scholarly journals Implementing Lessons Learned from Past Versions of the Philippine National Unified Health Research Agenda

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.

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.


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.


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.


1993 ◽  
Vol 155 ◽  
pp. 480-480
Author(s):  
C.Y. Zhang ◽  
S. Kwok

Making use of the results from recent infrared and radio surveys of planetary nebulae, we have selected 431 nebulae to form a sample where a number of distance-independent parameters (e.g., Tb, Td, I60μm and IRE) can be constructed. In addition, we also made use of other distance-independent parameters ne and T∗ where recent measurements are available. We have investigated the relationships among these parameters in the context of a coupled evolution model of the nebula and the central star. We find that most of the observed data in fact lie within the area covered by the model tracks, therefore lending strong support to the correctness of the model. Most interestingly, we find that the evolutionary tracks for nebulae with central stars of different core masses can be separated in a Tb-T∗ plane. This implies that the core masses and ages of the central stars can be determined completely independent of distance assumptions. The core masses and ages have been obtained for 302 central stars with previously determined central-star temperatures. We find that the mass distribution of the central stars strongly peaks at 0.6 M⊙, with 66% of the sample having masses <0.64 MM⊙. The luminosities of the central stars are then derived from their positions in the HR diagram according to their core masses and central star temperatures. If this method of mass (and luminosity) determination turns out to be accurate, we can bypass the extremely unreliable estimates for distances, and will be able to derive other physical properties of planetary nebulae.


2021 ◽  
Vol 2 (1) ◽  
pp. 79-94
Author(s):  
Colmore S. Christian

The island-nation of Dominica, 790 km2 in area, is located approximately 1126.5 km Southeast of Florida, USA. In the mid-1990s, Dominica embarked on developing the 183.5 km Waitukubuli National Trail (WNT), the first and only national trail model in the Eastern Caribbean. The 14-segment WNT, officially opened in May 2013, passes through some of the island’s most diverse landscapes. WNT was designed to link as many rural communities as possible and promote ecotourism and community socioeconomic development. Rehabilitation work continues on the WNT and the rest of Dominica, following the devastation caused by Hurricane Maria of 2017. This article, based primarily on a limited questionnaire survey, selected interviews, and literature review, explored the research question ‘What were the challenges faced by a small-island nation in the development of a National Trail? Five specific research objectives focused on the conceptualization, implementation challenges, partnerships fostered, national and sub-regional significance, and future outlook of the Trail were considered. Questionnaire respondents identified the island’s topography and negotiations with private landowners as significant trail construction challenges. A 100% of survey respondents anticipate that reliable funding to support timely maintenance would likely be a critical future issue. Some respondents identified marketing, public engagement, and visitor safety as potential issues. Face-to-face interviews found strong support for the WNT. The interviewees were confident that Dominica would realize sustainable socioeconomic benefits from the Trail. The article concludes with lessons learned and proposes strategies and research themes to ensure the Trail’s sustainability.


Author(s):  
Ryoma Kayano ◽  
Shuhei Nomura ◽  
Jonathan Abrahams ◽  
Qudsia Huda ◽  
Emily Y. Y. Chan ◽  
...  

In response to the increasing burden of recent health emergencies and disasters, the World Health Organization (WHO) and its partners established the WHO thematic platform for health emergency and disaster risk management research network (health EDRM RN) in 2016, with the purposes of promoting global research collaboration among various stakeholders and enhancing research activities that generate evidence to manage health risks associated with all types of emergencies and disasters. With the strong support and involvement of all WHO regional offices, the health EDRM RN now works with more than 200 global experts and partners to implement its purposes. The 1st and 2nd Core Group Meetings of the health EDRM RN were held on 17–18 October 2019 and 27 November 2020, respectively, to discuss the development of a global research agenda that the health EDRM RN will focus on facilitating, promoting, synthesizing and implementing, taking into account the emergence of the coronavirus disease 2019 (COVID-19) (health EDRM RN research agenda). A focus of the meetings was the establishment of an online platform to share information and knowledge, including the databases that the health EDRM RN accumulates (WHO health EDRM knowledge hub). This paper presents a summary of the discussion results of the meetings.


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