|What is New in EVIPNet|
EVIPNet Americas consists of national multidisciplinary teams, with different structures, and different knowledge translation processes, either because of the political subjects they approach or the time devoted to addressing said problems. Some teams work independently while others still need to grow stronger. Taking into account that the overall objective of EVIPNet is to bridge the gap between the use of research in the decision making process regarding programs, policies and laws and that it has been launched in the Americas in 2007, its impact and some results should already be available for their review. From August 2010 to June 2012, eight (8) EVIPNet workshops were developed, and they involved 16 countries and 277 subjects; and eight (8) evidence informed briefs for policies were finished. Other 16 are being developed. Report in English
The EVIPNet team organized and completed its second deliberative dialogue that was coordinated by the Minister, Dr. Esperanza Martínez. Managers and decision makers in the areas of primary health care and chronic diseases, as well as regional health directors and investigators were convened. The base document used to deliberate was the “policy brief” (summary and compendium of policies) “The role of Primary Health Care in the integrated approach for the management of Chronic Noncommunicable Diseases” and the technical personnel of the ministry presented the options of policy up for deliberation. From PAHO, Dr. Enrique Vázquez participated on behalf of the PAHO Representative and Dr. Antonieta Rojas de Arias, research focal point and EVIPnet Américas counterpart, providing technical support for the realization of the Dialogue. You can listen to the Minister in this video (in Spanish only).
The presentation “Water and Sanitation in the Latin America and the Caribbean” was offered on March 15th as part of the series of virtual seminars Toward Rio+20: Sustainable Development and the Environment. Learn more here. Dr. Evelina Chapman was responsible for the presentation in which she also presented “The deliberative dialogue as an instrument to incorporate public policies informed by evidence into water and sanitation in the national context.”
Sponsored by the Environmental Health and Sustainable Development of PAHO in Washington, DC. During the meeting Evelina Chapman of EVIPNet Americas was invited to make the presentation “Evidence-informed policymaking” pertaining to the methodological aspects underlying a policy brief and a systematic review about the prevention of motorcycle injuries. The systematic review is being coordinated by EVIPnet Americas and in the future will produce a policy brief and a deliberative dialog about this topic.
At the request of Dr Rosas, Coordinator Micronutrients of the Department of Nutrition for Health and Development of the WHO’s Program on Nutrients, the Global, Regional and National (Peru) EVIPNet teams gathered in Washington, DC to discuss the integration of scientific evidence into the new WHO Guidelines for Micronutrients. Utilizing a policy brief prepared in Peru, Evelina Chapman presented “The Use of evidence” and Lely Solari of Peru, demonstrated how a systematic review can facilitate a rapid response to a country’s request for help.
Dr. Jon Kim Andrus, Deputy Director of PAHO, lead the session Border Health and Chronic Diseases during which the talk "Policy briefs and policy dialogues in promoting healthy eating and preventing childhood obesity" was offered. Presented by Lorely Ambriz, focal point for research, the presentation was about how evidence is being used to dictate policy regarding health problems in El Paso, Texas. This advancement in the US – Mexico border has resulted from the fruitful collaboration between Research/EVIPNet Americas team and the El Paso Office.
“Water and sanitation” was included as a social determinant of health in the Rio Declaration on social Determinants of Health. The inclusion comes after studies carried out by PAHO and the publication of the policy brief “Water and Sanitation: Evidences for public policies focused on human rights and public health results.” The document, released by the Organization, summarizes the policies related to water distribution, sanitation, and human rights approach and its impact on equity and public health. The document was launched during World Water Day and a subsequent Deliberative Dialog on water and sanitation that took place in Guatemala supported by EVIPNet Americas. The Dominican Republic is using this policy brief to apply it to their contexts—a step forward in knowledge translation and more efficient use of resources.
El Paso, TX, December 7, 2011 (PAHO/WHO) – Cancer, diabetes, hypertension, and cardiovascular diseases are common issues on the U.S.-Mexico border region that is why the Pan American Health Organization/World Health Organization (PAHO/WHO) is hosting a forum and workshop to establish the Non-Communicable Diseases U.S.-Mexico Border Technical Advisory Group (TAG). The three-day forum and workshop is taking place from 7th to Friday 9th December, 2011.El Paso, TX.
First published report in the Americas prepared by Evelina Chapman, EVIPNet in collaboration with the technical team PAHO Guatemala.
Click here to see the report in PDF (2 MB- only in Spanish)
Interview with the Peruvian Minister of Health, Dr. Oscar Ugarte Ubilluz, during PAHO's Executive Committee meeting in Washington D.C. The minister emphasizes how knowledge translation is helping the Ministry’s decision-making-processes.
Research concludes that scientific evidence not sufficient to determine safety of GMOs
Washington, DC, June 13, 2011 (PAHO) – The Peruvian Congress has issued a 10-year moratorium on the introduction of Genetically Modified Organisms (GMOs) in the country after careful consideration of the agricultural, environmental, and public health implications of GMOs. This political decision was influenced not only by social mobilization and press releases written by opinion leaders; the Ministry of Health (MINSA) also took position on this issue based on a technical report on GMOs conducted by the National Institute of Health in Peru.
When the Government of Peru issued a Supreme Decree authorizing the introduction of GMOs in April, 2011, a debate sparked surrounding the safety, as well as the economic and environmental impacts, of GMOs. “Renowned scientists postulated the absence of adverse effects associated with their consumption, but other medical groups argued that these foods cause allergies, antibiotic resistance and damage to organs,” said Lely Solari, a member of the Analysis and Generation of Evidence in Public Health research team at the National Institute of Health.
Upon request of the Peruvian Ministry of Health, the Analysis and Generation of Evidence in Public Health team at the National Institute of Health carried out a systematic review of the available scientific literature on the subject. Although there is no current proof that the consumption of GMOs is harmful to people, they concluded, based on the findings of their review, that there is also insufficient evidence to conclude that the consumption of GMOs is safe and beneficial to people. The Analysis and Generation of Evidence in Public Health team recommended that further studies are needed to evaluate the long-term nutritional safety of GMOs in humans and animals in accordance with international scientific standards.
As part of the EVIPNet Initiative (Evidence-Informed Policy Network), the Analysis and Generation of Evidence in Public Health team at the National Institute of Health promotes the systematic use of health research evidence in policy-making in Peru.
Analysis and Generation of Evidence in Public Health (UNAGESP), National Center for Public Health, National Institute of Health of Peru
The mission of the National Institute of Health is to generate scientific and technological evidence for the implementation of policies, standards and interventions in health, in this regard the Analysis and Generation of Evidence in Public Health (UNAGESP) was established in 2009 with the aim of evaluating Health Policy based on the best available evidence or, where applicable, to generate such evidence to support the decision-making of health officials at the national, regional and local levels.
UNAGESP performs systematic reviews, economic evaluations and primary evaluation studies on issues of interest in public health. UNAGESP is comprised of a multidisciplinary team of physicians, biologists, librarians, biostatisticians and other partners (economists, etc.).
Visit the UNAGESP Page in Spanish: http://www.ins.gob.pe/portal/jerarquia/4/824/unagesp/jer.824
EVIPNet: Improving Health and Strengthening National Health Research Systems
EVIPNet is a social and collaborative network that promotes the strengthening of health systems by using knowledge translation as a catalyst for the development of health research systems.
Further to developing research capacities, EVIPNet promotes a systems approach for the implementation of relevant research and the integration between policy, practice, and research. It also promotes partnerships between stakeholders, facilitates policy implementation and policy development that is informed by reliable and relevant scientific evidence. EVIPNet builds bridges between research producers and users. The international network and its secretariats (regional and global) monitor and evaluate, and bring efficiencies and coordination among participating country teams, within the Americas, and globally between participating WHO Regions.
For more information about EVIPNet and PAHO’s Policy on Research for Health please visit: www.paho.org/researchportal
Como parte de las celebraciones del Día Mundial del Agua, el Programa de Ambiente y Desarrollo Sostenible (SDE) presentó el Resumen de evidencia (Policy Brief) "Políticas de distribución de agua, saneamiento, derechos humanos, equidad y salud pública" el mismo que fue producido por el Equipo de Promoción y Desarrollo de la Investigación a solicitud de SDE.
(left) Dr. Jorge Barreto, National Council of Municipal Secretaries of Health, Brasil
The World Health Organization (WHO), the Special Programme for Research and Training in Tropical Diseases (TDR), and the London School of Hygiene and Tropical Medicine (LSHTM), convened an expert group to discuss␣the value of the research on implementation; one that generates knowledge on how to integrate the results of research on health in the health care systems.
These experts met from 14 to 16 March 2011 in Bangkok, Thailand; to explore the transformational role on the health system is the implementation of the results of research on diagnostic tests. They discussed the challenges found in knowledge translation, and shared experiences in transformational health systems initiatives. During the event the positive experience of Evidence Informed Policy Network (EVIPNet) was presented.
The Coordinator of the World Health Report 2012, Dr. Tikki Pang, highlighted how when scientific knowledge, political, and social participation work jointly, changes can be achieved. For its part, the Senior Adviser for the Research Promotion & Development team at PAHO, Dr. Luis Gabriel Cuervo, illustrated the systems approach by which the translation of knowledge becomes a catalyst for the strengthening of National Health Research systems, as applied in PAHO. This approach was illustrated with specific examples brought by the Extraordinary Secretary for Science and Technology of the National Council of Municipal Secretaries of Health from Brazil, Mr. Jorge Barreto, who shared his experience as Secretary of health of Piripirí and summed up how EVIPNet Brazil provided effective solutions for him as a policy maker throughout the decision making processes, offering a comprehensive and integral vision to define health policies. For example: the policy briefs about implications of relevant options to improve primary health care at the municipal level and the use of "deliberative dialogues" to get an informed perspective of the views from different stakeholders and their reactions to the evidence about each policy option. In the words of Barreto: "Our experience with deliberative dialogues has been sensational! The use of evidence allowed a rich and informed discussion with civil society when we were looking at options to attract competent professionals, thus allowing us to enhance the delivery of primary health care. It presented me with the implications of three options for strategies that were supported by research evidence allowing us to make an informed decision with the municipal Council. Subsequent evaluations showed that we made sound choices".1
The event also highlighted related contributions by BIREME, such as the Evidence Portal. Other experiences from the Americas were presented at this international event. Among them, the programs of rapid diagnosis to prevent congenital syphilis implemented in Haiti, (presented by the Dr. Rosanna Peeling), Peru(Drs. Patricia Garcia, and José Calderón Yberico), and Brazil (Drs. Adele Benzaken and Valdir Pinto).
The meeting resulted in a series of concrete proposals that enhance the transformative role offered by research in diagnostic systems of health technologies.
Dra. Patricia García, Escuela de Salud Pública, Universidad Cayetano Heredia, Perú
Prepared by Luis Gabriel Cuervo, Bangkok, 16 de marzo de 2011.(Original in Spanish)
During this workshop two key subjects for the advancement of the Country EVIPNet in teams will be addressed: the policy brief and the deliberative dialogue.The policy brief summarizes the available evidence for decision-making and the dialogue is a meeting where interested parties of the sector discuss different options in the context of the country. Once the dialogue closes, the policy decision maker is in a position to make an evidence-informed decision on the health problem that was discussed.
Eight countries, Brazil, Bolivia, Chile, Ecuador, El Paso, Paraguay, Perú y Trinidad y Tobago are participating in the Workshops. At the end, five policy briefs will have been developed and three deliberative dialogs prepared.
Read the Press Release (only in Spanish)
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