Knowledge Translation CurriculumKnowledge Translation CurriculumKnowledge Translation CurriculumKnowledge Translation CurriculumModule 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 ProcessThe Ideal, Interpretive PS Process

PS CriteriaPS 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 ChecklistPS 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

CombinedApproach

Matrix

CombinedApproach

Matrix

Equity

Pu

blic

Healt

h

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 Matrix3D Combined Approach Matrix

Technical expertsdefine context, definitions,

process parameters (by email).

Research Options experts create list of priority

options from health policy and systems research; research on

existing interventions; research on new interventions.

Scoring Optionsexperts score each option

against 5 established criteria of answerability; efficacy and

effectiveness; deliverability and affordability; potential for disease burden reduction;

equity.

Stakeholder consultationLRG 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)Child Health and Nutrition Research Initiative (CHNRI)

Situation analysismap 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 scenedetermine focus and scope: PS

to address diseases, health system, etc; timeframe; level.

Ethical standards defined. Engage partners.

Choose PS Methoduse PS methods best suited to

context. Consider using multiple methods. Adapt methods to

context.

PS Exerciseimplement management

framework; monitor process; evaluate outputs and outcomes; publicize; allow appeals; revise.

Implement prioritiesdetermine strategies to smooth

integrated priorities into national agenda; monitor and

evaluate; detemine time to review priorities

Managementdevelop a management

framework to specify: methods; expected outputs;

responsibilities; timelines, M&E etc.

The Council on Health Research for Development (COHRED)

The Council on Health Research for Development (COHRED)