Pedro Cahn by Theo Chalmers © PAHO/WHO

RESEARCH FOR HEALTH:

POLICY AND GOVERNANCE

Dr. Luis Gabriel Cuervo

www.paho.org/researchportal

www.paho.org/portalinvestigacion

VI Biennial Meeting of NeTropica

Copán Ruinas, Honduras

27 Jul. 2012

Today’s presentation • Acknowledgements

• Objectives

• Background for the policy on research for health in Latin America

• The Regional Policy on Research for Health – Objectives with emphasis on governance and impact

• Tools for better research management

• Building successful bridges between users and producers of research

www.paho.org/portalinvestigacion It is precisely because we have very limited resources that we need more and better

research; we need to choose wisely. It is precisely because we have such limited

resources that we need to be organized with our research; we need to make the

most of what is available

Objectives / opportunities

• Advocate for the regional Policy on Research for Health

and invite participants to get actively engaged in its

implementation

• Inspire champions for good research management

• Provide helpful resources for research sponsors and

advocates to organize research and use it to its potential

in improving people’s health

• Open the forum for ideas that can keep NeTropica a

lively and helpful network of skilled champions for

research for health

• Identify partnership opportunities / networking

PAHO/WHO Research Policies and Strategies

MDG’s Established

Essential Public Health

Functions (EPHF)

Performance Measurement

Results Published

Ministerial Summit on

Health Research in Mexico City

EVIPNet (Evidence-Informed

Policy Network)

WHO launches

International Clinical Trial

Registry Platform (ICTRP)

EVIPNet Americas

Health Agenda for

the Americas

2008-2017 launched

in Panama City

Report: The

Americas Contribution to the

Global Ministerial Forum on Research for Health in Bamako,

Mali

First Latin American

Conference on Research and Innovation for Health held in Rio de Janeiro,

Brazil

PAHO Strategic Plan 2008-2012

49th Directing Council approves PAHO’s Policy on

Research for Health

PAHO & COHRED

launch Health Research Web-

Americas (HRWeb) to

facilitate effective

management of national

health research systems

PAHO Ethics Review

Committee (PAHOERC)

2000

2002

2004

2005

2006 2007

2007

2008

2008

2009

2009

2010

Healthy people

WHO Strategy on Research for Health

Policy on Research for Health

Strategy and Plan of action on innovation

and intellectual property rights

Information, knowledge,

comunication

Clear Policy on Research for

Health

Capable workforce

Adequate structure and regulatory framework

Well equiped institutions

Sufficient financial resources WHO / PAHO

Authorities and other stakeholders.

Context Determinants

Health System

Photos courtesy of Jane Dempster, Art for Research project (www.paho.org/portalinvestigacion) Gráphic concept by the Research Promotion & Development team of PAHO

Information & Evidence Medicines &

technologies Health care

delivery

Human resources

Financial resources

Governance

Health Research System

Main Policy objectives

• Quality

• Governance

• Human Resources

• Partnership

• Standards

• Impact

Governance

Strengthen research governance and

promote the definition of research

agendas

Quality

Promote the generation of ethical, relevant, and quality research

Human Resources

Improve competencies and support for

human resources involved in research

Partnership

Seek efficiencies and

enhanced impact and

appropriation of research

through effective and

strategic alliances,

collaboration, and the

building of public trust

and engagement in

research

Standards

Foster best practices and enhanced

standards for research.

Impact

Promote the dissemination and utilization of

research findings.

2011

Pan American

Health

Organization

Governance

Strengthen research governance and

promote the definition of research

agendas

2011

Pan American

Health

Organization

Governance

To strengthen research

governance and promote the

definition of research agendas

2011

Pan American

Health

Organization

Descriptors of NHRS and key

policy documents

E.g.: Ethics review (ERC/IRB/Commissions)

(58 CAM; >1100 Américas)

HRWeb: A Web site developed collaboratively by a

community of users, allowing any user to add and edit content

Governance: clinical trials

What is a clinical trial?

• For the purposes of registration, a clinical trial is any

research study that prospectively assigns human

participants or groups of humans to one or more health-

related interventions to evaluate the effects on health

outcomes.

What is trial registration?

• WHO regards trial registration as the publication of an

internationally-agreed set of information about the design,

conduct and administration of clinical trials. These details

are published on a publicly-accessible website managed by

a registry conforming to WHO standards.

2011

Pan American

Health

Organization

Tools for research governance

Central America y DOR (22 Jul 2012):

449 registries

111 recruiting, 44 in kids;

2011

Pan American

Health

Organization

Impact

to promote the dissemination and utilization of research

findings

2011

Pan American

Health

Organization

PAHO KT Platforms

EVIPNet Advanced

EVIPNet Early

Other TC

2011

Pan American

Health

Organization

Presentación “Policy Brief” Agua y Saneamiento 2011

2011

Pan American

Health

Organization

Systems approach

to research policy

implementation

Policy Objectives

Quality

Governance

Human resources

Partnerships

Standards

Impact Interventions

Communication

Policies and strategies

Tools and indicators

Resources

NHRS: building blocks

Information, knowledge and

communication

Clear national policy for research for

health

Quality human resources

Solid structure and regulatory

framework

Well equiped institutions

Adequate financial resources

Wrapping up

Demonstrations

• Health research web

• ICTRP

• Evidence Portal

• Equator collection

• Webinars

Wrapping up

Demonstrations

• Health research web

• ICTRP

• Evidence Portal

• Equator collection

• Webinars

Ideas for NeTropica

• Bringing the Policy

closer to researchers

– Standards/Quality

– Capacity development

– Access to tools

– Governance

– Projection of research

findings and capacities

Networking and partnerships

Garner C. Harris R. Beyond aid: networks and partnerships as

tools to accelerate global health equity and development.

Background Paper theme 2. Forum 2012.

What makes a good partnership

• Clearly articulated objectives

• Clear implementation strategy

• Effective and scalable technologies

• Source of sufficient finance (resources)

RESEARCH FOR HEALTH:

POLICY AND GOVERNANCE

Dr. Luis Gabriel Cuervo

www.paho.org/researchportal

www.paho.org/portalinvestigacion

July 2012 – Copán Ruinas,

HONDURAS

Rodolfo Llinás by Theo Chalmers © PAHO/WHO