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National Health Research Systems and Science Academies. Carel IJsselmuiden Annual Meeting of the African Science Academy Development Initiative (ASADI) London, 4-5 November 2008. Health Research Systems. Health Systems – deliver health care

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national health research systems and science academies

National Health Research SystemsandScience Academies

Carel IJsselmuiden

Annual Meeting of the African Science Academy Development Initiative (ASADI)

London, 4-5 November 2008

health research systems
Health Research Systems
  • Health Systems – deliver health care
  • Health Systems Research – research to improve the efficiency of health systems
  • Health Research Systems – deliver and use research aimed at improving health
  • National Health Research Systems (NHRS) – deliver excellent health research that is ethically conducted and relevant to national health, equity and development priorities
slide3

Findings:

  • “10/90 Gap”
  • Recommendations:
  • ENHR
  • Global Funding
  • Partnerships
  • Global Platform
  • Follow up:
  • NHRS
  • &
  • Research for
  • Health

1990

Available from: www.cohred.org

cohred
COHRED
  • international NGO with offices in Geneva
    • ‘decentralising’: Sousse, Mexico, Tashkent …
  • ‘southern alliance with key northern partners’
    • board membership is 2/3 from LMICs
    • strong links to Africa
    • (link to ASADI)
  • funding
    • ‘core’: Ireland, Switzerland, Canada (IDRC)
    • ‘project’: Netherlands, Wellcome Trust, Canada, Brazil, EDCTP, Sida, in preparation – South Africa, Tunisia, NEPAD
    • partnerships
nhrs a functional definition
NHRS – a functional definition
  • Governance & management

legislation and policies; national research governance; research prioritisation; ethical review; monitoring and evaluation; financial management;

  • Financing

secure, stable research funding; allocation according to priorities – allowing ‘blue sky’; accountability; alignment of foreign funding; ‘overheads’;

  • Capacity building

demand, commission, manage, partner, conduct, communicate and use research; at individual, institutional and system levels; institution building; building systems – not just projects

  • Knowledge generation, translation

conducting high quality research, publishing the findings… the ‘research process’

  • Knowledge utilisation

ensuring that research informs health policy, health practice, and public opinion; use of research to develop drugs, vaccines, devices and systems to improve health care delivery, and health – equity – development in general

Source: IOC 2000, Pang et al 2004, Kennedy et al 2007

research for health
research for health

Health System

Human & Social

Development

Health

Health

Research

Economic

Development

relationships between governance structures policy and priorities for health research n 38
Relationships between governance structures, policy and priorities for health research (n=38)

2

6

0

11

0

0

3

16 countries had no formal governance or policy framework for health research

Governance: 11 General Research Council; 4 Health Research Council; 4 Mixed Governance

governance management of shanghai hrs
Governance & Management of Shanghai HRS

The State Council

MST

NPFPC

CAS

MOH

MOE

Shanghai

subsection

SMSTC

SMHB

SMPFPC

SMEC

Independent

Research

Institutions

Shanghai Academy

of Life Science

Institute of

Biological

products

Hospitals

Medical

Universities

Source: Chen 2007

slide15
EMRO 10-country studies
    • Now extended
    • West Africa request
research capacity strengthening
Research capacity strengthening
  • Capacity to - demand, commission, manage, partner, conduct, communicate and use research;
  • Involving all actors - practitioners, policy makers, health programme/system managers, civil society, media & the public - as well as researchers
research to action 2
research to action (2)
  • research communication

policy makers & implementers

researchers

media

  • users / community
  • health services
  • organised civil society
  • general

donors / research sponsors

working both ways
working both ways
  • policy advice to donors & research sponsors
slide21
RVP
  • responsible vertical programming
asadi and cohred
ASADI and COHRED ?
  • tools, methods, approaches are available
  • added value in joint work or applications
  • link to ‘south’, link to health, link to systems
  • find new partners, use HRWeb
  • synergy
  • multi-access strategy
  • ‘Research for Health’ partnership
  • support relevant advocacy – RVP , AHA
  • HRWeb development