PhD in Global Health Metrics and Implementation Science Kenneth - - PowerPoint PPT Presentation

Building Capacity for Global Health: UW PhD in Global Health Metrics and Implementation Science

Kenneth Sherr, Emmanuela Gakidou, Steve Gloyd

http://globalhealth.washington.edu/phd

Kenneth Sherr, PhD, MPH Associate Professor University of Washington Department of Global Health ksherr@uw.edu

Background

• Massive funding increase: Demand for timely, quality information

to guide strategies on how to scale-up EB guidelines

• High demand for advanced global health researchers
• 2008 - 2010: UW PhD Applicants with GH focus rose from 22-34% in health

services, 2-11% in epidemiology

• Few doctoral programs in global health nationally, none with

focus on measurement and implementation science

Source: http://www.healthdata.org/impact-11/innovations

Program Goal

IMPLEMENTATION SCIENCE Identify and address barriers to effective implementation and scale-up of evidence- based interventions by developing and applying cutting-edge implementation science methodologies and analytical approaches. METRICS Learn and apply advanced quantitative methods, impact evaluation techniques, and analytic tools. Students design and develop new ways to tackle critical global health measurement challenges.

Train the next generation of global health researchers in measurement and implementation science for careers in academic institutions, national institutions (MOH), and international organizations

• March, 2011:

Planning began

• May, 2012:

Program approval

• Sept. 2012:

First cohort

• June, 2015:

First graduate ‘Being the first M.D./Ph.D. graduate in implementation science in my country, it's hard to have an impact on your own. What would be very appropriate for me to do is to build capacity for implementation science, within the Ministry of Health, the universities and implementing agencies in health, and also mentor people who are interested in implementation science. This will have a bigger impact than working alone. If we can build that capacity so that there's a critical mass of people suffused through the entire health sector, to me, that would be a very useful way of spending my time.’

• Peter Cherutich, MBChB, PhD, MPH, Deputy Director for

Medical Services, Kenya MOH

https://www.fic.nih.gov/News/GlobalHealthMatters/january-february- 2016/Pages/peter-cherutich-value-of-research-training.aspx

PhD in Metrics & Implementation Science Milestones

Program Requirements

• 100 credit minimum

– 33 core credits – 15 area of emphasis credits – 30 dissertation credits – Remaining credits in elective courses

• Written preliminary exam (4-day, 4 questions)
• Written and oral general exam
• Dissertation defense
• Feasible completion within 4-5 years

Course Structure

Type Course area (credits)

Core Coursework Problems in Global Health (4) Doctoral Seminar (4) Epidemiology (8) Statistics (8) Fundamentals of Implementation Science (5) Mortality Measurement (4) Area of Emphasis Requirements Advanced GH Research Methods (8) Operations Research (4) Leadership, Policy, Management (3) Electives Mixed Methods and Topical Courses Field Research and Dissertation 30 credits

PhD Applications, 2012 - 2017

PhD Applicant Citizenship Countries

10 20 30 40 50 60 70 80 90 100 2012 2013 2014 2015 2016 2017

PhD Applications by Area of Emphasis

IS applications Metrics applications

PhD Applications, Offers & Acceptances

2017 2016 2015 2014 2013 2012 Applications received 72 61 54 57 61 4 Positions offered 4 6 5 5 1 Positions accepted 3 4 4 4 1 Percent of total offers accepted 75% 67% 80% 80% 100% 2016 2016 2015 2014 2013 2012 Applications received 27 31 36 41 27 3 Positions offered 2 4 4 4 2 Positions accepted 2 1 3 2 Percent of total offers accepted 0% 50% 25% 75% 100% Total Applications 99 92 90 98 86 7 Percent of total offers accepted 50% 60% 45% 78% 100% Implementation Science Metrics

PhD Students, 2012-2016 (N=25)

Countries IS Metrics US 5 (31%) 6 (67%) China 3 (19%) 1 (11%) France 1 (11%) Kenya 4 (25%) Mozambique 1 (6%) Rwanda 1 (6%) Sudan 1 (6%) Uganda 1 (6%) Zimbabwe 1 (11%) Total 16 (100%) 9 (100%)

MOH US Academic research LMIC academic research Applied research (iNGO, CDC, other)

PHD STUDENTS BY BACKGROUND INSTITUTION Previous Training (IS + Metrics)

MPH 23 (92%) MA/MS 2 (8%) MD/MBChB 8 (32%)

Funding Students

• Federal Sources (5/20%)

– NIH/D43 – Research awards (NIH, CDC)

• Non-Federal sources (20/80%)

– Doris Duke Charitable Foundation African Health Initiative – Bill and Melinda Gates Foundation – GAVI – China Medical Board

• Teaching assistantships & UW institutional support

Research Topics for Doctoral Research

Implementation Science Scientific methods applied to understand and improve delivery for priority global health topics

• Stepped wedge trial of community-

based mental health delivery in China

• Process evaluation of introduction of

HPV introduction in Mozambique: CFIR, social networks and economic analysis

• Mixed-methods investigation of an

integrated NTD elimination platform

• Cluster trial to assess the effectiveness

and budget impact of partner services for HIV testing in Kenya

Metrics Develop and improve analytic methods to measure the world’s leading health problems

• Application of Global Burden

Disease estimation to Indonesia

• Small Area Estimates for sub-

national immunization coverage estimates

• Improving geospatial methods to

measure all-cause and cause- specific mortality globally

Challenges, Adaptations, & Opportunities

Challenges & Adaptations

• Curriculum:

– What are Global Health IS core competencies? – Built on existing coursework (content & level appropriateness) – Filled in gaps through seminars, add-ons to established courses as new courses are developed

• Funding to build a new program

targeting LMIC students

– Broader faculty engagement to support research assistantships

• Recruitment: Global Health is

not a discipline + no track record for graduates Opportunities

• High need and demand
• Program focus helps reach

across and re-define disciplines: IS as a signature science

• Recognition of need to increase

implementation science capacity among funders

• Graduates entering the

workforce to define career paths and demonstrate program value