Thai Conference Thailand Alimin

8/17/2019 Thai Conference Thailand Alimin

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Addressing maternal and child health mortalityAddressing maternal and child health mortalityMDGs through strengthening the health system:MDGs through strengthening the health system:

Lessons in capacity building from currentLessons in capacity building from current

collaborative research at the Thai district healthcollaborative research at the Thai district health

service levelservice level

Professor Mary CruickshankProfessor Mary Cruickshankchool of !ealth cienceschool of !ealth ciencesCharles Dar"in #niversity$ AustraliaCharles Dar"in #niversity$ Australia

Advisor to theAdvisor to the Centre of %&pertise on Leadership in !ealth ManagementCentre of %&

pertise on Leadership in !ealth Management$$'aresuan #niversity$ Thailand'aresuan #niversity$ Thailand

Presented at the (Presented at the (stst )nternational Conference on)nternational Conference on!ealth ervice Delivery Management$ Phitsanulok$ Thailand!ealth ervice Delivery Management$ Phitsanulok$ Thailand

*ctober +,,-*ctober +,,-


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.ackground to tudy.ackground to tudy

)n Thailand$ the health care system has achieved significantprogress to"ards reaching the Millennium Development Goals/

)n reaching the goals and targets$ it has been recognised that

value can be added to national initiatives through broaderinternational partnerships/

*ne such partnership is the Thai0Australian Alliance "hich "as

formed in +,,1/ The purpose of this partnership is to focus oncapacity building in rural health service management to foster

cross0cultural collaboration and kno"ledge transfer in this field/


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Capacity building and kno"ledge translationCapacity building and kno"ledge translation

.road Aims of Pro2ect:

To establish an effective and sustainable cross-culturaleducational program;

To develop academic and training capacity at the local level;

To further strengthen the alliance in health servicemanagement between Thai and Australian health professionals and academics.


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.uilding health management systems research capacity.uilding health management systems research capacity

pecific Aims of Pro2ect are to:

Identify research projects at the local level which have the

potential to result in significant improvements in maternal,

newborn and child health;

Demonstrate a range of practical, low cost strategies to

implement critical evidence-based interventions;

uild health management systems research capacity in a

group of !aresuan "niversity Thai academics and doctoral

students


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3ocus on Maternal and Child !ealth3ocus on Maternal and Child !ealth

The capacity building pro2ect focussed on maternal and childhealth issues in the central region of Thailand

%ach year over 4,,$,,, "omen around the "orld die due to

complications related to pregnancy and childbirth

Around ten million children die under the age of five 5 t"o

million in the first day and another + million in the remainder

of the first month of life 6#')C%3 +,,78/


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3ocus on Maternal and Child !ealth3ocus on Maternal and Child !ealth

M9C! are important Millennium Development Goals in "hichmuch progress has been made and research pro2ects 9 cost

effective interventions have been identified

MDG 1 aims to reduce child deaths by t"o0thirds bet"een(--, and +,(4

MDG 4 has the target of reducing maternal deaths by three0

uarters over the same period 6;orld


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=no"ledge transfer 9 kno"ledge translation=no"ledge transfer 9 kno"ledge translation

The overall goal of the project is to:

%nsure that health and related kno"ledge 6research findings8

are effectively translated "ithin a model of service delivery in

healthcare/


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>esearch pro2ects using Participatory Action >esearch>esearch pro2ects using Participatory Action >esearch

T"enty Thai students and academics from the t"ouniversities developed five research doctoral proposals

"hich focussed on the MDGs of Maternal and )nfant

mortality targets utilising a systems approach:

• .irth asphy&ia

• Antenatal care system

• Teenage pregnancy• MC! referral system

• Lo" birth "eights


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3irst Capacity .uilding >esearch ;orkshop 5 March +,,-3irst Capacity .uilding >esearch ;orkshop 5 March +,,-

The first >esearch ;orkshop$ conducted at 'aresuan#niversity$ "orked through the >esearch Process

including:

• >esearch Designs

• etting and ampling trategies

• Data Collection Methods

• Data Analysis Techniues

• Potential Limitations of tudy

• %thical Considerations


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+ Day >esearch ;orkshop+ Day >esearch ;orkshop

#urpose of the face-to-face $esearch %or&shop was toidentify :

Pro2ects that "ould address the Maternal 9 Child !ealth

MDGs?

>esearch designs that "ould best ans"er the research

uestions?

Target population$ sampling frame"orks 9 recruitment

strategies?

Appropriate and realistic data collection methods$ including

uestionnaire design 9 development$ pilot studies$ individual

intervie"s$ focus group discussions?

Potential data analysis techniues including thematic

analysis$ content analysis/


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Development and Planning of Pro2ectsDevelopment and Planning of Pro2ects

%hen developing and planning the projects, considerationwas given to the following'

An approach "hich "ould take account of the local situation and

"hich the local people "ould accept in order to build acceptability?

A model that "ould provide uality$ coordinated supervision for

doctoral students utilising intensive$ face0to0face "orkshops$

videoconferencing and communication via email?

An approach that "ould provide group and individual training that"ould allo" students to engage in reflective practice? and

Developing research pro2ects that "ould result in evidence0based

interventions that could be practically applied/


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ummary of Capacity .uilding >esearch Core Activities during +,,-ummary of Capacity .uilding >esearch Core Activities during +,,-

(arch )**+: + day intensive research "orkshop at 'aresuan#niversity$ including lectures$ discussions 9 field visits

April(ay : >esearch proposals submitted to Thai 9 Australian

academics via email

une: Academics provide feedback to students via email

uly : tudents submit second draft of research proposals via

email


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ummary of Capacity .uilding >esearch Core Activities during +,,-ummary of Capacity .uilding >esearch Core Activities during +,,-

August'


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Thai0Australian Alliance


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Collaborative upervision bet"een #'% 9 'aresuan #niversitiesCollaborative upervision bet"een #'% 9 'aresuan #niversities


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%valuation of Capacity .uilding Pro2ect

/valuation methods will consist of :

3ormative evaluation 5 participants surveyed at conclusion of

second >esearch ;orkshop$ focus group discussion

ummative evaluation 5 focus group discussion and survey of

all stakeholders


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.enefits of this capacity building model.enefits of this capacity building model

Lessons learnt from stand alone pro2ects can be appliedeually to large0scale strengthening of health management

systems?

Team"ork amongst the research participants fostered cross0cultural collaboration?

Group discussions allo"ed participants to "ork through

challenges in a creative and fle&ible manner?


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.enefits of this capacity building model 6continued8.enefits of this capacity building model 6continued8

tudents do not have to leave their country for e&tensiveperiods of time?

tudents can undertake postgraduate studies "ho "ould not

normally have the opportunity?

Mentoring and supervision "as collaboratively undertaken by

Thai and Australian academics?

Linkages have been further strengthened bet"een partners in

the Thai0 Australian !ealth Alliance that "as established in

+,,1/


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;here to from here;here to from here

%valuate the efficacy of this approach "ith a vie" todeveloping an alternative approach to capacity building at the

doctoral level?

>eplicate this study in other settings to build on the lessonslearnt?

.uild a collaborative net"ork for those interested in utilising

this approach to learning and capacity building/


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=hobkhun =a=hobkhun =a

Thank BouThank Bou


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Thai Conference Thailand Alimin