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RESEARCH FOR HEALTH: POLICY AND GOVERNANCE Dr. Luis Gabriel Cuervo www.paho.org/researchportal www.paho.org/portalinvestigacion VI Biennial Meeting of NeTropica Copán Ruinas, Honduras 27 Jul. 2012

Pedro Cahn by Theo Chalmers © PAHO/WHO


Today’s presentation • Acknowledgements • Objectives • Background for the policy on research for health in Latin America • The Regional Policy on Research for Health – Objectives with emphasis on governance and impact

• Tools for better research management • Building successful bridges between users and producers of research www.paho.org/portalinvestigacion It is precisely because we have very limited resources that we need more and better research; we need to choose wisely. It is precisely because we have such limited resources that we need to be organized with our research; we need to make the most of what is available


Objectives / opportunities • Advocate for the regional Policy on Research for Health and invite participants to get actively engaged in its implementation • Inspire champions for good research management • Provide helpful resources for research sponsors and advocates to organize research and use it to its potential in improving people’s health • Open the forum for ideas that can keep NeTropica a lively and helpful network of skilled champions for research for health • Identify partnership opportunities / networking


PAHO/WHO Research Policies and Strategies

WHO launches International Clinical Trial Registry Platform (ICTRP)

MDG’s Established Ministerial Summit on Health Research in Mexico City

2000

2004

2006

2002

2005

Essential Public Health Functions (EPHF) Performance Measurement Results Published

EVIPNet (EvidenceInformed Policy Network)

Health Agenda for the Americas 2008-2017 launched in Panama City

Report: The Americas Contributi on to the Global Ministerial Forum on Research for Health in Bamako, Mali

PAHO Ethics Review Committee (PAHOERC)

2007

2008

2009

2007

2008

2009

EVIPNet Americas

First Latin American Conference on Research and Innovation for Health held in Rio de Janeiro, Brazil

PAHO & COHRED launch Health Research WebAmericas (HRWeb) to facilitate effective management of national health research systems

2010

49th Directing Council approves PAHO’s Policy on Research for Health PAHO Strategic Plan 2008-2012


Healthy people Governance

Health System

Information & Evidence Human resources

Health care delivery

Financial resources Medicines & technologies

Health Research System Adequate structure and regulatory framework

Information, knowledge, comunication

Context Determinants

Well equiped institutions

Clear Policy on Research for Health Capable workforce

WHO / PAHO

WHO Strategy on Research for Health

Sufficient financial resources

Policy on Research for Health

Strategy and Plan of action on innovation and intellectual property rights

Authorities and other stakeholders. Photos courtesy of Jane Dempster, Art for Research project (www.paho.org/portalinvestigacion) Grรกphic concept by the Research Promotion & Development team of PAHO


Main Policy objectives

• • • • • •

Quality Governance Human Resources Partnership Standards Impact


Governance Strengthen research governance and promote the definition of research agendas


Quality

Promote the generation of ethical, relevant, and quality research


Human Resources

Improve competencies and support for human resources involved in research


Partnership Seek efficiencies and enhanced impact and appropriation of research through effective and strategic alliances, collaboration, and the building of public trust and engagement in research


Standards

Foster best practices and enhanced standards for research.


Impact

Promote the dissemination and utilization of research findings.


Governance Strengthen research governance and promote the definition of research agendas

Pan American Health Organization 2011


Governance

To strengthen research governance and promote the definition of research agendas

Pan American Health Organization 2011


Descriptors of NHRS and key policy documents

Pan American Health Organization 2011


E.g.: Ethics review (ERC/IRB/Commissions)

(58 CAM; >1100 AmĂŠricas)


HRWeb:

A Web site developed collaboratively by a community of users, allowing any user to add and edit content


Governance: clinical trials What is a clinical trial? • For the purposes of registration, a clinical trial is any research study that prospectively assigns human participants or groups of humans to one or more healthrelated interventions to evaluate the effects on health outcomes. What is trial registration? • WHO regards trial registration as the publication of an internationally-agreed set of information about the design, conduct and administration of clinical trials. These details are published on a publicly-accessible website managed by a registry conforming to WHO standards.


Pan American Health Organization 2011


Tools for research governance Central America y DOR (22 Jul 2012): 449 registries 111 recruiting, 44 in kids;


Pan American Health Organization 2011


Impact

to promote the dissemination and utilization of research findings


PAHO KT Platforms

EVIPNet Advanced EVIPNet Early Other TC

Pan American Health Organization 2011


Presentación “Policy Brief” Agua y Saneamiento 2011

Pan American Health Organization 2011


Pan American Health Organization 2011


Systems approach to research policy implementation Policy Objectives

Quality Governance Human resources Partnerships Standards Impact

NHRS: building blocks Information, knowledge and communication Clear national policy for research for health Quality human resources Solid structure and regulatory framework Well equiped institutions

Adequate financial resources

Interventions Communication Policies and strategies Tools and indicators Resources


Wrapping up Demonstrations • Health research web • ICTRP • Evidence Portal • Equator collection • Webinars


Wrapping up Demonstrations • Health research web • ICTRP • Evidence Portal • Equator collection • Webinars

Ideas for NeTropica • Bringing the Policy closer to researchers – – – – –

Standards/Quality Capacity development Access to tools Governance Projection of research findings and capacities


Networking and partnerships Garner C. Harris R. Beyond aid: networks and partnerships as tools to accelerate global health equity and development. Background Paper theme 2. Forum 2012.

What makes a good partnership • • • •

Clearly articulated objectives Clear implementation strategy Effective and scalable technologies Source of sufficient finance (resources)


RESEARCH FOR HEALTH: POLICY AND GOVERNANCE Dr. Luis Gabriel Cuervo www.paho.org/researchportal www.paho.org/portalinvestigacion

July 2012 – Copán Ruinas, HONDURAS

Rodolfo Llinás by Theo Chalmers © PAHO/WHO


20120727_LGCuervo_OPS-NeTropica Web