Here are slides for a lecture for the DOH RO7 1st Research Congress, pitching ideas on why one should do research, what research topic, who to ask for help and where to look for resources... In the end, it's all about just DOH-ing it!

1. DEVELOPING RESEARCH PROGRAM
FOR WOMEN’S HEALTH
HELEN V. MADAMBA, MD MPH-TM FPOGS FPIDSOG
Medical Specialist III, Vicente Sotto Memorial Medical Center
Department of Health Regional Office 7 - 1st Research Congress
August 17, 2017

2. WHY DO RESEARCH?
The chief purpose or reason for
conducting research is to find answers to
meaningful questions or problems by
means of the scientific method.
Salustiano RP. 2009. Introduction to Research in the Health Sciences, Teaching & Learning Research Made Easy

3. SCOPE OF HEALTH
SERVICES RESEARCH
Health care implies not only the care of
the acutely and chronically ill, but also
rehabilitation, case finding, health
maintenance, prevention of disease and
disability and health education.
Crombie IK, Davies HTO. 1996. Research in Health Care: Design, Conduct and Interpretation of Health Services Research.

4. SCOPE OF HEALTH
SERVICES RESEARCH
Health services research addresses the
issues of the knowledge, attitudes and
beliefs and motivations of health care
professionals, and how these might be
changed to improve care.
Crombie IK, Davies HTO. 1996. Research in Health Care: Design, Conduct and Interpretation of Health Services Research.

5. SCOPE OF HEALTH SERVICES RESEARCH
The tasks of the health
service are to meet the
health needs of the
individual and the
community:
• Promote health
• Diagnose and treat disease
• Provide care
Crombie IK, Davies HTO. 1996. Research in Health Care: Design, Conduct and Interpretation of Health Services Research.

6. HAVING THE IDEA
There are a number of strategies that can
help foster research ideas:
• Review existing practice
• Challenge accepted ideas
• Investigate geographical variation
• Identify Cinderella topics
• Let loose the imagination
Crombie IK, Davies HTO. 1996. Research in Health Care: Design, Conduct and Interpretation of Health Services Research.

7. WHY HEALTH SERVICES RESEARCH IS DIFFICULT
• Dealing with people
• Threat
• Measuring outcome
• Time constraints
• Lack of control
• Ethics
• Involving other disciplines
• An educational straightjacket
Crombie IK, Davies HTO. 1996. Research in Health Care: Design, Conduct and Interpretation of Health Services Research.

8. WHY WOMEN’S HEALTH?
“Ang ina ay ilaw ng tahanan…”

9. CRITERIA FOR SELECTION OF THE RESEARCH PROBLEM
1. Problem criteria
2. Researcher criteria
3. Researcher support
4. Ethical considerations

10. NUHRA
2011-2016

11. 2017 CENTRAL VISAYAS CONSORTIUM
FOR HEALTH RESEARCH AND DEVELOPMENT

12. MATERNAL MORTALITIES AS
INDICATOR OF HEALTH SERVICE DELIVERY
7 7
9
17
14
13
0
2
4
6
8
10
12
14
16
18
JAN FEB MAR APR MAY JUN
2017 MATERNAL MORTALITIES
PROBLEM CRITERIA

13. PREGNANT AND NEWBORN
• High risk pregnancies
• Preterm Birth
• Congenital anomalies
• Postpartum depression and mental illness
• Family planning
• Breastfeeding and Infant Feeding
• Immunization for Filipino women
PROBLEM CRITERIA

14. ADOLESCENT GIRLS
• Pediatric gynecology
• Adolescent health
• Menstrual disorders
• Puberty and endocrine disorders
• Teenage pregnancy and STI/HIV
• Domestic violence and child abuse
PROBLEM CRITERIA

15. REPRODUCTIVE AGE
• Wellness and screening
• Sexual and Reproductive Health and Rights
• Family and community medicine
• Gynecologic oncology and trophoblastic
diseases
• Reproductive endocrinology and infertility
• Infectious diseases
PROBLEM CRITERIA

16. MENOPAUSE
• Aging and menopause
• Geriatric health care
• Cancer screening
• Nutrition
• Bone health
• Non-communicable diseases
PROBLEM CRITERIA

17. WHAT DO WE RESEARCH ABOUT?
EXAMPLE: Prevention of Mother to
Child Transmission of HIV Infection
• During pregnancy
• During delivery
• After delivery
• Interim
• Stigma
• Discrimination
• Healthy lifestyle
• OI prevention
• Quality of life
• Mental health
• Family support

18. SPECIALISTS IN WOMEN’S HEALTH
RESEARCHER CRITERIA

19. Dr. Kristina Dosdos
Maternal Fetal Medicine
Dr. Adonis Blateria
Minimally Invasive Surgery

20. Dr. Mona Ethellin Yiu
Reproductive Endocrinology
and Infertility
Dr. Helen Amorin
Gynecologic Oncology

21. Dr. Melissa Dublin
Ultrasound
Dr. Mary Beth Delos Santos
Family Planning, BEmONC

22. EXAMPLE: Prevention of Mother to
Child Transmission of HIV Infection
• OBGYN Infectious Disease
Specialist
• OBGYN Coordinator for VSMMC
HIV/AIDS Core Team
• HIV/AIDS advocate
• Author of researches on HIV
• Speaker on HIV Forums

23. RESEARCHER SUPPORT
May be in the form of
administrative assistance,
facilities and equipment, and
financing  feasibility

24. EXAMPLE: Prevention of Mother to
Child Transmission of HIV Infection

25. ETHICAL CONSIDERATIONS
The primary ethical consideration in research
is the subject’s safety and well-being.

26. EXAMPLE: Prevention of Mother to
Child Transmission of HIV Infection
• PLHIV are considered
vulnerable population.
• Cebu City has 7.7% HIV
prevalence among MSMs
• Region 7 is #3 outside of NCR

27. SUMMARY
1. Know why you need to
do research.
2. Know what research
needs to be done.
3. Find out who can
mentor you with
research.
4. Find out what resources
are at your disposal.
5. Explore funding
opportunities.
6. Just DOH it!

28. #HealthXPH tweetchat
Healthcare Conversations on Twitter
Saturdays 9:00 p.m. to 10:00 p.m.
@helenvmadamba
Helen V. Madamba
https://www.facebook.com/helenvmadamba
Sleepless in Cebu
http://helenvmadamba.blogspot.com
These slides are available on
http://www.slideshare.net/HelenMadamba

29. DEVELOPING RESEARCH PROGRAM
FOR WOMEN’S HEALTH
HELEN V. MADAMBA, MD MPH-TM FPOGS FPIDSOG
MEDICAL SPECIALIST III, VICENTE SOTTO MEMORIAL MEDICAL CENTER
DEPARTMENT OF HEALTH REGIONAL OFFICE 7 - 1ST RESEARCH CONGRESS
AUGUST 17, 2017