”200 hits 1,875 hits “Microbial risk assessment”
  10. 10. IntroductionNo official training on risk assessment universities Very limited number of Public health/preventive medicine/health staff in Vietnam have training on health risk assessmentwhile increasing health risks due to environmental healthhazards. Need to put theoretical training/teaching into practice.Willingness to develop a policy of health risk managementrelated to food, water and sanitation. Partnership and combination of common interests fromdifferent stakeholders (university, policy making) create a jointforce in developing health risk assessment approach specific toVietnamese context.
  11. 11. IntroductionVietnam Food Safety Law: Article 49, which stated that riskanalysis for food safety must be undertaken for:• Foods with high risk of causing food poisoning• Foods with samples taken for monitoring show ahigh violation rate in terms of food safetytechnique regulations.• The production, display and sell of foods aresuspected to cause pollution• Risk analysis for foods, production areas, foodtraders is undertaken according to managementrequirementCompliance with CODEX, WTO as country: food import-export, surveillance…
  12. 12. Partnerships
  13. 13. ObjectiveGeneral goal: developing a training module onhealth risk assessment related to water supply,sanitation and food in VietnamSpecific objectives: to develop a training module on heath risk assessment related towater supply, sanitation and food to test the developed training module with various stakeholders ofhealth risk assessment using approach learning by doing (perspective): policy implication, replication elsewhere
  14. 14. 1. Develop atraining moduleon heath riskassessmentrelated to watersupply,sanitation andfood safety2. Test thedevelopedtraining modulewith variousstakeholdersusing approachlearning bydoing3. To revise andapply thedevelopedmodule inanother JACSSEA country4. Documentationand finalworkshopActivities, approach, expected outputs•Desk review•Training materialdevelopment•Team work•Exchange•1 week nationaltraining course forprofessionals•Theoretical, fieldand lab. work•Team work•Looking for otherfunding sources•Publication•1 final workshopA P P R O A C H , E X P E C T E D O U T P U T SW O R K P A C K A G E S , A C T I V I T I E S
  15. 15. TeamNguyen Viet Hung, Tran Thi Tuyet Hanh, Nguyen NgocBich, Nguyen Thuy Quynh, Nguyen Hong NhungDepartment of Environmental and Occupational Health -Hanoi School of Public Health (HSPH)Bui Thi Mai HuongNational Institute of Nutrition (NIN)Pham Duc Phuc, Nguyen Thuy TramDepartment of Bacteriology - National Institute ofHygiene and Epidemiology (NIHE)
  16. 16. One week training course: August 2010Theory sessions• Concept of risk analysis• Steps of an MRA• How to implement these steps• Risk communication andmanagementCodex framework for risk analysis
  17. 17. One week training course: 23-27/August 20101. Opening & theory sessions
  18. 18. Field-based, and laboratory sessions• Problem identification in the fields• Pork meat consumption “farm-toconsumption”• Wastewater reuse in agriculture• Perform risk assessments (field, lab,calculation, presentation with optionof management and communication)
  19. 19. One week training course: 23-27/August 20102. Field trip to Hanam and laboratory session
  20. 20. One week training course: 23-27/August 20103. Group work, presentation & official certificate
  21. 21. Having interests of decision makingstakeholdersVFA - MOHFood safety – WHOoffice Hanoi
  22. 22. Having interests of decision makingstakeholders
  23. 23. Partnerships expanded
  24. 24. Outcomes• Policy: First Nationalguidelines for microbialrisk assessment in foodsafety, coming soon• Working group (task force)on risk assessment• Research and training:• 2 MSc research and proposals submitted todonors for funding• Curriculum applied for university with potential ofreplication
  25. 25. NCCR North-South Outcome Highlight
  26. 26. Conclusion, lessons learned• Identification of the needs of policymakers when addressing theresearch/training questions• Involvement of stakeholders(researcher, donor, practitioner,policy maker…)• Transfer of research/training intopolicy• ….

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