COUNTDOWN Russell Stothard - Launch 2015
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Transcript of COUNTDOWN Russell Stothard - Launch 2015
Welcome & Introduction
COUNTDOWN
Russell Stothard (Director)
Rachael Thomson (Manager)
…in a nutshell
Implementation Science Requested by DfID
Programme of implementation research to inform the effective and sustainable scaling-up of integrated Neglected Tropical Disease (NTD) control initiatives OJEU: 2013/S 181-312697
Open tender: two final collaborative application for £15M in the 2014-2019 period
COUNTDOWN (Liverpool) & EVIDENT (London)
COUNTDOWN Rationale for Research Themes and Approaches
PC NTDs
Diseases: ONCH*
LF
SCH
STH
(TRA)
Drugs: IVM/DEC/ALB/MEB/PZQ
(ZRT)
DOXY*
?Addressing
bottlenecks in scale-up of preventative
chemotherapy
and
Acceleration towardsWHO 2020 targets
Preventative Chemotherapy NTDs
Diseases: ONCH*
LF
SCH
STH
(TRA)
Drugs: IVM/DEC/ALB/MEB/PZQ
(ZRT)
DOXY*
COUNTDOWN Rationale for Research Themes and Approaches
70 page document:
• Context of research
• Theory of change and results chain
• Research uptake
• The research
• Wider research impacts
• Approach to monitoring and evaluations
• Programme team and management
COUNTDOWN Rationale for Research Themes and Approaches
COUNTDOWN will consider
Q1) What are effective, cost-effective, sustainable and acceptable current and complementary strategies for scale-up?
Q4) How can integrating NTD programmes strengthen health systems and foster cross-sector working (e.g. sanitation and agriculture)?
Q2) What generalizable factors influence the acceptance, effectiveness, efficiency, and equity impact of scale-up within the health system?
Q3) What are the most effective strategies to work with CDDs and CHW to extend scale-up of MDA to include hard-to-reach communities?
Our IR questions were subsequently developed and are:
COUNTDOWN Impact and Pathways to Achievement
IMPACT: Reduced morbidity,mortality, and povertyassociated with NTDs throughincreased knowledge andevidence for cost effectivescale-up and sustainablecontrol and elimination of NTDsas a public health problem inline with the WHO 2020 NTDRoadmap
Community
Global
Regional
National
District
Trachoma
Soil-transmitted helminthiasis
Schistosomiasis
Lymphatic filariasis
OnchocerciasisLiberia
Cameroon
Ghana
Years of MDA
10 20 300
WEST
control elimination
Loa loa
CENTRAL
COUNTDOWN Rationale for Research Themes and Approaches
Assessing
outreach
resilience
equity
gender
vulnerability
targets
How We Will Do It
IntegratedComplementary Strategy Theme
ICST 1
ICST 2
Liberia GhanaCameroon
MDA Scale-up Theme (MST 1 – 3)
elimination
: Country and Context-Specific Settings of MDA
MST 1: Evidence synthesisPaul Garner and Cochrane group
MST 2: Applied social scienceSally Theobald and Margaret Gyapong
MST 3: Health economicsLouis Niessen
ICST 1: ‘Hotspots’ and SAEs Mark Taylor, Lisa Reimer/Joe TurnerNana Biritwum and Sam Wanji
scale-up in Nigeria and responsive research
ICST 2: Access to MDA and CLTS Russ Stothard, Emily Adams, Kamal KarLouis Tchuem-Tchuente and Mike Osei
control
Rationale for Implementation Research Themes and Approaches
Our implementation research themes and approaches take forward the current needs and priorities of our embedded country partners, and also reflect calls for action at the international level.
Louis Tchuem-Tchuente – NTDs (SCH/STH)
Nana Biritwum – NTDs (LF)
Karsor Kollie – NTDs
Margaret Gyapong – Social sciences
Sam Wanji - LF and ONCH
Keeping in Mind Gaps in Existing PC Actions – Completing Scale-up
Drugsdonated/purchased/delivery
DeliverersCDD or teachers or bothMaternal & child healthEPI
RecipientsPre-SACSAC (in-school and out-of-school)Adults (pregnancy)
EnvironmentVectors/sanitation/modification
What Are The Expected Results?
2: Provide rigorous and generalizable evidence to improve and support scale-up of integrated MDA programmes
3: Develop knowledge management strategy and multi-sectoral platforms for cross-talk and dialogue, ensuring open access knowledge products
4: Increase research capacity and integrate multi-sectoral evidence for optimisation of NTD control programmes
Our results are framed in four outputs:
1: Form a vibrant multidisciplinary implementation research consortiumengaged with national NTD programmes and international stakeholders
COUNTDOWN Within the Wider NTD Research Community
Multi-sectoral approach taking advantage of:
• Donors (bilateral including DFID and philanthropic organisations)
• Multi-lateral organisations (including WHO)
• Governments (in target countries and beyond
• Academics, researchers and their networks
• Implementing partners (public and private)
• NGOs
• Community level stakeholders
Thinking Further Ahead 2015-2030
The WHO/World Bank Framework and SDGs
• A minimum of 80% essential health services coverage
• 100% financial protection from out-of-pocket payments for health services
Control and elimination of NTDs a ‘litmus test’ of progress
Several reasons to be proud:
highlights include – SCH/FGS/HIV, research uptake, Beyond 2020
COUNTDOWN is Off to a Great Start!
External Communications – Website now Live with Online Articles and Blogs
A formal update to provide a:
Quick route to dissemination
Reflections and order thoughts
Train of events and series of ideas