Date post: | 13-Dec-2014 |
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Technology |
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Child Survival and Health Grants Program:
INGO led Innovation and Operations Research
(2008 – 2011)
Nazo Kureshy, Team Leader, CSHGPOffice of Health, Infectious Diseases and Nutrition
Bureau for Global HealthUSAID
CSHGP’s CURRENT PORTFOLIO OF INONVATION & OPERATIONS RESEARCH
• Summarized in brief: “Testing innovations to improve and scale up high impact MNCH interventions in vulnerable communities: USAID’s partnership with 14 INGOs through the CSHGP in 16 countries
• Reported in 3 Congressional Reports focusing on updates to USAID’s Research Strategy – 4th currently in progress
INNOVATION & EVIDENCE: NUTS & BOLTS
– Deliberate Flexibility in Design of Innovation• PVO/local and national stakeholder driven designs responsive to local
challenges• Relevance beyond project area (national policy/program; global)• Illustrative areas for innovation and OR – no themes
– Developed in collaboration with BGH technical teams to link CSHGP innovations to research and incorporate GCD challenge areas, as feasible
– Integrated into an effective community oriented project platform (single or multi-district)
– Focus on Evidence & Use• Credible evidence (global/national/local), new partnerships for
research, relevance/use through stakeholder engagement
DEFINITION
Innovation is defined as an approach or practice that introduces novel ways of addressing critical operational barriers to delivering (for improving the delivery and use of) high impact MNCH interventions to (in) vulnerable populations and strengthening health systems, ultimately leading to increased scale of these interventions and improved health outcomes.
Innovations require challenging existing paradigms in order to address an identified need (by key stakeholders) at national and global levels.
DEFINITION (CONTD.)
• The proposed innovation should be an appropriate solution to a relevant public health challenge. It may include the following:
• Introduction of a new approach or practice;• Substantial transformation of an existing approach or
practice; and/or• Deleted: Adaptation of a successful approach or
practice for a different context.
DEFINITION (CONTD)
FY 2011 RFA ADDITIONAL NOTES ADDED TO DEFINITION
•Clearly differentiated from existing alternatives•Incremental solutions – not innovative proposed as project strategy rather than innovative solution•May integrate innovative approaches with low-cost products and technologies, as relevant and feasible (integrated innovations)
ANATOMY OF CSHGP’s EVALUATION CRITERIA FOR INNOVATION (2008-2011)
2008 2009 2010 2011
28 points 30 points 36 points 35 points
*Rationale and capacity to address key barriers
*Focused description /rationale for innovation* Contribution to evidence base/furthering policy/scale up
*Problem/relationship to national context*Prior research* Appropriate solution
*Problem/relevance/prior research*Unconventional* Potential for Impact, sustainability, scalability
*Methodology to evaluate innovation
*Mechanisms to share evidence
*Proposed OR design, including research questions
*OR partner/demonstrated capacity
* OR objectives, questions, and other design components
* OR questions only
* Stakeholder engagement in research and use of information (USAID Mission)
Innovation/Evidence Building Niche?
• Can frame with technical interventions and/or cross-cutting approaches lenses
• Proof of concept (4) + refinement/evidence building for scale up (13); of 13, 6 have some new components within innovation model
• Not a specific grand challenge but sets of relevant challenges for operationalizing a range of components in a community health system (delivery to utilization/participation) relevant to national/local policy and program context
• Clustering in challenge areas, particularly relevant to community level inputs and packaging
Innovation Clustering/Contributions
• Technology and mHealth• Developing new or improving community platforms
for delivery and use (CHWs; community mobilization; behavior change; governance)
• New practices in integration (within and outside of health)/Smart integration
• New or low coverage interventions (CCM, community newborn care)
• Equity
IDEAS ACROSS USAID INNOVATION MECHANISMS
CSHGPDevelopment
Innovation Ventures (DIV)
Grand Challenge: Saving Lives at Birth
New teaming at community level for CCM
Range of Task Shifting/Performance/Motiv
ation
Maternity Waiting Homes
MHealth (Dimagi comm care app)
Care Group model
People’s Institute Model
Simplified HFP-ENA model
EONC network
Inventory credit (bankers and farmers)
E-bike
Test for pre-eclampsia
Mobile phones (Dimagi comm care app for maternal
health; election fraud; mobile diagnosis)
TBD
Tensions/Reflection Areas
CONTENT•Flexibility vs. Themes
– Thematic Challenges for strengthening a cross-country learning potential (global vs. national)
•Range: strengthening coordination and collaboration across community of innovators:
– Integration of technology/other new comonents with cross-cutting approaches and community systems models
– Energize range of ideas? Cross-learning?
•Focus on credible evidence (national/global): sufficient process learning? Creativity with new methodologies? Culture of success and failure?
Tensions/Reflection Areas
CONTEXT•Integration of innovation within NGO project ($1.75, 4-5 years) – constraining? Cleaner division between smaller proof of concepts (with greater risk) and scale up?•Ideation vs. Sale: Novelty in Innovation/Risk vs. Evidence for scaling up promising/”safer” approaches and models •Priority countries or broader? Generalizeable vs. context specific solutions? Global vs. national?