Welcome & Introduction

COUNTDOWN

Russell Stothard (Director)

Rachael Thomson (Manager)

…in a nutshell

Implementation Science Requested by DfID

Programme of implementation research to inform the effective and sustainable scaling-up of integrated Neglected Tropical Disease (NTD) control initiatives OJEU: 2013/S 181-312697

Open tender: two final collaborative application for £15M in the 2014-2019 period

COUNTDOWN (Liverpool) & EVIDENT (London)

COUNTDOWN Rationale for Research Themes and Approaches

PC NTDs

Diseases: ONCH*

LF

SCH

STH

(TRA)

Drugs: IVM/DEC/ALB/MEB/PZQ

(ZRT)

DOXY*

?Addressing

bottlenecks in scale-up of preventative

chemotherapy

and

Acceleration towardsWHO 2020 targets

Preventative Chemotherapy NTDs

Diseases: ONCH*

LF

SCH

STH

(TRA)

Drugs: IVM/DEC/ALB/MEB/PZQ

(ZRT)

DOXY*

COUNTDOWN Rationale for Research Themes and Approaches

70 page document:

• Context of research

• Theory of change and results chain

• Research uptake

• The research

• Wider research impacts

• Approach to monitoring and evaluations

• Programme team and management

COUNTDOWN Rationale for Research Themes and Approaches

COUNTDOWN will consider

Q1) What are effective, cost-effective, sustainable and acceptable current and complementary strategies for scale-up?

Q4) How can integrating NTD programmes strengthen health systems and foster cross-sector working (e.g. sanitation and agriculture)?

Q2) What generalizable factors influence the acceptance, effectiveness, efficiency, and equity impact of scale-up within the health system?

Q3) What are the most effective strategies to work with CDDs and CHW to extend scale-up of MDA to include hard-to-reach communities?

Our IR questions were subsequently developed and are:

COUNTDOWN Impact and Pathways to Achievement

IMPACT: Reduced morbidity,mortality, and povertyassociated with NTDs throughincreased knowledge andevidence for cost effectivescale-up and sustainablecontrol and elimination of NTDsas a public health problem inline with the WHO 2020 NTDRoadmap

Community

Global

Regional

National

District

Trachoma

Soil-transmitted helminthiasis

Schistosomiasis

Lymphatic filariasis

OnchocerciasisLiberia

Cameroon

Ghana

Years of MDA

10 20 300

WEST

control elimination

Loa loa

CENTRAL

COUNTDOWN Rationale for Research Themes and Approaches

Assessing

outreach

resilience

equity

gender

vulnerability

targets

How We Will Do It

IntegratedComplementary Strategy Theme

ICST 1

ICST 2

Liberia GhanaCameroon

MDA Scale-up Theme (MST 1 – 3)

elimination

: Country and Context-Specific Settings of MDA

MST 1: Evidence synthesisPaul Garner and Cochrane group

MST 2: Applied social scienceSally Theobald and Margaret Gyapong

MST 3: Health economicsLouis Niessen

ICST 1: ‘Hotspots’ and SAEs Mark Taylor, Lisa Reimer/Joe TurnerNana Biritwum and Sam Wanji

scale-up in Nigeria and responsive research

ICST 2: Access to MDA and CLTS Russ Stothard, Emily Adams, Kamal KarLouis Tchuem-Tchuente and Mike Osei

control

Rationale for Implementation Research Themes and Approaches

Our implementation research themes and approaches take forward the current needs and priorities of our embedded country partners, and also reflect calls for action at the international level.

Louis Tchuem-Tchuente – NTDs (SCH/STH)

Nana Biritwum – NTDs (LF)

Karsor Kollie – NTDs

Margaret Gyapong – Social sciences

Sam Wanji - LF and ONCH

Keeping in Mind Gaps in Existing PC Actions – Completing Scale-up

Drugsdonated/purchased/delivery

DeliverersCDD or teachers or bothMaternal & child healthEPI

RecipientsPre-SACSAC (in-school and out-of-school)Adults (pregnancy)

EnvironmentVectors/sanitation/modification

What Are The Expected Results?

2: Provide rigorous and generalizable evidence to improve and support scale-up of integrated MDA programmes

3: Develop knowledge management strategy and multi-sectoral platforms for cross-talk and dialogue, ensuring open access knowledge products

4: Increase research capacity and integrate multi-sectoral evidence for optimisation of NTD control programmes

Our results are framed in four outputs:

1: Form a vibrant multidisciplinary implementation research consortiumengaged with national NTD programmes and international stakeholders

COUNTDOWN Within the Wider NTD Research Community

Multi-sectoral approach taking advantage of:

• Donors (bilateral including DFID and philanthropic organisations)

• Multi-lateral organisations (including WHO)

• Governments (in target countries and beyond

• Academics, researchers and their networks

• Implementing partners (public and private)

• NGOs

• Community level stakeholders

Thinking Further Ahead 2015-2030

The WHO/World Bank Framework and SDGs

• A minimum of 80% essential health services coverage

• 100% financial protection from out-of-pocket payments for health services

Control and elimination of NTDs a ‘litmus test’ of progress

Several reasons to be proud:

highlights include – SCH/FGS/HIV, research uptake, Beyond 2020

COUNTDOWN is Off to a Great Start!

External Communications – Website now Live with Online Articles and Blogs

A formal update to provide a:

Quick route to dissemination

Reflections and order thoughts

Train of events and series of ideas