NATIONAL HEALTH PROMOTION CONFERENCE 2011, Cititel, Mid Valley, K. Lumpur, 10-11 October 2011. “Translating Research into Health Practices”. Dr. Sulaiman Che Rus, Public Health Physician (Epidemiology); Hjh. Zawaha Idris, Health Education Officer,
into Health Practices”
Dr. Sulaiman Che Rus, Public Health Physician (Epidemiology);
Hjh. Zawaha Idris, Health Education Officer,
Institute for Health Behavioural Research (IPTK),
Ministry of Health, Malaysia.
Early pioneer in development of scientific method
"Research holding the torch of knowledge"
“the search for knowledge, or as any systematic investigation, to establish novel facts, solve new or existing problems, prove new ideas, or develop new theories, usually using a scientific method.”
(Martin Shuttleworth 2008)
“Any gathering of data, information and facts for the advancement of knowledge.”
Includes everything that is used to determine or demonstrate the truth of an assertion.
Accumulated through observations of phenomena that occur in the natural world, or which are created as experiments in al laboratory or other controlled conditions.
- Spread from Evidence-based Medicine (EBM):
- First coined by Guyatt, 1992.
- “the conscientious, explicit and judicious us of the current best evidence in making decisions about the care of individual patients”.
- Concern relationship between research evidence, practice and policy.
Evidence-based policy and practice has grown in interest.
Recent studies suggest that there is both the potential to negotiate and communicate the research findings.
Most problematic is the gulf between those who commission the research and those who conduct it, and the suppose ultimate beneficiares.
“A dynamic and interactive process that includes the synthesis, dissemination, exchange and ethically sound application of knowledge to improve health, provide more effective health services and products and strengthen the health care system.”
“A set of decisions to pursue courses of action aimed at achieving defined goals for improving the health situation”.
“Plans or statements issued by authority that are designed to direct decisions or actions”.
(East-West Center, 2010)
“Plans or statements directing how various health and population interventions should be delivered (e.g. Hypertension protocol).
“Plans or statements from legislative or executive authorities related to the organization of systems (e.g., Health), the actors involved, or the generation and use of resources.”
“Individuals who have the power to make laws, set policies, affect regulations and practices, or allocate resources”.
East-West Center, 2010
POLICYMAKERS IN MINISTRY OF HEALTH
Cabinet (Prime Minister)
Post-Cabinet (Minister of Health)
Mesyuarat Pagi (KSU)
JDPKK (KSU & KPK)
JK Teknikal (KPK)
PROBLEMS OF TRANSLATINGRESEARCH TO POLICIES
- Many researchers were skeptical about the extent to which research findings were adopted.
- Policy makers and managers were themselves skeptical about the about the usefulness of research findings.
(Tan Sri Ismail Merican, 2006)
Case Studies of
Research Uptake By IPTK
- Microbial contamination of foods & utensils.
- Personal hygiene of food handlers.
- Food premise inspections.
Varying degrees (90 – 10%) of microbial contaminations of food, water, utensils & food handlers.
Unsatisfactory hygiene status of more than 60% among the school canteens.
50% of Food Handlers had poor KAP scores .
The importance of food safety and hygiene highlighted.
Decisions of JKN & MOE:
Food handlers need medical examinations & certifications.
Compulsory attendance by food handlers on trainings of food handlings health education.
6th National Health Conference, USM, Kelantan, 2009.
JKN Kelantan, BahagianKualitiMakanan & BahagianKawalanPenyakit, KKM, 2008.
Male trainees - higher high risk behaviours related to smoking, alcohol, drug abuse and sex.
Female trainees - higher prevalence of incomplete meals and lower stress coping skills.
Adequate physical activity among all trainees was unsatisfactory.
An integrated & comprehensive health promotion & prevention program for secondary schools to address identified problems:
Cigarette, drug and substance abuse especially among male students.
Promotion of physical activity & enhancement of related physical facilities in the schools and community.
Promotion of healthy eating.
Introduction of sexual health education.
Mental health especially on stress coping skills.
Actions: Family Health Development Division, MOH has incorporated the findings for the development of health education materials for adolescents.
Innovative, client centred and risk communication approaches need to be utilised for individual and community empowerment for the control of dengue:
- The issue of field leadership need to be resolved. Location of Aedesbeeding sites in outbreaks by PKA to be supervised.
- Team Work Needed:
- Strengthen research capability & capacity;
- improve dissemination of research for different audience;
- strengthen networking.
“It is not enough to be busy. The question is: what are we busy about?”
Henry David Thoreas
Crewe E, Young J. Bridging Research and Policy: Context, Evidence and Links. London: Overseas Development Institute, September 2002.
Exchange. Communicating health research: How should evidence affect policy and practice. Number 5, April 2005. Access at http//www.healthcomms.org.
Haines A, Kuruvilla S, Borchert M. Bridging the implementation gap between knowledge and action for health.
Hj. Nordin Saleh. Getting Research into Policy and Practice and Policy Making Process. Lectures, 30 May 2011.
Last JM. A Dictionary of Public Health. New York: Oxford University Press, 2007.
Shuttleworth, Martyn (2008).”Definition of Research”. Experiment Resources. Experiment-Research.com. Retrieved 14 August 2011.
Tan Sri Dato Seri Dr. Hj. Mohd. Ismail Merican. Getting Research into Policy and Practice. 9th NIH Scientific Meeting, 18 September 2006.
Tan Sri Dato Seri Dr. Hj. Mohd. Ismail Merican. Translating Research into Practice and Policy. 6th National Pharmacy Research and Development Conference 2010.
Wikipedia. Research. Accessed at http//www.wikipedia/research. Retrieved 5 September 2011