scholarly journals Effect of Personality, Power, and Emotion on Developing the 2017-2022 Philippine Health Research Agenda: A Case Study

2019 ◽  
Vol 53 (3) ◽  
Author(s):  
Alejandra M. Libunao ◽  
Reneepearl Kim P. Sales ◽  
Jaifred Christian F. Lopez ◽  
Ma. Rowena H. Alcido ◽  
Lester Sam A. Geroy ◽  
...  

Background. Social dynamics, specifically personalities, power dynamics, and emotions, have been shown to influence the methods, outputs, and quality of multi-stakeholder processes, especially the development of a national health research agenda. Objective and Methods. Using a case analysis approach utilizing related conceptual frameworks, the paper determined how personalities, power dynamics, and emotions affected the research priority-setting exercise, identified lessons learned, and recommended how to effectively manage these social dynamics in consultations. Data gathering methods were participant observation and process documentation, results of which were codified and analyzed. Results. Dominant personalities, stakeholders with power, and stakeholders that openly expressed dissatisfaction were most likely to attempt to change the methods and final outputs of the consultation, with varying level of success. Other dominant personalities used their power constructively for a smooth flow of generating and agreeing on ideas. Conclusion. In this case, social dynamics was shown to heavily influence the decision-making process, thus underlining its importance in organizing multisectoral representation. Effectively managing social dynamics may thus have to consider building trust and respect between participants, mediating discussions, reaching a mutually beneficial solution, and establishing and implementing mutually agreed house rules. The significant role of facilitators in developing a climate for truly inclusive participation must also be recognized.

2019 ◽  
Vol 53 (3) ◽  
Author(s):  
Alain Jason A. Generale ◽  
Reneepearl Kim P. Sales ◽  
Teddy S. Dizon ◽  
Alan B. Feranil

Background. As one of the research councils under the Department of Science and Technology (DOST), health research priority setting has been the mandate of the Philippine Council for Health Research and Development (PCHRD) since its establishment in 1982. The development of the National Unified Health Research Agenda (NUHRA) convenes the major stakeholders for health in the country to establish the priorities for health research. The NUHRA aims to address the most urgent health issues in the country for the generation of solutions to the health concerns of the country. Objectives and Method. Through document review, this paper describes the approaches and lessons learned in research priority setting since the establishment of the Philippine National Health Research System. Results. The Philippines has employed a bottoms-up, top-down, and a combination of both approaches to develop its health research agenda. Conclusion. The health research agenda-setting must consider evolving funding sources, its link to production of researches with high probability of knowledge translation to health technology innovation, and policy formulation. Measuring the impact of the NUHRA to the health systems and health situation of the country is a difficult assessment, but the gradual change in healthcare technology utilization and evidence-informed policies towards health equity can be a subjective measurement of the NUHRA’s success.


Author(s):  
Osnat Wine ◽  
Irena Buka ◽  
Alan Day ◽  
Susan Terris ◽  
Mary-Ann Clarkes ◽  
...  

As new environmental exposures are continuously identified, environmental influences on health are of growing concern. Knowledge regarding the impacts of environmental exposures is constantly evolving and is often incomplete. In this paper, we describe a multi-phased, multi-stakeholder engagement initiative involving diverse stakeholders with an interest in building a children's environmental health research agenda which would link with and support local practices and policies. The intent of this initiative was to identify priority research issues, themes and questions by implementing a tested Research Planning Model that encompassed the engagement of diverse stakeholders. Here, we describe the model application, which was specifically focused on children's health and the environment. A key component of the model was the ongoing stakeholder engagement process. This included two stakeholder forums, during which participants identified three main research themes (social determinants of health, environmental exposures and knowledge translation) and a short list of research questions. Other key components of the model included the development of a Global Sounding Board of key stakeholders, an Advisory Board and a Scientific Panel with mandates to review and prioritise the research questions. In our case, the Advisory Board and Scientific Panel prioritised questions that focused on environmental exposures related to children's respiratory outcomes. The stakeholder engagement described here is an evolving process with frequent changes of context, sustained by the commitment and dedication of the Children's Environment and Health Research planning team and the Advisory Board. In this article, we share the engagement process, outcomes, successes, challenges and lessons learned from this ongoing experience. Keywordsstakeholder engagement, children's health, environmental health, health research


2019 ◽  
Vol 53 (3) ◽  
Author(s):  
Maria Lourdes K. Otayza ◽  
Chiqui M. De Veyra ◽  
Jaifred Christian F. Lopez

Background. Considering the scope and magnitude of the National Unified Health Research Agenda (NUHRA), the implementation of the agenda requires adequate planning. Reviewing the implementation of the first and second versions of NUHRA, implemented from 2006 to 2010 and from 2011 to 2016 respectively, is thus useful in identifying potential challenges for implementing the current version. Objectives. This article aimed to 1) describe strategies employed in the previous NUHRAs,2) describe uptake of the previous NUHRAs; and 3) identify lessons learned from the implementation of NUHRA 1 and 2. Methods. Review of the NUHRA 1 and 2 evaluation reports and minutes of PNHRS Research Agenda Committee meeting was conducted. Interviews with PCHRD division head and staff and representatives from the academe and regional consortia were also conducted. Results. A total of 96 of the 422 NUHRA 1 priorities were implemented, while 45 of the 56 NUHRA 2 priorities were implemented. While NUHRA 1 implementation was delegated to numerous agencies, dissemination was conducted primarily by PCHRD through launch events and fora. Implementation of the NUHRA 2 was delegated only to the four core agencies of the PNHRS, with each agency employing different strategies for the dissemination of the NUHRA 2. Conclusion. Involvement of agencies beyond the core of PNHRS may be the better direction for implementation of the current NUHRA. Strong support and commitment of the core agencies will be key in the effective implementation of the NUHRA.


2021 ◽  
pp. 104973232110428
Author(s):  
Laura Jane Brubacher ◽  
Cate E. Dewey ◽  
Naomi Tatty ◽  
Gwen K. Healey Akearok ◽  
Ashlee Cunsolo ◽  
...  

In this article, we present a case study of sewing as a strategy for arts-based inquiry in health research, situated within a broader project that highlighted Nunavut Inuit women’s childbirth experiences. Five focus groups were hosted as sewing sessions with pregnant women ( N = 19) in Iqaluit, Nunavut (2017–2018). Women’s reflections on the sessions, and the significance of sewing to Inuit, were integrated with researchers’ critical reflections to examine the value of sewing as a strategy for arts-based inquiry within a focus group method: results related to the flexibility of the sessions; how collective sewing created space for voicing, sharing, and relating; sewing as a tactile and place-specific practice tied to Inuit knowledge and tradition; and lessons learned. Our results underscore the possibilities of arts-based approaches, such as sewing, to enhance data gathering within a focus group method and to contribute to more locally appropriate, place-based methods for Indigenous health research.


2018 ◽  
Vol 17 (4) ◽  
pp. 429-450 ◽  
Author(s):  
Tineke A Abma

Collective participation of patients in health and medical research is an emerging trend. The literature falls, however, short on process descriptions focusing on the power dynamics when sharing power with patients in the research process. This article therefore aims to generate knowledge on how to involve patients and redress power imbalances in health research agenda setting. The context for the study was health research agenda setting on Parkinson’s Disease in The Netherlands. The dialogue model was used: a multistakeholder and multiphased process for the coproduction of research agenda. Patients with Parkinson were involved in all stages of the agenda setting. It appeared to be crucial for people with Parkinson to create a free, protective, and communicative space of mutual encouragement to develop power from within and to articulate their voice. This prepared them for meaningful deliberations with health-care professionals, researchers, and funding agencies. Ultimately, these deliberations resulted in a relevant and useful research agenda that better enable health-care services to meet the needs and expectations of patients.


2019 ◽  
Vol 53 (3) ◽  
Author(s):  
Miguel Manuel C. Dorotan ◽  
Rafael Deo F. Estanislao ◽  
Reneepearl Kim P. Sales ◽  
Maria Angeli C. Magdaraog ◽  
Lester Sam A. Geroy

Introduction. The National Unified Health Research Agenda is a major document whose creation by the Philippine National Health Research Systems is mandated by Philippine Law. Multiple frameworks, methods, and approaches for the development of a health research agenda exists. Available literature on research priority setting have mostly focused on its methods, results, or implementation. There are limited studies on the operations management of conducting a national health research priority-setting exercise. Objectives. This paper aims to describe the operational components utilized to develop the NUHRA 2017-2022 and provide lessons learned for future research priority setting endeavors. Methods. This paper identified and categorized the operational components to develop the NUHRA 2017-2022 using the Enabler Criterion of the European Foundation for Quality Management’s (EFQM) Excellence Model. Results. Operationalizing the development of a national health research agenda requires the harmonization of multiple components. Having region-based staff involved in the production of a regional situational analysis improved its context and accuracy. The workload for each cluster team must be considered and anticipated by the management. Stakeholder engagement requires political, diplomatic, advocacy, marketing, management, and technical skills. The process requires building relationships with various institutions. In a largescale project, management processes must be in place to effectively track and monitor its progress. Conclusion. Operations and management are usually a neglected area in research and development projects. In a bottoms-up research priority-setting approach, iteration and flexibility is needed which requires a lot of management skills and insight. Duration of the project, planning, resources available, and quality of outputs have a strong interconnected relationship.


Author(s):  
Muira Nicollet McCammon ◽  
Lotus Ruan ◽  
Kate Miltner ◽  
Ysabel Gerrard ◽  
Kathryn Montalbano ◽  
...  

This panel explores internet histories through the lens of “platform death” as a way of understanding how digital communities grapple with technological failure, power dynamics, and the divergent notions of the digital afterlife. Collectively, the contributions address the cultural, geopolitical, economic, and socio-legal repercussions of what happens when various platforms fail, decline, or expire. We bring together five presentations that draw on different methods—including document analysis, semi-structured interviews, participant observation—to explore the frailty of platforms, their underlying infrastructures, and their trace data. Together, by examining and theoretically situating the histories of five different platforms (TroopTube, Fanfou, MySpace, YikYak, and Couchsurfing), we consider and complicate how the concept of “platform death” as a metaphor can help reveal the Web’s rhythmic temporality, digital media’s constant reinvention of forms, and the collision of hegemonic and fragile infrastructures in divergent cultural contexts. We ask: What are the theoretical implications of situating platforms as killable, ephemeral, precarious, or transient technologies? What—and who—kills platforms, and in what ways can they have uncertain digital afterlives and even resurrections? What can conceptualizations of dead and dying technologies tell us about the Internet’s growth and stagnation, its present and futures? What is (un)knowable about platforms that once were, and how can this knowledge inform our predictions of future technological failure? We aim to build community, collective imaginings, and future collaborations around a research agenda that centers mnemonic experimentation, comparative platform studies, and archival contestations.


2019 ◽  
Vol 53 (3) ◽  
Author(s):  
Chiqui M. De Veyra ◽  
Miguel Manuel C. Dorotan ◽  
Alan B. Feranil ◽  
Teddy S. Dizon ◽  
Lester Sam A. Geroy ◽  
...  

Objectives. Stakeholders and stakeholder engagement in agenda setting are not well documented despite its increased recognition. This paper aimed to describe stakeholder engagement in the agenda setting. Specifically, it aimed to (1) describe the process of stakeholder engagement in the development of the NUHRA 2017-2022; (2) describe characteristics of stakeholders involved; and (3) identify lessons learned during the engagement. Methods. Documents pertinent to the agenda setting process, which included profile of participants and feedback on the consultation process were reviewed and analyzed. Key informant interviews were also conducted among selected PCHRD officials and members of the Philippine National Health Research System - Research Agenda Committee. Stakeholder mapping was conducted prior to the engagement to identify potential stakeholders. Consultations were conducted in each region involving different stakeholders. Stakeholders in the consultation process were national government agencies, local government units, academe, public and private health facilities, and non-government organizations (NGOs). Results. The stakeholder with the highest representation was the national government (n=110), while the lowest were public and private health facilities (n=14 each). Interactive discussion of stakeholders with diverse background, is the top item that went well during the consultation and should be retained in the future, and; brainstorming session and presentation were identified item that needs improvement. Conclusion. A diverse and well-represented set of stakeholders is important in an agenda setting to appropriately identify priorities and to improve uptake of the agenda. Stakeholder engagement, however, should not be limited to agenda setting, collaborative work must be sustained in all aspects of the research cycle.


Author(s):  
Grazia Sveva Ascione ◽  
Federico Cuomo ◽  
Nicole Mariotti ◽  
Laura Corazza

AbstractIn the attempt to foster circular economy (CE), cities are increasingly adopting urban living labs (ULLs) as sites of co-production aimed at testing alternative solutions based on the reuse of products, reduction of consumption and recycling of materials. Taking this perspective, our study adopts an exploratory research design to discover the pragmatic implications emerging from a case study. The City of Turin joined proGIreg, a European project that entails the regeneration of former industrial districts by means of nature-based solutions (NBS). Ranging from aquaponics to green roofs, seven NBS have been experimented in Turin, which rely on the use of natural systems to tackle social, economic and environmental challenges efficiently and sustainably. Among them, the most promising is related to the production and test of the ‘new soil’, a blend obtained by mixing earth materials coming from construction sites with compost, zeolites and mycorrhizae. The case herein presented is interesting to analyse for the multi-stakeholder management setting used, where public institutions, private companies, research institutions, citizens and associations collaborated in the co-creation and testing phase of the NBS. Consequently, the data collected through participant observation and direct interviews allow researchers to describe multi-stakeholders’ dynamics and how they work. Thus, this paper narrates a micro-contextual experience while providing a critique. Results include an analysis of the unique combination of different stakeholders, which strongly impacted on the management and the effectiveness of the entire project. By consequence, the paper offers both theoretical contributions to the relational branch of stakeholder theory and practical evidence in demonstrating the importance of the relational branch of the theory over a more traditional transactional view.


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