Policy Delivery Thematic Group

Presented at the IHI Stakeholders meeting

White Sands Hotel

29th January 2013

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

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

Background and Relevance

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

6

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

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

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

GOAL AND EXPECTED OUTPUTS

What is Policy Delivery TG all about?

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

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

CORE BUSINESS Main Activity areas –Research, Training and Services

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,)

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

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

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

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

PD-TG ROADMAP

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

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

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…..

A SHORT LOOK BACK A LONG LOOK FORWARD

Policy Delivery Thematic Group