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Policy Delivery Thematic Group
Presented at the IHI Stakeholders meeting
White Sands Hotel
29th January 2013
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Presentation outline
• Policy Delivery Thematic Group-What is it?
• Background and Relevance
• Goals and Expected Outputs
• Core Business • Services
• Research
• Training
• Core Assets
• Business Unit
• TG Roadmap
• Collaborators
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Policy Delivery Thematic Group (PD-TG) What is it all about?
• New thematic group in 2013-2018 Strategic Plan
• Builds upon IHI Mission and previous strategic plan
• Complements work of other thematic groups
• Provides active conduit for delivering knowledge into actual change
• Completes the value chain of the research lifecycle
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Background and Relevance
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IHI contribution to health and policy
• In its 57 years of existence, IHI has made significant contribution to scientific knowledge, health system strengthening and health policy
• Impact of IHI research demonstrated at district level, national level in Tanzania and internationally
• Examples of IHI contribution to policy are many, a few examples to highlight
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Examples of IHI Achievements and impact
• Tool to identify high risks community with urinary schistosomiasis (World Health Stat. Q. 44 :150-9)
• Malaria drug, cost and molecular studies
• ITN 27% improvement on child survival 60% reduction of malaria and anaemia(Lancet 357)
• IPti 59% reduction of clinica episode, anaemia(Lancet 357, 1471/1477)
• IMCI shows 13% reduction of deaths in under five age children. (Lancet 15;561-6.)
• First biological control of adult Anopheles mosquito (Science 308: 1641-1642)
• Community effect of ITN (Plos Med 4 (7) e229
• Validated in seven countries now in WHO Schistosomiasis Manual
• New malaria treatment
policy
• National scaling up of ITN
• Validated and towards global strategies
• National scaling up and part of poverty reduction strategies
• Universal coverage of ITN
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Basis for IHI involvement in Health Policy
• IHI Mission “To develop and sustain a district-based health research and resource institute capable of generating new knowledge and relevant information for public health policy and action.”
• IHI strategic Plan 2008-2013 Diverse research activities (multi-disciplinary approach) providing an opportunity to follow new knowledge from basic science and discovery to public health impact.
BASIC SCIENCE EFFICACYEFFECTIVENESSHEALTH SYSTEMS EVIDENCE FOR POLICY MONITORING
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Relevance and Potential benefit
• Policies are continually being proposed, elaborated and established or changed,
• Increasing pressure to governments, regional inter-governmental bodies, faith-based organization and private health providers to deliver results faster and cost effectively
• Research products, tools and methodology exist (or are being produced) that can shape health outcomes
• Assistance may be needed to introduce and apply them in a national scale
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GOAL AND EXPECTED OUTPUTS
What is Policy Delivery TG all about?
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Goal of the PD-TG
• To catalyse and deliver national scale up of proven public policy interventions and/or solutions
• Work closely with health ministries and all relevant stakeholders in national healthcare systems
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Expected Outputs of PD-TG
Major outputs will include:
• Accelerated delivery of public health interventions
• Toolkits/methodologies to shape health outcomes
• Experts in policy analysis and policy delivery
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CORE BUSINESS Main Activity areas –Research, Training and Services
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Services
• PD-TG focuses on taking proven health interventions to scale in a national context, accommodating policy, regulatory, and implementation issues
• Creation of methodologies, toolkits, and web-enabled project management and modeling tools
• Enable rapid deployment Toolkits/methodologies (from IHI and other research institutions) to shape health outcomes
• Provide support to the MoHSW, Faith based organisations and private corporation in the national roll out of proven interventions and/or solutions.
• Support implementation of Regional Initiatives e.g East African Community (EAC),East Central and Southern Africa (ECSA,)
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Research
• While the core business of the PD-TG is service-oriented, nature of projects to be implemented will provide a fertile ground for researchers in interventions, health system science and impact evaluation.
• Development proposals for rolling out proven interventions and research products to national or regional scale. Eg P4P and RBF
• Testing of toolkits for scaling up interventions nationally and in the Sub-saharan Africa (SSA) region
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Training
• Contribute to MSc and PhD training in policy analysis and health systems
• Conducting short courses or modules that can be incorporated in existing or newly developed courses in partner academic institutions
• Support MSc Research in Public Health
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Core Assets
• IHI has a proven track record of research outputs that have influenced national policies (malaria treatment, scaling up ITN, IMCI) and international health guidelines (e.g. WHO Schistosomiasis manual)
• Strong team of policy analysts, researchers in various disciplines associated with the PD-TG and program management staff
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Business Unit
• Plans in place to create a Delivery Unit in line with new Tanzanian government policy and global best practice in policy delivery.
• The Delivery Unit will ensure timely and quality outputs from the PD-TG and support the MOHSW in the process of forming its Delivery Unit
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PD-TG ROADMAP
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Policy Delivery TG will focus on accelerating delivery of public policy interventions and to form its core business, and on developing toolkits/methodologies to shape health outcomes to create future growth opportunities
2014+
Develop toolkits and
methodologies
New areas targeted
successfully:
Private and FBO
Regional projects
2013-2014
Begin grant applications for :
National Rollout of P4P
A PD-TG delivery unit
Court funders for riskier
areas
National Rollout of new
products e.g. vaccine
RTS,S
Regional projects –ECSA,
EAC, NEPAD
Private and FBO national
interventions
2012-2013
ASSIST- (modern quality
improvement)
HMIS Somalia
HTC-Expansion of Health
Training Capacity
SDH and Equity
HMIS -national Rollout
HWI-RFA
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PD-TG in 5 years and beyond
• In 5 years (by 2018), the PD-TG should be well established at IHI with clear impact on policy implementation in Tanzania as well as in the East and Southern Africa region
• Instead of responding to requests for contracted work, the PD-TG will aim to develop a stream of work from areas where other IHI thematic groups have created a niche (esp Interventions, Health System Science and Impact Evaluation) .
• Areas of growth • Maternal health, gender and health systems
• National Rollout of P4P Tanzania and RBF interventions in East Africa
• HIV/AIDS
• Social Determinants of Health and Health Equity
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Collaboration: Existing and Potential
• Ministry of Health and Social Welfare, Tanzania
• Ministry of Health, Zanzibar
• Local NGOs, FBOs and Private entities
• Regional Intergovernmental Organisations • East African Community (EAC),
• East Central and Southern Africa (ECSA),
• Regional network for Equity in health in east and southern Africa (EQUINET),
• International: University Research Company LLC (URC), MannionDaniels, McKinsey & Company
• Founder Members: Swiss TPHI, NIMR, COSTECH
• Many more to come…..
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A SHORT LOOK BACK A LONG LOOK FORWARD
Policy Delivery Thematic Group