torg modul 2 170110 simon

8/16/2019 TORG Modul 2 170110 Simon

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Module 2.

Introduction to

Health System Research

(highlights and updates)


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Session structure …What do we mean by health system

research?

Why do we need more health system

research? How to boost effectiveness of a health

system research?


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Part 1.

What do we mean by healthsystem research?


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Breaking down the question

What do we mean by health system?What do we mean by research?

What do we mean by

health system research?


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Health system (WH 2!!!"

Stewardship

Financing

Resourcescreation

Serviceprovision

Responsiveness

Financialfairness

Healthstatus


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#ramework $or action

(WH 2!!%"


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&nterconnectedness o$ healthsystem 'uilding 'locks (WH2!!"


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Sistim )esehatanSistim )esehatan

*asional (S)*"*asional (S)*"

SKNSKN

11

55

33

44

66

Subsistem UpayaKesehatan

SubsistemPembiayaanKesehatan22

Subsistem SumberDaya Kesehatan

Subsistem sediaanfarmasi, alkes, dan

makanan

SubsistemManajemen dan

InformasiKesehatan

Subsistem

PemberdayaanMasyarakat

8


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What is research+

The systematic collection,analysis and interpretation of

data to answer a certain

uestion or solve a problem


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,haracteristics o$ research !emands a clear problem statement

Reuires clear ob"ectives and plan

#uilds on e$isting data

Reuires systematic collection and analysisof new data


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%perational research

Health services research

%perations research

&ction research

Implementation research

Health system research+


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-erational esearch (WH 2!!/"

The use of systematic researchtechniues for program decision'ma(ing

to achieve a specific outcome) %Rprovides policyma(ers and managers

with evidence that they can use toimprove program operations)


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,haracteristics o$

(WH 2!!/" &ddresses specific problems within specificprograms

&ddresses those problems that are under controlof managers

*tili+es systematic data collection procedures,both ualitative and uantitative

Reuires collaboration between managers andresearchers

Succeeds only if the study results are used toma(e program decisions


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0enisi riseto-erasional B

a"ian terhadap unsur'unsur yangterlibat dalam pela(sanaan programatau (egiatan'(egiatan yang beradadalam (endali mana"emen program

tuber(ulosis


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Part 2.

Why do we need more

health system research?


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he 'asis o$ health -rogramhe 'asis o$ health -rogram

decisionsdecisions


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he e3idence (4eroy etal 2!!%"

-.)/0

1-)/0

2roportion of potentialchild deaths potentiallyaverted by improved

technology

2roportion of potentialchild deaths potentiallyaverted by improvedservice utili+ation


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&ronic statistics….

.30

/0

2roportion of healthresearch spending directedto health problems of

people in developingcountries

2roportion of publishedarticles on health policyand systems researchwhich concerns developing

countries


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Health research in -ers-ecti3e(WH 15"

Health problems unavertablewith e$isting interventions

&vertable withcurrent mi$

ofinterventionsand coverage

&vertable withImprovedefficiency

&vertable with4$isting but

noncost'effectiveinterventions

#iomedicalresearch anddevelopmentof

interventions

#iomedicalresearch ordevelopmentto reduce

cost ofintervention

Health system research


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Part /.

How to boost effectiveness of ahealth system research?


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Barriers to health system

research 5ac( of clarity regarding the scope andnature of the field6

2erceived lac( of rigour in terms of the

methods employed6 7hallenges in generali+ing from one

country conte$t to another)

5imited funding of HSR 5imited capacity in many developing

countries


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Strengthening health

system research5earning by doing Health system research teams7omprehensive research

programme

Training2ostgraduate education

Strengthening universities

Strengthening demand Training of policyma(ers

#ro(erage functions

8etwor(ing Supporting communications


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Health System esearch-rinci-les (1"

&ction'oriented

9ulti'disciplinary

2articipatory

Timely

Simple short term


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Health System esearch-rinci-les (2"

7ost effectiveness

Tailored presentations

Impact evaluation

2riority problems

torg modul 2 170110 simon

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