1. Andy Ramsay (ramsaya@who.int)
Overview of TDR
February 2014
Andy Ramsay

2. PHCPI
The Primary Health Care Performance Initiative (PHCPI), proposes to act as a catalyst to mobilize low and middle income countries, as well as the community of donors and international organizations, to focus their health system strengthening efforts on delivering measurable progress in primary health care systems. It aims to explain the gap between aspiration and performance in PHC systems across the world. Then it can identify the causes of that gap and a menu of possible solutions to address these gaps.

3. The three questions……
What is happening in our public health programme? Is it what we want? Why is it happening like this?

4. “Our country is data rich but information poor”
Minister of Health, Fiji

5. Public health programmes often not doing simple research that could improve performance and public health Professional researchers linking with public health programmes (and data) but research questions those of researchers

6. Global Research Capacity Gaps – Researchers per million inhabitants / Country

7. Structured Operational Research and Training Initiative
Aims to help countries to:
Conduct operational research (OR) in accordance with their own priorities
Develop adequate and sustainable OR capacity in public health programmes; and
Make evidence-informed improvements in public health programmes

8. SORT IT Programmes have 8 phases: 1
SORT IT Programmes have 8 phases: 1. Research prioritization and planning for capacity building 2. OR and training (protocol development to paper writing) 3. Dissemination 4. Research to policy briefs 5. Policy briefs to dialogues 6. Consolidation of gains made 7. Leadership development 8. Assessment

9. SORT IT Programmes have 8 phases: 1
SORT IT Programmes have 8 phases: 1. Research prioritization and planning for capacity building 2. OR and training (protocol development to paper writing) 3. Dissemination 4. Research to policy briefs 5. Policy briefs to dialogues 6. Consolidation of gains made 7. Leadership development 8. Assessment

10. SORT IT Programmes have 8 phases: 1
SORT IT Programmes have 8 phases: 1. Research prioritization and planning for capacity building 2. OR and training (protocol development to paper writing) 3. Dissemination 4. Research to policy briefs 5. Policy briefs to dialogues 6. Consolidation of gains made 7. Leadership development 8. Assessment

11. SORT IT Programmes have 8 phases: 1
SORT IT Programmes have 8 phases: 1. Research prioritization and planning for capacity building 2. OR and training (protocol development to paper writing) 3. Dissemination 4. Research to policy briefs 5. Policy briefs to dialogues 6. Consolidation of gains made 7. Leadership development 8. Assessment

12. SORT IT Phase 2 Workshop 1: [5 days] Research Protocol
Data and analysis
milestone 1
milestone 2
milestone 3
Workshop 3: [5 days] The Paper
milestone 4

13. Total SORT IT OR training phases/courses) started: 37
Participants enrolled:
Countries:
Completed OR training phases/courses:
Participants enrolled on completed phases 305
Successful participants: (91%)
SORT IT papers submitted:
SORT IT papers accepted or published (7/3/16) 248 (91%)
Published papers assessed for influence on P&P: 170
Self-reported influence on policy and practice: 110 (65%)
Participants 2015 SORT IT 1-day skills training: 181

14. SORT IT Operational Research Project Sites (2009 – 2016)
TOTAL: 421 participants, 82 project countries
Europe
2 Moldova
2 Armenia
1 Georgia
1 Azerbaijan
14 Ukraine
1 Denmark
1 Estonia
2 Italy
2 Latvia
1 Switzerland
3 Belarus
Asia
1 Singapore
6 China
72 India
3 Vietnam
8 Bangladesh
1 Mongolia
7 Pakistan
4 Cambodia
5 Afghanistan
19 Myanmar
6 Nepal
2 Kazakhstan
8 Bhutan
1 Turkmenistan
5 Sri Lanka
2 Kyrgyzstan
4 Uzbekistan
1 Timor Leste
3 Tajikistan
1 Indonesia
1 Malaysia
South Pacific
3 New Caledonia
1 Cook Islands
2 Tonga
3 Marshall Islands
3 Federated States of Micronesia
2 Solomon Islands
2 Vanuata
25 Fiji
1 American Somoa
1 Somoa
1 Guam
4 Kiribati
2 Palau
South America
5 Brazil
2 Peru
2 Mexico
1 El Salvador
1 Colombia
1 Dominican Republic
1 Guatemala
1 Honduras
1 Haiti
Africa
6 Burundi
3 Botswana
1 Madagascar
1 Lesotho
26 Kenya
7 Swaziland
9 South Africa
4 Democratic Republic of the Congo
8 Ethiopia
4 Sudan
13 Malawi
3 Mozambique
11 Zimbabwe
3 Nigeria
1 Benin
2 Somalia
2 Somaliland
17 Sierra Leone
5 Rwanda
10 Liberia
5 Uganda
3 Guinea
2 Ghana
1 Ivory Coast
2 Tanzania
1 Zambia
3 Namibia
1 Mauritania
Multi-Country
1 Africa/ Asia

15. Outputs from the first 8 trainings
88 papers assessed for policy and practice (74%) made a difference
Change in programme implementation N=27
Adaptation of monitoring tools N=24
Change in existing guidelines N=20
Some papers had more than one effect on policy and practice
* Data are self-reported through a questionnaire
Zachariah et al, TMIH 2014; 19:

16. Beyond the training…. Participants returning questionnaire 76
Completed research projects after the course
47 (62%)
Published papers after the course
38 (50%)
Facilitated at further operational research courses
33 (43%)
*Data are self-reported through a questionnaire
83 successful participants completed the course: 76 (92%) returned questionnaire

17. Kenya
Leads: Dr Rose J. Kosgei, Dept of Obstetrics and Gynaecology, University of Nairobi. Dr Joseph. K. Sitienei, Head, Division of Disease Control, Ministry of Health, Kenya

18. 19/11/2018

19. SORT IT Programmes have 8 phases: 1
SORT IT Programmes have 8 phases: 1. Research prioritization and planning for capacity building 2. OR and training (protocol development to paper writing) 3. Dissemination 4. Research to policy briefs 5. Policy briefs to dialogues 6. Consolidation of gains made 7. Leadership development 8. Assessment

20. Country/sub-region RO
Phase 1
Phase 2
Phase 3
Phase 4
Phase 5
Phase 6
Phase 7
E. Europe
EURO X
C. Asia
Latin America and Caribbean
PAHO
Southern Africa
AFRO  X
Myanmar
SEARO
Peru
Pakistan
EMRO
Ukraine
Kenya
Sierra Leone
Liberia
Guinea
Colombia
Suriname

21. Thank-you