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