Capacity-Building Program on Implementation Research for ...

Capacity-Building Program on Implementation Research for Technical Staff in PhilHealth Head Office: Local Evidence to Advanced Decisions (LEAD)

Course Plan

Week

Module Topics Output Facilitator Date of Lecture

Introduction to the Course

1 Introduction to the learning platform

Google Classroom/ Zoom/Viber Course Content

Uploaded Participant Profile Sample upload and download assignment

Maureen Bugatti Learning Coordinator LEAD Project AP Maria Carinnes Alejandria, PhD Lead Social Health Studies Research Center for Social Sciences and Education

11/17

2 Introduction to Implementation Research

Implementation Research: Definition, Principles, methods, and current applications

Dr Emmanuel Yujuico Senior Consultant ACCESS Health International

11/19


Course Plan

3 Introduction to Social Health Studies

Social Health Studies as an Interdisciplinary Approach ELSHI and Filipino Social Values

Matrix of Social Issues vis-a-vis Health Issues

AP Maria Carinnes Alejandria, PhD Lead Social Health Studies Research Center for Social Sciences and Education

11/26

Research Design

4 Introduction to Systematic Review

Reviews: Systematic, Rapid, Scoping

Sample systematic review for chosen capstone topic

Prof. Valentin Dones III, PhD Director Center for Health Research and Movement Science

12/3

5 Introduction to Quantitative Research Methods

Social Statistics

Research Design for a case study

Prof. Belinda De Castro, PhD Director Research Center for Social Sciences

12/10


Course Plan

Statistical Tools 1. Survey scales and hypothesis development in Social Health 2. Choosing appropriate statistical tools 3. Making sense of quantitative results

Answers to Problem sets

and Education

6 Introduction to Qualitative Research Methods

Ethnography, Grounded Theory Netnography

Research Design for a case study

AP Mark Oliver S. Llangco, PhD Director, General Education Program Office Of The Vice Chancellor For Academic Affairs Assistant Professor Of Sociology Department Of Social Sciences University Of The Philippines Los Baños

12/15


Course Plan

7 Designing Health Research Ethics Protocol

Health Research Ethics Data Privacy and the ICF

Health Research Ethics Protocol

AP Florence Navidad, EdD Ethics Director Faculty of Pharmacy University of Santo Tomas

12/17

Core Topics

*policy agenda topics are based on Philippine Health Agenda 2015-2022 https://www.doh.gov.ph/sites/default/files/basic-page/Philippine%20Health%20Agenda_Dec1_1.pdf

8 *Policy Agenda for UHC: All Life Stages & Triple Burden of Disease

Life Course/ Intergenerational Access to Health Life stages approaches

Completed Assessments

AP Maria Carinnes Alejandria, PhD Lead Social Health Studies Research Center for Social Sciences and Education

1/7

9 Policy Agenda for UHC: Service Delivery Network

Telemedicine Completed Assessments

Dr Iris Thiele Isip-Tan, MD, MS Director

1/14


Course Plan

Clinical Practice Guidelines Health in Disaster Periods

Interactive Learning Center. UP Manila

10 Policy Agenda for UHC: Grassroot to Policy

Affordable care Out of Pocket and the non-formal sector


Limuel Anthony B. Abrogena, MD, FPAFP

1/21

11 Policy Agenda for UHC: Health Promotion and the value of a multiple stakeholder consultations

Sectoral Contextualization Implementing national programs Engaging multi-sectoral participation in


Prof. Don Eliseo Prisno III, MD, PhD Country Director Access Health International

1/28


Course Plan

achieving health

12 Designing Policy Briefs for Decision Makers

Health Economics


AP Ronaldo C. Cabauatan, PhD Lead Research Center for Social Sciences and Education

2/4

13 Designing Policy Briefs for Decision Makers

Policy makers engagement


AP Frederick I. Rey, PhD Lead Politics and Public Policy Unit Social Health Studies Research Center for Social Sciences and Education

2/11

14 Understanding the Philippine Health System

UHCA Formulary to HTAC


Ms. Anne Julienne M. Genuino, RPh MSc Lead for Policy Planning and Evaluation Health Technology Unit DOH

2/18


Course Plan

15 Strategies to

communicate information to the public

IEC Materials Completed Assessments

Prof. Ma. Minerva G. Calimag, MD, PhD Faculty of Medicine and Surgery University of Santo Tomas

2/25

16 Designing M&E Monitoring and Evaluation


Prof. Rowena Escolar-Chua, PhD Dean College of Nursing University of Santo Tomas

3/4

Special Topics (weeks 17-20)

Participant may choose 4 modules

ST1 Designing Research Protocol for Health Issues and Alternative Solutions

Disability Responsiveness in reference to WHO’s Building Blocks of Health for UHC


AP Ivan Neil B. Gomez, PhD, MAED, OTR, OT, OTRP College of Rehabilitation Sciences University of Santo Tomas

3/11


Course Plan

● Health

Workforce

● Health Information System

● Medicine and Technologies

● Health Financing

● Service Delivery


Non-Communicable Diseases


Lizette Kristine F. Lopez, M.D. Internal Medicine-Endocrinology, Diabetes, and Metabolism University of Santo Tomas Hospital

3/18


Course Plan

ST3 Designing Research

Protocol for Health Issues and Alternative Solutions

Communicable Diseases


Prof. Leilani M. Asis, MD, PhD Program Director, UST Master in Public Health International Faculty of Medicine and Surgery

3/25


Alternative/ Traditional Medicine TAMA Law


Dr Isidro Sia Chair Sub-Committee on Alternative and Traditional Medicine DOH-HTAC

4/1


Mental Health Nature of mental health National Mental Health Program Anchoring research into a specific mental health framework


AP Ryan Francis Cayubit, PhD Chairperson Department of Psychology College of Science

4/8


Course Plan

Capstone Projects and Mentors

TOPIC RESEARCH QUESTION Mentor 1. Study on possible shifting from family-based NHIP to individual based health insurance

How would the family-based NHIP be transformed to an individual based program?

Lizette Kristine F. Lopez, M.D. Internal Medicine-Endocrinology, Diabetes, and Metabolism University of Santo Tomas Hospital

Course of action for mental health research

Finals

x Capstone Project consultations

Completing Capstone Project

April 15-29

xx Capstone Project presentation

Presentation May 6-13


Course Plan

2. Effect of immediate eligibility implementation on the informal sector to pay premium

How do we make the informal sector pay premium notwithstanding immediate eligibility? What additional benefits can be given to direct contributors.

Dr Limuel Anthony B. Abrogena, MD, FPAFP

3. Diagnosis - Related Group and Global Fund Policy (Re-costing)

How to determine and establish the appropriate costing of benefit packages to contracted health care providers?

AP Ronaldo C. Cabauatan, PhD Lead Research Center for Social Sciences and Education

4. Evaluation of PhilHealth System interoperability and readiness of infostructure to the UHC implementation

How adaptive is PhilHealth's information system to the implementation of UHC. What functions or activities can be outsourced to ensure operational efficiency?

Dr Iris Thiele Isip-Tan, MD, MS Director Interactive Learning Center. UP Manila

5. Study on PhilHealth Branding and effectiveness of existing marketing and communication strategies on PhilHealth benefits.

How effective are the marketing collaterals and activities on the increase of utilization of PhilHealth benefits particularly on primary care or Konsulta?

Prof. Ma. Minerva G. Calimag, MD, PhD Faculty of Medicine and Surgery University of Santo Tomas


Course Plan

6. Leadership Profile and Competency Assessment

How effective is the current competency assessment of PhilHealth? What are the possible required competencies relative to the functional or job description in the current organizational structure.

Prof. Rowena Escolar-Chua, PhD Dean College of Nursing University of Santo Tomas

Module Description and Intended Learning Outcomes

1 Introduction to the learning platform This training program will be implemented online using the google classroom platform. Synchronous sessions will be utilizing zoom and other communications will be conducted through viber and email. Responding to the results of the pre-training needs assessment, this module has the primary aim of orienting the participants on the processes involve in utilizing the platforms. At the end of this module, the participants are expected to be able to:

1. Access the google classroom; 2. View course works and streams; 3. Download learning materials; 4. Upload outputs; 5. Interact with mentors, facilitators, and participants.

2 Introduction to Implementation Research


Course Plan

Implementation Research promotes a multi-disciplinary and inter-methodological approach in evaluation of a health intervention in real world contexts. The main objective of this module is to introduce the participants to this emerging field of research that is projected to have critical impact in policy-making and evidenced-based decision making in healthcare systems. At the end of this module, the participants can:

1. Discuss the significance of Implementation Research; 2. Identify key areas where IR can be used; 3. Determine the principles and methods involved in IR; 4. Identify current applications

3 Introduction to Social Health Studies A key orientation that is currently adapted by researchers conducting implementation research is the localization of understanding and instruments to contextualize the experiences of a health intervention to its immediate recipients. Social Health Studies has become a leading orientation in merging the socio-cultural dimensions of health with the medical orientation. This module is divided into three parts: A) Social Health Studies as an Interdisciplinary Approach; B)Theoretical Orientations on Social Health; and C) ELSHI and Filipino Social Values. At the end of the module, the participants are expected to:

1. Identify key principles in social health; 2. Distinguish between illness, disease, and sickness. 3. Discuss the significance of Filipino Social Values on Health and Healthcare coverage


Course Plan

4. Formulate a matrix situating a health intervention vis-à-vis a social issue and a Filipino social value.

4 Systematic Review, Rapid Appraisal, and Scoping Review Evidence-Based Practice increases evidence uptake of health professionals. EBP knowledge and skills enable a researcher to consume or produce research, improving health care in the Philippines. An effective health care intervention cuts down treatment costs. Reviews comprise a formulation of the research question, systematic searching, and retrieval of best evidence. A review summarizes the results of available and carefully designed healthcare studies. It provides a high level of evidence on the effectiveness of healthcare interventions. This course covers the basic research methods included in the rapid review and systematic review. Participants will learn to formulate research inquiry, building keywords, searching the literature, and summarizing data. At the end of this short online course, the participants can:

1. Differentiate the reviews and their purposes 2. Formulate a research question 3. Systematically search and retrieve the best evidence 4. Critically appraise the evidence 5. Summarizing the data

5 Quantitative Research Methods for Social Health (Social Statistics)


Course Plan

Quantitative research methods are used to emphasize objective measurements and the statistical, mathematical, or numerical analysis of data collected through polls, questionnaires, and surveys, or by making sense of pre-existing statistical data using computational techniques. Sound judgement and appropriate decisions are made by health workers, researchers and policy makers when data is measured and treated correctly. At the end of the module, the learner is expected to:

1. Review the basic concepts of quantitative research methods and statistical concepts applicable to social health research

2. Identify social health problem situations that can be treated quantitatively 3. Construct a simulacrum and formulate hypothesis for social health problem situations 4. Use the correct metrics in gathering the data for the social health problem situations 5. Establish validity and reliability of survey questionnaires 6. Choose the appropriate statistical tools to address research problem situations

6 Qualitative Research Design: Methods Another design appreciated in Implementation Research is that of Qualitative approach. This design allows for the prioritization of textual over numerical data. The orientation towards narratives and lived experiences of individuals provides a nuanced and contextualized representation of a phenomenon. In this module, the key and rising methods in qualitative approach will be discussed: ethnography, grounded theory, and netnography. At the end of this module, the participants are expected to:

1. Identify the key concepts and orientations in qualitative research design; 2. Differentiate between the three methods; and


Course Plan

3. Design a qualitative method for a health research.

7 Designing Health Research Ethics Protocol The conduct of proper ethical research is to protect humans' rights and safety in research by upholding the principles of Health Research Ethics and Good Clinical Practice. The ethical policies and procedures serve as the guiding norms and standards in developing and designing the research methods. Some issues and concerns will highlight like authorship, data management, research misconduct, and the process of informed consent. The participants will learn to advocate responsible conduct of research and observe proper protocols for the safety of the research participants. Thus, research ethics is a reflection of respect for those who take part in the study. It also educates and monitors researchers to ensure a high ethical standard. At the end of this module, the participants are expected to:

1. Apply the ethical principles in conducting research; 2. Ensure the safety of the participants; 3. Be socially responsible and trustworthy in the management of data; and 4. Develop projects or research with ethical soundness. 5. Identify the components of a Data Privacy Protocol; 6. Create a Data Privacy Protocol for the capstone project; 7. Identify the components of an Informed Consent Form; and 8. Develop an ICF for the capstone project.


Course Plan

8 Policy Agenda for UHC: All Life Stages & Triple Burden of Disease Life Course/ Intergenerational Access to Health Life stages approaches

9 Policy Agenda for UHC: Service Delivery Network Telemedicine Clinical Practice Guidelines Health in Disaster Periods

10 Policy Agenda for UHC: Grassroot to Policy Affordable care Out of Pocket and the non-formal sector

11 Policy Agenda for UHC: Health Promotion and the value of a multiple stakeholder consultations Sectoral Contextualization Implementing national programs Engaging multi-sectoral participation in achieving health


Course Plan

12 Designing Policy Briefs for Decision Makers: Health Economics

This course provides economic theories related to the health care system. Moreover, this course will apply the economic theories on the health sector’s key elements such as the demand and supply of health care services, allocation of public health expenditures, significance of quality health care, and health outcomes. The course will also cover the impact evaluation of the health care system on the grounds of accessibility regardless of income class, high quality provision, and affordability. It is also directed to the identification on how consumers and medical providers respond to changes in incentives. At the end of this module, the participants are expected to:

1. Develop an appreciation pertaining to the essential benefits of the health care system to preserve quality human capital and in strengthening the economy.

2. Equip themselves with economic tools to guide them in analyzing opposing view on the manner health care should be reformed.

13 Designing Policy Briefs for Decision Makers: Policy makers engagement Designing Policy Briefs for Decision Makers is module is designed to evaluate and exhibit the dynamics of power in policy-making. Equally important with the science-based policy-making, is the cognitive capacity to develop policy interventions for health programs that are conscious of how the economy of power is translated into actual policies. At the end of the lecture, the learner is expected to:


Course Plan

1. Describe the nature and essence of policy-making. 2. Illustrate the function of social power in relation to policy making. 3. Prepare a plan how to devise a policy plan. 4. Examine the design of existing policy materials. 5. Critique the design existing policy materials. 6. Design policy briefs for decision-makers.

14 Understanding the Philippine Health System This module aims at orienting the participants with the current institutional and procedural implications of the UHCA in the Philippine healthcare system. Specifically, it includes discussions on health technology assessment and the agencies related to this process. At the end of this module, the participants are expected to: 1. Define Health Technology Assessment; 2. Distinguish the offices and units involved in HTA; 3. Discuss the role of HTAC in healthcare coverage; 4. Identify the types of evaluations involved in an HTA; 5. Determine the intersection between HTA and PhilHealth; 6. Provide a critique of procedural and methodological components of HTA with regard to PhilHealth mechanisms.

15 Strategies to communicate information to the public: Information, Education and Communication (IEC) Materials Development


Course Plan

Information, Education and Communication (IEC) is one of the essential components of any health programme. When planned well within the context of an overall health prevention and control programme, IEC can be a very effective intervention to bring about behavioral change, especially in populations with high risk behavior. At the end of the lecture, the learner is expected to: 1. Define Information, Education and Communication 2. Develop a conceptual framework for IEC within a prevention and control programme for public health; 3. Classify the types of IEC materials 4. Develop a conceptual framework for IEC within a prevention and control programme for public health 5. Evaluate the best type of IEC material to address the proposed behavioral change 6. Critique the design of existing IEC materials 7. Design effective IEC materials in various media formats 8. Devise a plan to implement the IEC material

16 Designing Monitoring & Evaluation for Health Research Monitoring and Evaluation helps in collecting, analyzing and transforming health data into strategic information for informed decision making, improved effectiveness and enhanced advocacy in health programs. M&E will help to ensure that health programs are implemented as planned and to assess whether desired results are being achieved.


Course Plan

This module aims to build the capacity of M&E professionals working in the health sector. The acquired M&E skills will assist the participants to improve health program planning and performance management and enhance the institutionalization of the collection of health-related data and the analysis of program impact. The main topics covered include the development of monitoring and evaluation for key health sector program areas such as universal health care

At the end of this module, the learners should be able to: 1. Define monitoring and evaluation 2. Classify different types of monitoring and evaluation (M&E) of health programs 3. Critique the design of an existing health program and its monitoring and evaluation plan 4. Design a health project/ program using a logical framework 5. Develop performance indicators and targets for each result level 6. Devise a plan on how to evaluate the health project/ program against planned outcomes 7. Develop a comprehensive monitoring and evaluation plan for the health project/ program

ST1 Designing Research Protocol for Health Issues and Alternative Solutions Disability Responsiveness through Health Systems Analysis Equipped with thorough understanding of the plight of the PWD, this module aims to promote disability responsiveness, adapting a systems analysis approach which is pivotal in launching reforms for disability-inclusive health. To achieve this, each building block of health is examined through a disability lens: leadership and governance, health information system, medicine and technology, health financing and service delivery. At the end of this module, the participants are expected to:

1. Determine the current health status of the PWD through case studies that show how the health system is actually working in practice.


Course Plan

2. Analyze factors that contribute to the health performance and the building blocks of the health

system that includes the PWD. 3. Apply critical thinking in framing the health issues with disability lens.

ST2 Designing Research Protocol for Health Issues and Alternative Solutions Non-Communicable Diseases (NCDs) Module NCDs are diseases arising from a combination of genetic, environmental, and behavioral risk factors. They tend to be of long duration and have become greatly important in causing morbidity and mortality. Due to their chronic nature and the contribution of multiple risk factors, these diseases have complex management and a significant impact on the health of a community. At the end of the module, the learner is expected to:

1. Identify the main types of NCDs 2. Describe their overall importance in the Philippines and globally 3. Explain how social determinants of health affect the six building blocks of health 4. Explain how social determinants of health contribute to the prevalence, morbidity, and mortality from

NCDs. 5. Analyze examples of specific policies, including those related to health promotion and education, and

how they impact NCDs 6. Evaluate the social and economic implications of NCDs on individuals and communities


Course Plan

ST3 Designing Research Protocol for Health Issues and Alternative Solutions Communicable Diseases Communicable Disease is a module that deals with infectious diseases caused by emerging and re-emerging agents, microbial resistance, and pathogens linked to chronic conditions. It will also tackle traditional diseases like nosocomial, food-borne, water-borne, zoonotic, and arthropod-borne infections. Various approaches are utilized to address these infections like personal hygiene, reduction or treatment of reservoir hosts, sanitation, water treatment, , vector control, environmental interventions, vaccination, and improved nutrition. The course will give emphasis on COVID-19 and related viral diseases, HIV, tuberculosis, hepatitis and other tropical diseases. At the end of the module, the learner is expected to:

1. Learn and understand terminologies commonly used in communicable diseases. 2. Apply principle of public health in communicable diseases for problem solving, analysis, and decision

making. 3. Recognize and define aspect of public health problems on communicable disease, critically evaluate

the relevance of information and data, compare alternatives using critical analysis, and adapt solutions to suit varied situations.

4. Articulate and write ideas and reports clearly. 5. Access and critically evaluate sources and content for quality applicability and review literature for

effective resource consideration, and summarize and synthesize information with a view to pursue deeper understanding in communicable diseases.


Course Plan

6. Management, organization and leadership – manage commitments, information needs and time

according to needs in both personal and team situations. 7. Formulate policy in communicable diseases with application of the fundamentals and principles of

public health in communicable diseases.

ST4 Traditional and Alternative Health The module will discuss native and indigenous peoples studies on their traditional medicines and healing practices. Ethical processes, permits needed for cultural studies or local government regulations will be detailed (NRCP, ERC, TAMA Act, etc). This module is also designed to enable the participants to understand the practice of complementary and alternative medicine/integrative medicine domains that are commonly used by Filipinos in medical healthcare. They are cost-effective, recognized by the government, a local and global trend, and a basis for scientific research in improving the quality of life of the individuals and the community as a whole.

At the end of the module, the learner is expected to: 1. Distinguish Alternative versus traditional Medicine 2. Discuss the significance of TAMA Law 3. Apply concepts learned in traditional medicines and CAM/integrative medicine on areas that entail problem solving, particularly in research, preparation of policy briefs and guidelines

ST5 Mental Health The module will focus on how to do research on mental health related topics. It will include discussion on the nature of mental health, different components of mental health, the importance of anchoring mental health research to an established framework. Likewise, it will focus on two possible areas of mental health


Course Plan

research (assessment and intervention) and qualifications of individuals that will engage in mental health research. At the end of the module, the participants are expected to:

1. Discuss the nature of mental health 2. Explain the national mental health program of the Philippines 3. Select an appropriate framework for mental health research 4. Evaluate their own qualifications to undertake mental health research 5. Design a mental health research project focusing either on assessment or intervention.

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