Expanding Capacity for Operations Research in Reproductive Health: Summary Report of a Consultative Meeting WHO, Geneva, Switzerland December 10–12, 2001 © World Health Organization 2003 All rights reserved. Publications of the World Health Organization can be obtained from Department of Reproductive Health and Research, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 4447; fax: +41 22 791 4189; email: [email protected]). Requests for permission to reproduce or translate WHO publications - whether for sale or for noncommercial distribution - should be addressed to Publications, at the above address (fax: +41 22 791 4806; email: [email protected]). 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This publication contains the collective views of the U.S. Agency for International Development (USAID), Population Council/Frontiers in Reproductive Health (FRONTIERS), and the World Health Organization (WHO), Department of Reproductive Health and Research (RHR) and does not necessarily represent the decisions or the stated policy of the World Health Organization. Typeset and printed in Switzerland. Contents Executive Summary .................................................................................................. 1 1. Evolution of operations research ........................................................................ 3 1.1. Introduction .................................................................................................................................................. 3 1.2. Defining operations research ....................................................................................................................... 3 1.3. From research to utilization: do results last? .............................................................................................. 4 1.4. The expanding relevance of operations research ....................................................................................... 5 1.5. Operations research and quality of care ..................................................................................................... 7 1.6. Discussion .................................................................................................................................................... 8 2. Capacity building ................................................................................................ 11 2.1. Overview .................................................................................................................................................... 11 2.2. Capacity building programmes .................................................................................................................. 12 2.3. From data to policy ..................................................................................................................................... 13 2.4. Discussion .................................................................................................................................................. 14 3. Advancing operations research capacity building ........................................... 17 3.1. Key topics in operations training ............................................................................................................... 17 3.2. Furthering collaboration for operations research capacity building ......................................................... 18 3.3. Discussion .................................................................................................................................................. 19 4. Highlights and recommendations from group discussions ............................ 21 5. Summary and conclusions ................................................................................. 24 6. Appendices 1. Consultation concept background paper ...................................................................................................... 26 2. Consultation agenda ..................................................................................................................................... 28 3. Conference participants ................................................................................................................................... 31 Acronyms and Abbreviations AIDS Acquired Immunodeficiency Syndrome CBD Community-based distribution CDC Cairo Demographic Center CST Country Support Team FHI Family Health International FP Family planning HIV Human Immunodeficiency Virus IUD Intrauterine device MIS Management information system MOH Ministry of Health MOU Memorandum of understanding OR Operations research PIH Pregnancy-induced hypertension RH Reproductive health RHR [Department of] Reproductive Health and Research, World Health Organization RTIs Reproductive tract infections STIs Sexually transmitted infections TA Technical assistance UNFPA United Nations Population Fund USAID U.S. Agency for International Development WHO World Health Organization SUMMARY REPORT OF A CONSULTATIVE MEETING Executive Summary Operations research —the application of Create a shared understanding of the definition and systematic research techniques to improve benefits of operations research; programme operations—has been used in family Define the need for operations research capacity planning (FP) programmes for more than 40 years building; to improve the efficiency, quality, effectiveness, and availability of services. The need for operations Identify effective strategies for capacity building; research (OR) has grown over time as programmes Develop donor plans for mobilizing resources for have increased in size and complexity to encompass operations research capacity building; and broader reproductive health (RH) issues and faced new challenges. Concomitant to the need for Identify areas for collaboration in reproductive health empirical evidence for decision-making is the need operations research capacity building. for managerial capacity to understand and use this evidence. Participants developed a list of recommendations for future operations research and capacity Donor agencies that support operations research building priorities. The Consultation covered the have invested in improving the capacity of following main points: local researchers and organizations to conduct Operations research is a research technique operations research and utilize research findings. A major thrust of this effort has been the that uses systematic data-gathering to support incorporation of operations research training in decision-making to improve the coverage, some universities and research organizations in quality, and sustainability of services and developing countries. Institutionalizing training in programmes; other areas of RH has helped increase the Operations research is valuable to programme technical capacity of health care providers, managers and donors because it can enhance researchers, demographers, and epidemiologist in programme quality and facilitates efficient developing countries. To achieve similar success in resource use; institutionalizing operations research, international Building capacity to conduct operations donors and local and regional training centres research involves institutionalizing operations need to reach a consensus on who should learn research training courses at educational operations research skills, how best to teach these facilities in developing countries. This will skills, and how donors and training agencies can increase the sustainability of operations collaborate to increase impact of such training research by creating a critical mass of programmes and avoid duplication. researchers capable of conducting OR, increasing programme managers’ ability to To promote operations research capacity building, utilize research findings, and supporting the the World Health Organization (WHO) and culture of evidence-based decision-making. FRONTIERS/Population Council organized an international Consultation bringing together donor agencies, experts in reproductive health research, programme managers, and representatives of potential or existing operations research training centres. The strategic objective of the Consultation was to promote capacity building in operations research and to identify ways to increase resources in support of capacity building (for concept paper, see Appendix 1). Specifically, the Consultation was organized to: 1 EXPANDING CAPACITY FOR OPERATIONS RESEARCH IN REPRODUCTIVE HEALTH Participants made the following overall recommen- dations: Continue and support efforts to facilitate