doris duke charitable foundation african health initiative
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Doris Duke Charitable Foundation African Health Initiative. Doris Duke Charitable Foundation’s Mission. Improving the quality of people\'s lives through: The performing arts Environmental conservation Medical research The prevention of child maltreatment

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doris duke charitable foundation s mission
Doris Duke Charitable Foundation’s Mission

Improving the quality of people\'s lives through:

  • The performing arts
  • Environmental conservation
  • Medical research
  • The prevention of child maltreatment
  • Preservation of the cultural and environmental legacy of Doris Duke\'s properties
challenge from foundation s board
Challenge from Foundation’s Board
  • Ideas for new grantmaking initiatives
    • fit within foundation’s general grant making programs, but be “new and catalytic”
  • In 2007, two $100 million initiatives were launched.
    • Environment Program - Climate Change Initiative
    • Medical Research Program - African Health Initiative
african health initiative
African Health Initiative

Goal:To help catalyze a shift from the current focus on single disease programs, to an emphasis on strengthening health systemsthat are able to deliver integrated primary care to underserved populations

Specific Aims:

  • Increase the knowledge required for evidence-based health systems planning
  • Achieve significant, measurable health improvements in up to 6 communities/districts in sub-Saharan Africa
  • Strengthen health systems in those regions in a manner that enables local and national governments to sustain those improvements
  • Fund up to 6 Population Health Implementation and Training (PHIT) Partnerships
  • $8 to $16 million each to support:
    • Delivery of integrated primary health care to populations of >250,000
    • Strengthening of regional health systems
    • Implementation research to measure what works
implementation research
Implementation Research
  • Each PHIT Partnership is expected to design an implementation research plan that includes:
    • Program evaluation
    • Economic evaluation and;
    • Monitoring and operations research.
  • Implementation Research Framework - developed by the Institute of Health Metrics and Evaluation provides a starting point for applicants.
phit partnership selection process
PHIT Partnership Selection Process

September 2007

Call for Letters of Interest

February 2008

29 teams invited to submit planning grant proposals

October 2008

Awarded 6 month Planning Grants to 11 teams

June 2009

Award PHIT Implementation Grants to up to 6 teams

the challenge translating evidence to policy
The Challenge: Translating Evidence to Policy
  • What information is needed?
    • Within the original country
    • Before transfer to another country
  • How to evaluate conflicting evidence?
  • What happens when evidence conflicts with current accepted practice?
the role of science academies
The role of science academies
  • Sifting all evidence
  • Analyzing the reasons for disparate results
  • Looking at context—can one country’s success be transferred across borders?
  • Challenging projects like this one to produce evidence of maximum utility