Presentation on theme: "Framework for Operations and Implementation Research in Health"— Presentation transcript:
1 Framework for Operations and Implementation Research in Health
2 Purpose of the Framework The purpose of this document is to serve as a primary reference for people who plan and carry out operations research (OR) in order to improve the implementation and management of disease control and other health programsThe overall approach is that of a framework that helps researchers and program managers identify the steps neededto set a research question and then work through the steps of research design, implementation, management and reporting,ultimately leading to the use of the findings to improve health policies and programs in order to attain the desired impact.
3 Framework Methodology Review of existing guidelines, handbooks, case studies and grant proposalsSite visits to countries that have incorporated OR into an overall proposal for disease controlConsultative meeting with experienced people from partners and the field
4 Framework ComponentsConcepts and BackgroundFramework Flow ChartToolkit and ReferencesAnnexes
5 Added ValueThe added value of this document is to produce the analysis of practical OR experiences in the field, and based on the analysis of these evidences to create a one-stop shop document whichidentifies good practicesidentifies ‘typical’ (i.e. common) weaknessesprovides practically usable step-by-step description of the entire OR process from A to Z, anddemonstrates what kind of practical applications (e.g. linking OR to improvement of quality and quantity of services) OR might have
7 Terminology of OR-IRThe terminology for such research may vary by setting and sponsor, but the intent of OR and this framework is to learn about management, administrative, cultural, social, behavioral, economic and other factors that either exist as bottlenecks to effective implementation or could be tested to drive insights into new, more effective approaches to programmingBy its very nature, this research is usually specific to the environment in which the program operates, although there are multi-country research projects that address a problem common to several countries in a region.
8 Scope of Operational Research Any research producing practically usable knowledge (evidence, findings, information, etc) which can improve program implementation (e.g., effectiveness, efficiency, quality, access, scale-up, sustainability) regardless of the type of research (design, methodology, approach) falls within the boundaries of operational research.
9 OR/IR can accomplish the following: Identify and solve program problems in a timely mannerHelp policy-makers and program managers make evidence-based program decisionsImprove program quality and performance using scientifically valid methodsHelp program managers and staff understand how their programs work
10 Examples from the Field Nicaragua: Examining the Effectiveness of Testing and Treatment Programs for MalariaZimbabwe: Identifying Gaps in HIV Prevention among Orphans and Young People in Hwange DistrictThe Gambia: Testing Effectiveness of ACTs to Treat MalariaMekong Region: Improving Malaria Control Among Vulnerable PopulationsCambodia: Treating Tuberculosis in the Private Sector
12 Phases of the Processes PlanningImplementationFollow Through
13 Flow Chart Components: Planning Organize the research group and advisory committeeDetermine issues or problems to study and frame research questions around theseDevelop a research proposal to answer OR/IR questionsObtain ethical clearanceIdentify funding sources and obtain support for OR/IREstablish a budget and financial management proceduresPlan for capacity building and technical support
14 Flow Chart – Implementation Monitor project implementation and maintain qualityPre-test all research proceduresEstablish and maintain data management and quality controlExplore together with stakeholders interpretations and recommendations arising from the research findings
15 Flow Chart – Follow Through Develop a dissemination planDisseminate results and recommendationsDocument changes in policy and/or guidelines that resulted from the researchMonitor changes in the revised programConsider ways of improving the program that can be tested through further research
16 SECTION C – CASE STUDIES, TOOLKITS and RESOURCES
17 Case Study: Nicaragua Example Example of Research QuestionStudy on the acceptation and impact of impregnated mosquito nets in P. falciparum transmission areasThose responsible for the IR/OR work are also responsible for implementing control actions and to a large extent, national policiesNeed for key competencies for data collection preparation, data cleaning and entry and analysis was not fully appreciated during the planning phasePAHO, WHO and others should play a very proactive role to provide support
21 List of AnnexesAnnex ADefinitions of Operations and Implementation ResearchAnnex BExamples of Organizations that Fund/Support Operations ResearchAnnex CLiterature Review Procedures and Relevant JournalsAnnex DSample Consent Forms and Independent Review Board ChecklistsAnnex ELinkage between Researchers and Public Health
22 ConclusionOR-IR provides tools to identify new directions in health programming and to conquer implementation bottlenecksOR-IR strengthens our public health effortsThank you for attending, and please access and use the OR-IR Framework at –