Evidence-Based Decision Making in Health Bethany Park Policy Manager 20 March, 2018
In Brief IPA : high-quality evidence à • better programs and policies Co-creation of evidence • After the research : What • now? Strengths : Engaged policy • sector, quality research Gaps : Delivery, • Communication, Partnership
OUR MISSION To disco cover and promote effe ffect ctive so soluti tions to s to g global p poverty ty pr proble blems.
1 We create high-quality evidence. 2 We help turn that evidence into better programs and policies for the poor.
Extensive Collaboration Service Academics Providers e.g. MIT, Harvard, e.g. CARE, Oxfam, Yale, University of local nonprofits & Ghana businesses Government Funders Agencies e.g. Gates, USAID, e.g. Ministry of Hewlett, Family Education, Ghana & Foundations, Ministry of Health, Individuals Zambia
Innovations for Poverty Action More evidence, less poverty 650+ 33 studies studies
IPA Zambia 33 studies across all sectors (18 complete, 15 in progress) • 14 health studies (9 complete, 5 in progress) • More in development •
Evidence-Based Decision-Making in Health IPA’s approach
Co-Creation of Evidence Research questions that • address decision-makers’ felt needs Maintaining stakeholder • engagement throughout the duration of a project Preparing partners for “bad” • (and good) news
After the Research: What Now? The spectrum from results à scale up Dissemination… and beyond • Pressure testing • Field replications • Technical assistance • Scale up • Process monitoring of the • scale up Capacity building •
Examples Co-Creation of Evidence: Community Health Assistants Community Health Assistants: Which recruitment strategy attracts more qualified, higher- performing workers? Recruitment posters emphasizing career incentives vs. community incentives CHAs who responded to career incentives worked harder and got better results
Examples After the Research: Community Health Assistants Impact : CHAI and MoH have used these posters to recruit 1,400 CHAs Challenges beyond dissemination: Will the CHA program continue/grow? • Who can pay for these posters? • Who can ensure they are displayed? • Can we deliver on the career promises? •
Examples Co-Creation of Evidence: Growth Charts Easy-to-use growth charts installed in homes Small, geographically targeted sample In-home growth charts reduced stunting among previously malnourished children by 22 percentage points.
Examples After the Research: Growth Charts Impact : Evidence Action, IPA, and others working to (1) pressure test this tool in Satilani kakulidwe ka mwana kuti afike pa muyeso wake 155 150 Kumbukani: • Zambia; and (2) evaluate it at a larger scale in Nthawi zonse muyenera kusewenzesa ufa wa mgaiwa kudyesa mwana wanu 145 • Mwana wa thanzi ayenera kudya kanai kufikira kasanu (4-5) pa tsiku 140 • Ana a thanzi ndi mphavu ayenera zolimbitsa thupi, zomwe Sebenzesani zakudya zosiyana-siyana zomwe apezamo muzakudya monga nsomba, nyama,mazira kapena zipezeka kuno kwanu monga ndiwo za 135 soya beans Zambia and elsewhere masamba, kapenta, kayela, shawa, kachamba, chinangwa, mapila, mpunga, mkaka wa fresh kapena mawisi, zipaso ndi mafuta ophikila. 130 125 2 year 2 years 6 months 120 3 months 1 year 2 years __________ 1 year 9 months Challenges beyond dissemination: _________ 115 1 year 6 months _________ 3 months _________ _________ 110 1 year _________ 9 months _________ 105 _________ 100 Will this work at scale, in other locales? • 95 90 85 How do growth charts work—what do 80 • 75 70 they do to food distribution in the family? 65 Ngati mwana wanu ali mugawo lofiira, chonde 60 pitani naye ku chipatala chili pafupi ndi inu kapena munga tume lamya ku IPA Zambia pa 55 nambala iyi 0976703901. How can this be distributed at scale? •
Evidence in Health in Zambia: Strengths An engaged ecosystem of partners and researchers High quality research • Researchers who care about policymaking • and high-quality healthcare An engaged policymaking sector • Excellent partners in NGO, government, • and funding space
Gaps: What Will It Take? Research Gap: Health Health Management Funding for Moving Even Deeper Delivery Information Systems Evidence to Policy Partnerships Additional research on Better data + better 1. Funding for research Beyond dissemination, how to deliver high- leveraging of existing more conversation and 2. Funding for research- quality health service, data for better convening: researchers, backed innovations at scale , especially in decision-making implementers, funders. 3. Funding for the in- rural areas Improved capacity for More consensus on between: advocacy, understanding data & what works & priorities technical support, evidence capacity-building , etc.
Thank you System icon created by Deepz from Noun Project. Graph icon created by Zoie Kim from Noun Project. Medicine icon created by Viktor Fedyuk (Tim P) from Noun Project. Funding icon created by Gregor Cresnar from Noun Project. Consensus icon created by AlfredoCreates from Noun Project. poverty-action.org
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