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Capacity for Health Policy and Systems Research and Analysis in seven African universities. Second Global Symposium on Health Systems Research
 

Capacity for Health Policy and Systems Research and Analysis in seven African universities. Second Global Symposium on Health Systems Research

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At the Second Global Symposium on Health Systems Research in Beijing (31 October to 3 November 2012), CHEPSAA presented the following presentation: ...

At the Second Global Symposium on Health Systems Research in Beijing (31 October to 3 November 2012), CHEPSAA presented the following presentation:
MIRZOEV, T., LE, G., KALLIECHARAN, R., AGYEPONG, I., ERASMUS, E., GOUDGE, J., KAMUZORA, P., U., L., OKEYO, S., DE SAVIGNY, D., TOMSON, G., UZOCHUKWU, B. & GILSON, L. (2012) Capacity for Health Policy and Systems Research and Analysis in seven African universities. Second Global Symposium on Health Systems Research. Beijing.

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    Capacity for Health Policy and Systems Research and Analysis in seven African universities. Second Global Symposium on Health Systems Research Capacity for Health Policy and Systems Research and Analysis in seven African universities. Second Global Symposium on Health Systems Research Presentation Transcript

    • Capacity for Health Policyand Systems Research and Analysis in seven African universities Tolib Mirzoev; Gillian Le; Ricky Kalliecharan; Irene Agyepong; Ermin Erasmus; Jane Goudge; Peter Kamuzora; Uta Lehmann; Stephen Okeyo; Don de Savigny; Goran Tomson; Benjamin Uzochukwu; Lucy Gilson Second Global Symposium on Health Systems Research Beijing, 31 October – 3 November 2012
    • Presentation outline1. Introduction a. Background b. CHEPSAA project2. Scope and methods3. Main findings4. Key messages5. Project activities in strengthening capacities
    • Introduction• HPSR+A is essential for HS strengthening and achieving universal health coverage – BUT… capacity for HPSR+A is limited in lower income countries• A range of organisations require analytical capacity e.g. MOH, think tanks, civil society, academia• Local universities are particularly important, because of teaching mandate and knowledge production• HOWEVER… – Little is known about capacity of universities to teach and research HPSR+A – No frameworks were found for assessing HPSR+A capacity
    • CHEPSAA project (2011-2014)• Consortium for Health Policy and Systems Analysis in Africa• Innovative EC-funded four-year collaboration between 7 African and 4 European universities.• Aims to strengthen capacity of universities in Ghana, Kenya, Nigeria, Tanzania and South Africa to: – produce high quality HPSR+A work – provide HPSR+A training – engage with networks – communicate research into policy and practice
    • Capacity needs assessments• We aimed to: – inform planning of project activities – contribute to wider organisational development and building the field of HPSR+A nationally and internationally• Phased 3 level approach (context, organisational, individual)• Focus on capacity assets and capacity needs – Self-assessments by each institution using a common framework – Data collection methods: document reviews, interviews and surveys – Comparative analysis drawing on study country reports
    • Thematic areas for capacity assessmentsWider context including demand for HPSR+A Nature of organisations Leadership and Resources (staff numbers and Governance skills, funding, infrastructure) Quality assurance for Scope of HPSR+A activities Research & Teaching Research Teaching Networking and GRIPP
    • Capacity needs within each assessment area ...take account of wider context ...generate and use ...lead and govern resources CAPACITY TO... ...ensure quality of ...communicate and HPSR+A work network (research and teaching) ...maintain demand for HPSR+A work
    • Key Findings
    • Nature of organisationsUniversity of Dar Es Salaam (Tanzania)Institute of Development StudiesUniversity of Ghana (Ghana) • All partners areSchool of Public Health units/departments withinDepartment of Health Policy, Planning and Management wider universitiesUniversity of Nigeria Enugu (Nigeria) • All partners are recognisedHealth Policy Research GroupDepartment of Health Administration and Management HPSR+A groups nationally and internationallyGreat Lakes University of Kisumu (Kenya)Tropical Institute of Community Health and Development • With exception of IDS (Tanzania), all are health-University of Cape Town (South Africa) specificHealth Policy and Systems ProgrammeHealth Economics UnitUniversity of the Western Cape (South Africa)School of Public HealthUniversity of Witwatersrand (South Africa)Centre for Health Policy
    • Nature of organisationsLeadership and governance• Vision for HPSR+A mostly exists and relates to wider institutional purpose• Structures and processes to support HPSR+A exist• HPSR+A „champions‟ exist but succession challengesResources• Staff shortages especially senior• Different income patterns including unpredictable external funding• Infrastructural constraints in East/West Africa but not South Africa.
    • Scope of HPSR+A activitiesHPSR+A work• All partners actively engaged in HPSR+A research and teaching• Lack of clarity on identity of HPSR+A compared with clinical sciencesQuality Assurance for HPSR+A• QA exists for both research and teaching – research – most attention on proposal and output and less on process – teaching – clear links with institutional guidelines where existCommunication, Networking, GRIPP• Different GRIPP mechanisms are used in partner institutions• All involved in research networks BUT no HPSR+A teaching networks were found
    • Wider contextDemand for HPSR+A Research & Teaching• Growing (but still limited) demand for HPSR+A research and teaching – organisational funding for teaching is primarily from government – limited domestic funding for research – research priorities may be skewed by reliance on international funding• Few systematic opportunities for researcher-practitioner engagement – lack of coordinated HPSR+A research priorities – limited uptake of evidence by decision-makers
    • Key messages1. Local universities are central to strengthening HPSR+A capacity2. CHEPSAA African partners already have capacity „assets‟ to build upon3. HPSR+A is an international priority and existing activity in Africa – HOWEVER still an emerging field that needs support
    • CHEPSAA capacity strengthening activities• Clarifying / refining vision for HPSR+A• Aligning HPSR+A capacity strengthening within organisational development - strengthening skills for curriculum design and teaching - developing „Young Leaders programme for Africa• Mainstreaming HPSR+A into undergraduate and postgraduate teaching - open access course on „Intro to Health Policy and Systems‟ - advanced course on „Health Policy Analysis‟• Developing a model HPSR+A training curricula with Africa-relevant training content• ...For more information please visit : http://www.hpsa-africa.org/
    • Creative Commons license“Capacity for Health Policy and Systems Research and Analysis in seven African universities” By: Tolib Mirzoev; Gillian Le; Ricky Kalliecharan; Irene Agyepong; Ermin Erasmus; Jane Goudge; Peter Kamuzora; Uta Lehmann; Stephen Okeyo; Don de Savigny; Goran Tomson; Benjamin Uzochukwu; Lucy Gilson is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 2.5 South Africa License. Please see http://creativecommons.org/licenses/by-nc-sa/2.5/za/ for terms and conditions.
    • Thank you !University of Dar Es Salaam University of WitwatersrandInstitute of Development Studies Centre for Health PolicyUniversity of Ghana University of LeedsSchool of Public Health Nuffield Centre for International Health andDepartment of Health Policy, Planning and DevelopmentManagementUniversity of Nigeria Enugu London School of Hygiene andHealth Policy Research Group & the Tropical MedicineDepartment of Health Administration and Health Economics and Systems AnalysisManagement Group, Depart of Global Health & Dev.Great Lakes University of Kisumu Karolinska InstitutetTropical Institute of Community Health and Health Systems and Policy Group,Development Department of Public Health SciencesUniversity of Cape Town Swiss Tropical and Public HealthHealth Policy and Systems Programme, InstituteHealth Economics Unit Health Systems Research GroupUniversity of the Western CapeSchool of Public Health http://www.hpsa-africa.org/