NORTH SOUTH PARTNERSHIP FOR HEALTH SYSTEMS atg

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Specifications	NORTH SOUTH PARTNERSHIP FOR HEALTH SYSTEMS atg
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Box 3: Burkina Faso Case-study Source: Personal Communication Diesfeld, HJ 2004 The development of the Programme for Science

Specifications	NORTH SOUTH PARTNERSHIP FOR HEALTH SYSTEMS atg
Outline	Acknowledgements Acronyms Executive Summary and Recommendations Health systems Health systems research (HSR) European Union policies European Commission support to health systems research in developing countries Recommendations The European Union, and Health Systems and Development Policies EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Focus of research projects Partners and Partnerships Types of partners Quality of partnerships Health Systems Research System EC support to Health Systems Research and Capacity-Building Programme overview Analysis of EC sponsored HSR projects Production of knowledge, dissemination and impact on health systems development Strengths and weaknesses of the INCO set-up and procedures Capacity-building and Getting Research into Policy and Practice Health Systems Research System EC support to Health Systems Research and Capacity-Building
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Content	Box 3: Burkina Faso Case-study Source: Personal Communication Diesfeld, HJ 2004 The development of the Programme for Science and Technology for Development by the EC in 1984 provided the opportunity for collaboration between Heidelberg University, the MoH and the Department of Public Health, Faculty of Health Sciences University of Ouagadougou. Research was designed to measure the quality, effectiveness and utilization of preventive and curative health services at the district and community level and accepted by the MoH and the EC. The Ministry of Health seconded a national researcher, the Faculty of Health encouraged 3 medical students to act as junior researchers and Heidelberg seconded a Principal Investigator, responsible. DED and GTZ provided technical assistance and transport. Field research was completed by 1985 and data analysed in a participatory evaluation with the health services in 1986. In December 1986, the medical students defended their theses successfully - the first time that medical students did their thesis work “in the field” of basic health care up-country rather than the protected area of the University Hospital. In the course of this event a “Partnership” between the Faculty of Health Sciences Ouagadougou and the Medical Faculty of Heidelberg was officially inaugurated. As a consequence of the evaluation the Ministry of Health planned a further project for action research which was again submitted to, and approved by, the European Commission in 1990 under the title “Action research on the utilization of health services in Burkina Faso” with the Ministry of Health providing the Principal Investigator. The study, based in Nouna, aimed to assess the output and outcome of newly organized rural health services. The major policy changes to be tested were: participation of the target population in financing and management of health services enhancement of service quality through standardization of medical tasks increased attraction by better integration of services, introduction of a delivery system of essential generic drug, strengthening of mother’s skills in treating key childhood illnesses. The study population comprised all 6000 households in Nouna hospital catchment and 3 health centres - around 30,000 individuals. Health impact was monitored through changes in age and cause- specific mortality using censuses and vital events registration and verbal autopsy of all child deaths. A sub-sample of 600 households was studied by periodic household surveys which yielded information on changes in health service utilization, health care expenditure and time lost due to illness. This Demographic Surveillance System (DSS) still exists and enabled the MoH to become part of the INDEPTH network (International Network of Demographic Evaluation of Populations and Their Health) in 1997. The new research programme studied different topics. Several new research assistants were engaged at the expanding research station in Nouna. The MoH provided a building complex within the Nouna District Hospital, a former epidemiological field station. Field investigators, interviewers and data entry clerks were recruited and trained. Research aiming at improving child health, equity and efficiency implications of prepayment schemes and health insurance were undertaken. The iterative process between MoH and Nouna Research Station and the growing number of completed research projects led to increasing acceptance of this kind of scientific cooperation by the MoH. This and efforts to seek further funds alongside favourable developments in the acceptance of HSR, internationally, within the University of Heidelberg and within the German scientific and research sponsoring community as well as the Federal State of Baden Württemberg, paved the way towards establishment by the Burkina Faso Government of a ‘Centre de Recherche en Santé de Nouna’ in 1999 as a national reference centre, in line with EC policy to develop research partnerships and structures for strengthening European and African research capacity. 17
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