Building an Implementation Science Collaboration on Urban Health in - - PowerPoint PPT Presentation

Building an Implementation Science Collaboration on Urban Health in East Africa

ECSA-HC Best Practices Forum 2018

Ester Elisaria, Ifakara Health Institute Jane Wanyama, Infectious Diseases Institute Francis Obare, Population Council Kenya Emily Peca, URC

Health Evaluation & Applied Research and Development (HEARD) Approach

Opportunity to apply approach to nutrition/WASH among poor urban adolescents/children in East Africa

ECSA-HC Roundtable Consultation Objectives

• Assess the context and determinants of

urban health challenges and opportunities to advance nutrition and WASH interventions for the poorest children in urban settings;

• Review the relevant available evidence from

Sub‐Saharan Africa;

• Consider existing initiatives addressing

nutrition and WASH efforts for children in urban settings;

• Propose a set of implementation science

priorities to advance the health of children in urban areas through nutrition and WASH.

Roundtable hosted by: ECSA‐ HC, June 2017, Dar es Salaam

Participants: City authorities, national water and sewerage corporations/companies, non‐governmental

• rganizations, UN

agencies, USAID, academics, researchers, and representatives of ministries of health and education.

• 1. Conduct implementation science activities to

contribute to reduction in the know-do gap related to WASH and nutrition challenges among the urban poor.

• 2. Review and document the multi-sectoral

mechanisms and promising practices for WASH and Nutrition in the region.

• 3. Conduct an urban health policy analysis with a

view to developing a prototype urban health policy,

• 4. Establish a mechanism to maintain urban health on

national and regional agendas in eastern and southern Africa through creation and coordination

• f a community of practice (COP) on urban health
• 5. Highlight urban health during the forthcoming

ECSA-HC Best Practices Forum

Roundtable consultation Priorities

Implementation Science Collaboration on Urban Health in East Africa: Multi-country Assessment Team

Assessment Principles

• Given much of health is produced outside of the health sector,

we need a multi‐sectoral and systems lens

• Draw from existing information e.g. literature, data, and policy

review.

• Use of participatory community‐based processes facilitated

by organizations with established presence in the urban spaces of interest.

• The assessment findings will inform implementation

platforms, policy/advocacy and research agendas—and will serve as the basis for future work.

• The aim is to produce findings relevant for uptake at the local,

national and regional levels.

Overall Questions: What contributes to poor nutrition among children living in urban slums/informal settlements? What are solutions to effectively address their needs?

Policies & Strategies Programs and Initiatives Socio‐ economic and cultural vulnerabilities Environment al factors Formal and Informal Systems for Healthcare/ Food

Methods

Key Actors and Platforms

Assessment Domains

Literature Review Systems Mapping Analysis of Existing Data Key Informant Interviews Stakeholder Mapping (Focus Group Discussions)

Assessment Design Elements

Assessment Products

Data/Evidence Gaps/Recs Policy/ Program Gaps/Recs Key actors and platforms that can be leveraged Promising approaches to be replicated/scaled System and services improvements Next set of Implementation Science Questions

Cross‐country Synthesis Report

Policy Inventory Annotated Bibliography Key Actors & Program Matrix Data Inventory

Country‐ specific Urban Profile Country‐Specific Community Case Study

1 2 3

Next Steps

• This marks the unofficial “soft launch” of the three

country assessment;

• Implementation will begin, July/August pending

final technical review;

• Preparation for the International Conference on

Urban Health to be held in Kampala, November 2018 (workshops and sharing of prelim findings);

• Community/National Stakeholder engagement

around results;

• Final synthesis of findings to be shared during ECSA‐

HC‐ hosted forum in 2019.

Moving Evidence to Action

Look forward to continued discussion around:

• Decision‐maker needs to

improve the nutrition and WASH outcomes of children/adolescents in urban areas

• How we can best facilitate the

packaging and sharing of evidence to inform action

• How we can continue this

conversation among member states. ‘Want to avoid being data rich and information poor!’-

Participant from Roundtable Discussion