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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