Knowledge Translation Curriculum Module 3: Priority Setting Lesson 2 - Interpretive Priority Setting Processes

Planning the Process Stakeholder Analysis Knowledge Management Interpretive Workshops Research Questions Publicization and Validation Revision or Appeal Mechanism The Ideal, Interpretive PS Process

PS Criteria magnitude, relevance, urgency, expected impact answerability applicability, deliverability, affordability, sustainability maximum potential to reduce BOD equitably originality research capacity and feasibility policy relevance

PS Checklist context: which factors underpin the process? approach: comprehensive? appropriate? inclusivity: suffificient representation? information: is it inclusive? accessible? planning: how will priorities be enforced? criteria: how will they be determined? methods: how to decide among priorities? evaluation: of the process and the priorities transparency: disseminating process variables etc

1. Individual, household and community 2. The health sector 3. Sectors other than health 4. Governance 1. Magnitude of the health problem 2. Determinants 3. Available evidence 4. Cost effectiveness 5. Resource Flows Measure the magnitude (e.g. using summary measures like DALY) Assess present knowledge base to evaluate applicability of solutions Calculate present level of research investment on the problem review of evidence relevant to interventions targeting problem structures, institutions at national, international level that may increase/decrease the burden of disease assess role of all other actors related to the problem Assess against other possible, available interventions Analyse factors responsible for problem’s persistence assess contribution of key health actors to control of problem public health dimensions institutional dimensions Combined Approach Matrix Combined Approach Matrix

Equity Public Health Institutional Individual, household, community Health sector Other Sectors Governance 1. Magnitude of the health problem 2. Determinants 3. Available evidence 4. Cost effectiveness 5. Resource Flows Gender Poverty Other 3D Combined Approach Matrix

Technical experts define context, definitions, process parameters (by ). Research Options experts create list of priority options from health policy and systems research; research on existing interventions; research on new interventions. Scoring Options experts score each option against 5 established criteria of answerability; efficacy and effectiveness; deliverability and affordability; potential for disease burden reduction; equity. Stakeholder consultation LRG determines weights for criteria, ranking them from 1-5. Weights applied to options into final ranked priority list. PBMA “value” of each priority option balanced by proposed cost; this list disseminated to the public for review, appeal, finalization; experts advocate for option implementation. Child Health and Nutrition Research Initiative (CHNRI)

Situation analysis map available data on research governance, management; profile current production, capacity and use of research; assess performance of health research sector; identify PS stakeholders Set the scene determine focus and scope: PS to address diseases, health system, etc; timeframe; level. Ethical standards defined. Engage partners. Choose PS Method use PS methods best suited to context. Consider using multiple methods. Adapt methods to context. PS Exercise implement management framework; monitor process; evaluate outputs and outcomes; publicize; allow appeals; revise. Implement priorities determine strategies to smooth integrated priorities into national agenda; monitor and evaluate; detemine time to review priorities Management develop a management framework to specify: methods; expected outputs; responsibilities; timelines, M&E etc. The Council on Health Research for Development (COHRED)