Adding Up For Impact: From Projects To Programmes and Centres

Adding up for impact:
From projects to programmes

and centres
www.futurehealthsystems.org
Tanvir Ahmed, icddr,b
Jeff Knezovich, IDS
9 September 2014
London, UK
Presentation outline
Overview of Adding up in Adding up Challenges and

approach Bangladesh internationally discussion questions
1
Overview of
approach
Project-based uptake strategies
Build up Build out
3
Buildupup
Build
Promote
Design and and
develop new disseminate
branded products
Build widely
website outputs
Design
logo
Choose
acronym
4
And then the
project ends…
The Africa Power and Politics Programme is

a consortium research programme funded
by the UK Department for International
Development (DFID) and Irish Aid for the
benefit of developing countries.
www.institutions-africa.org
Let
down?
Archive
website
Forget
who pays
web
hosting
fees
Everything
disappears
6
Build out
Programmes Project Groups/teams
7
Advantages
● Tap into and strengthen existing:

o Brand recognition
o Communication channels
o Built audiences
o Partnerships
Sum is greater than its parts

8
Challenges
● Accountability to funders
o Time
o Money
o Contribution to impact
● Lines of authority
● Intellectual ownership and clarity
Risk of being half-baked?

9
Adding up in
Bangladesh
● History of ICTs for Health in Bangladesh
● Diagram of different projects and how they relate
● Why adding up
● Challenges faced
11
History of ICTs for Health in Bangladesh
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
100
80
There is growing enthusiasm for
the possibilities opened up by
60 the rapid spread of mobile phone
40 coverage…
20
0
Mobile-cellular Internet GDP growth
Percentage showing time trend of mobile-cellular and internet

subscription and GDP growth in Bangladesh (ITU and WB, 2013)
12
(cont’d)
Spread of ICT across the country; political
commitment (MoHFW, 2013)
Bangladesh has already adopted eHealth as a
platform
 Bangladesh is 1 of 15 countries using mHealth to raise
awareness (WHO, 2011)
13
(cont’d)
In 2012, our scoping study found 24

eHealth/mHealth initiatives
14
Research @ icddr,b
Organogram
15
Research @ icddr,b
Centres for Excellence
• Child & Adolescent Health
• Communicable Diseases
• Reproductive Health
• Vaccine Sciences
• Population, Urbanisation & Climate Change
• Non-Communicable Diseases
• HIV & AIDS
• Food & Waterborne Diseases and
• Equity and Health Systems
o Each centre has research groups

o Research group of Information
Communication Technology (ICT)
for Health is one of the six groups
16
Why a RG for ICT and Health?
• ICT has gained lot of interest in health and in broader
development arena
• At point there were at least 10 different research projects
at icddr,b which employed ICT
• Most of these were health interventions using ICT as a
tool for delivery
• How ICT is linked to broader health system goal was
missing
• This RG offered a conceptual framework to link these
projects together and with health systems
17
Why a RG for ICT and Health? (cont’d)
• The RG conceptualises the role of ICT as an interaction
between the direct health systems actors
Community ??
Strengthening decision making Informal

Mapping of urban health facilities by DFID Future Health Systems by DFID
Formal
Policy Service HMIS for
Health
Makers Provider Insurance by
Regulation and capacity building RF and GoB
18 SEARCH by IDRC, Canada
ESRC – DFID fund
Name of the project:
ICTs [Information Communication Technology] and the
changing health knowledge economy: how people find
health information in Bangladesh
In short – Health Information Seeking Behaviour (HISB)
Context:
Bangladesh
Awarded institute
 Primary: Institution of Development Studies (IDS)
 Secondary: icddr,b
19
HISB Study Outputs: How it relates to
ongoing agenda
HISB has
 Demand side perspectives and
explanations of health in relation to in
the context of Bangladesh
 Created a data collection platform,
readily available for cleaning after
collection
20
HISB Study Outputs: How it relates to
ongoing agenda (cont’d)
Development Delivery Evaluation
 Critical input for  Data collection  Role of
frameworks platform community
 Evidence to policy  Approach for  User friendliness
makers for service delivery of ICT
decision making through ICT interventions
 Inform design of
service delivery
packages and
HMIS
21
Research Dissemination
● Traditionally research dissemination is peer
reviewed publication and scientific conferences
and seminars
● Further addition to this is a project based
advisory group for policy penetration
● RG – ICT for health has their own TAG to guide
all the ongoing and completed projects
● Plus regular dissemination in three broad
categories; academic, national and international
22
RG-ICT – dissemination of research
GoB; MoHFW, MoICT
RG - ICT NGO
Private sector
TAG Researchers
Academic National International

 Post-graduate and short  Popular articles at local  Publications at
course sessions; James newspapers peer reviewed
P Grant School of Public  National conferences, journals
Health (and icddr,b) workshops and trainings  Blogs (plan)
 icddr,b’s scientific  Periodic newsletters for  Conferences
forums developmental
 Online courses audiences (plan)
23
HISB Study Dissemination Strategy
Blend it into RG – ICTs on going dissemination
platform
1. Receive active feedback from the TAG in the
beginning
2. Present findings as a sequel to both IDS and icddr,b’s
periodic/regular dissemination activities i.e.
a. FHS’s blog
b. FHS’s research briefs
c. SEARCH Framework and training component
etc.
24
Adding up
internationally
International
Traditional:
● Scientific articles; Role of ICT in people’s decision
making, ICT perceptions of the community, trust, equity
etc.
● Conference presentations
Modern:
● Web posting external sites; i.e. Future Health Systems
(FHS) - http://www.futurehealthsystems.org/
● Webinars for more academic and research oriented
audience
26
Integration with FHS website – Project page
27
Integration with FHS websites: Theme pages
28
Challenges and
discussion questions
Challenges
● Accountability to funders
o Time
o Money
o Contribution to impact
● Lines of authority
● Intellectual ownership and clarity
Discussion: What strategies can help to

overcome these challenges?
30

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Adding up for impact:

From projects to programmes

Overview of Adding up in Adding up Challenges and

Build up Build out

The Africa Power and Politics Programme is

Programmes Project Groups/teams

● Tap into and strengthen existing:

Sum is greater than its parts

Risk of being half-baked?

Percentage showing time trend of mobile-cellular and internet

In 2012, our scoping study found 24

o Each centre has research groups

Strengthening decision making Informal

Academic National International

Discussion: What strategies can help to

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