Phase | Indicators of progress (outcomes/outputs and approximate date achieved/anticipated) | |||
---|---|---|---|---|
 | Case study 1 KATH, Ghanaian teaching hospital | Case study 2 Kenyan NGO LVCT | Case study 3 Malawian Research Unit REACH Trust | Case Study 4 DRC Research and Training. IPASC |
Aim of original project | To promote generation of local evidence to improve health care | To scale up access to HIV counselling and testing in primary health care centres | To develop evidence on equity, poverty and access to TB services in Malawi. | To understand the health needs of the community and develop context specific responses |
Aim of capacity building component | Improve ability of teaching hospital to sustainably deliver and manage research skills course to UK standards without external resources | Improve ability of health care facility teams to deliver quality assured HIV counselling and testing and contribute to research findings | To build research skills in equity analysis and multi-method research to develop policy-relevant research | To provide training in community health grounded in context for different cadres |
Capacity building activities | ||||
Awareness phase "planning, awareness raising" | LSTM and KATH/KNUST jointly commit funds to improve capacity for conducting and using research Framework for monitoring progress developed | High HIV care burden in health care facilities with little knowledge of HIV status Recognition of lack of evidence about feasibility of this approach | Recognised need for operational research to guide NTP priorities Collaboration between NTP, LSTM and University of Malawi Obtained project funding | Recognised need for research, training and infrastructure development appropriate for rural, conflict/post-conflict DRC. |
Timing (months from start) | Started 2002 (0-12) | Started 2001 (0-18) | Started 1999 (0-1) | Started 1992 (0-36) |
Experiential phase "start up, testing" | UK off-site Diploma (DPDM) established in Ghana for all KATH health professionals Institutional research support services increased (e.g. internet access, research office established, earmarked local project funds); creation of faculty team | 33 primary health facilities provide counselling and testing Kenyan NGO (LVCT) established for technical assistance to government to achieve scale up Research findings inform Kenyan guidelines and training | Studies conducted and fed into NTP policy and practice through Technical Working Groups First round of staff get Masters by Research from University of Malawi | IPASC is launched First graduates get degrees IPASC staff trained at LSTM on masters and PhD programmes |
Timing (months from start) | (9-36) | (12-36) | (12-24) | (24-108) |
Expansion phase "scale up, innovation" | Sustainable funding from MoH KATH fund quality assurance by LSTM Faculty for DPDM established with dedicated administration team First paper published by DPDM graduate | NGO expands to incorporate other post rape care, services for the disabled and for vulnerable groups Range of donors broadened and core funds increased First papers published | New staff recruited and research portfolio broadens to include HIV. Range of donors broadens and includes MoH funding Malawian director appointed; technical assistance from LSTM Malawian first author papers published | New courses established Range of donors broadened Became part of the EQUINET network Obtained funding to expand research DRC first author paper published |
Timing (months from start) | (24-60) | (30-72) | (40-60) | (108-192) |
Consolidation phase "sustainability, autonomy" | DPDM run entirely by KATH tutors; LSTM monitor quality Research results fed into clinical audit cycles Grants obtained with local researchers as lead DPDM expanded to second institution Further publications from DPDM graduates | Kenyan-run NGO with links to LSTM through Board of Trustees and collaborative research projects Over 500 HIV counselling and testing sites established Programme twinned with other countries in SSA. Research findings incorporated in international policy | REACH Trust - Independent Malawian research Trust established with Board of Trustees and Malawian Director Diverse funding and research portfolio. Ongoing advocacy with MoH and policy contributions. | Fully DRC run with global links to funders and academics |
Timing (months from start) | (48-84) | (6-120) | (60-120) | (12-192) |