المجلس الصحي السعودي – األمانة العامة مركز البحوث والدراسات الصحية “Setting Priorities for Health Research” Workshop Riyadh, Saudi Arabia November 09, 2016 WORKSHOP REPORT Setting Priorities for Health Research Workshop 1 Organized by the Center for Health Research and Studies Saudi Health Council- General Secretariat Riyadh, Saudi Arabia November 09, 2016 Setting Priorities for Health Research Workshop 2 Table of Contents Acknowledgements..........................................................................................................................4 I. Executive Summary……………………………………………………………………….4 II. Background………………………………………………………………………………..5 III. Participants………………………………………………………………………………...6 IV. Opening remarks…………………………………………………………………………..6 V. Session1…………………………………………………………………………………...7 A. First presentation “Center for Health Research and Studies; a panoramic overview”..........7 B. Second presentation “Approach to setting health research priorities; WHO experience”…7 VI. Session 2…………………………………………………………………………………...8 A. First presentation “The concept of evidence based health policy”…………………………8 B. Second presentation “E-surveillance and National databases”…………………………….9 VII. Session 3…………………………………………………………………………………...9 A. Presentation “Challenges that face health research industry”……………………………..9 VIII. Panels discussion…………………………………………………………..……………..10 IX. Closing remark……………………………………………………………….…………..10 A. Lesson learnt……………………………………………………………………………..10 B. What we expect from participated organizations…………………………………………10 C. Recommendations………………………………………………………………………..11 ANNEX 1- Workshop program……………………………………………………………….….13 ANNEX 2- List of all attendees and biography of speakers……………………………………..14 ANNEX3- Workshop evaluation………………………………………………………………...16 Setting Priorities for Health Research Workshop 3 Acknowledgements With a great sense of pleasure and satisfaction, Center for Health Research and Studies (CHRS) general secretary of Saudi Health Council (SHC) express sincere appreciation to participants’ contribution at the “Setting Health Research Priorities” workshop, without their valuable input and contribution, organization of this workshop would not be possible. We take this opportunity to express our gratitude to Dr. Al-Mazrou, General Secretary of SHC for his support and contribution. Our thanks to Prof. Mandil; Coordinator, Research Development & Innovation, WHO/EMRO, to Prof. T. Khoja, Former director general of the executive office for the GCC’s Ministry of Health Council, and to Dr. A. Al-Zahrani, Director General of Cancer Registry at Saudi Health Council, Principal Clinical Scientist / Senior Consultant ( Epidemiologist ) and Executive director , Gulf Center for Cancer Control and Prevention at KFSHRC. The Panelists whom spared their valuable time to guide the deliberations of the workshop. We extend our gratitude to Prof. I. AlBani for his efforts in moderating the third session. The center’s scientific committee deserves our most sincere thanks who took over themselves to advice the center in its pathway. Organizing the workshop, which includes many activities, in itself, is a serious task. This serious task had been made easy by the Center’s team, who deserve our thanks. Thanks to our colleague at Public Relation Department for their efforts and cooperation. I. Executive Summary This document is an executive report of the first workshop organized by CHRS on setting health research priorities. The workshop was held at the Intour hotel, Riyadh on November 9, 2016 (8:00 AM -4:30 PM) Setting health research priorities in the fields of public health and health policy is challenging yet crucial. Challenges are mainly related to intersection with and between related fields, availability of fund, building human capital capacity and establishing definition of research focuses. Setting Priorities for Health Research Workshop 4 The workshop aims to identify challenges that face health research, establish a general overview for understanding appropriate approach to setting health research priorities, and introduce the concept of “evidence based health policy”. This report summarizes workshop scientific programs, sheds light on recommendation, and highlights future plan. II. Background Defining health priorities maximizes the impact of investment in health industry at economic, social, population and individual level. This meets the definition of “One Health” concept, define high impact challenges/ threats to public health that if tackled will lead to improving total quality of life at individual and population levels. Also build national databases for key public health concerns that allows establishing national health profile, develop comparative and predictive models to assess the performance and efficacy of preventive, curative, and/or combination community programs. Thus allows reviewing and updating related health policies and assessing infrastructure development for the “evidence based health policy” concept. The workshop involved three sessions and a panel discussion. Each session was followed by a Question & Answer, and open discussion. The first session was divided into two lectures the first one had given an overview on Center for Health Research and Studies and the second one had discussed World Health Organization (WHO) experience to setting health research priorities at the regional level. The second session had covered the concept of evidence based health policy and the E-surveillance and national databases. The third session had touched upon challenges that face health research industry. A panel discussion then took place followed by a closing remark. At the planning phase, the following outcome had been identified to be achieved. First, to establish an effective sharing of knowledge, practice, and technologies in support of reviewing research priorities for health research. Second, to reach a common understanding of key challenges that face health research industry in Saudi Arabia. Third, is to identify strategies for overcoming sectorial intersection. Lastly, the development of focused work-group to examine various health Concerns. Although invitation letters were sent to nearly 80 professionals, 43 professionals had attended the workshop. Attendees were researchers, policy makers and local experts in public health and health policy researches. Setting Priorities for Health Research Workshop 5 III. Participants The target audience for were academics, public health professionals, epidemiologists, researchers in the field of health science, and health informatics, policy makers, and research centers directors The list below shows all speakers at the workshop. There is a complete list of all attendees, speakers, scientific committee and organizers. (Annex 2) Dr. Yagoub Al-Mazrou, General Secretary of The Saudi Health Council, carried out the opening remark The Speakers were: Prof. Ahmad Mandil, World Health Organization Dr. Ahmad Ayoubi, Minestry of Health, Al-Yamamah Women and Children's hospital Dr. Abdullah Koja, Imam Mohammed Ibn Saud Islamic University Dr. Nassir Bin Dhim, Saudi Electronic University Dr. Fahad Arab, General Director of the Center for Health Research and Studies The Chairpersons were: Dr. Salih Al-Muhsen, Scientific Committee. Dr. Ali Al-Zahrani, Director General of National Registry of Tumors. Prof. Ibramim Bani, Community Medicine-KSAU-HS. The Panelists: Moderator: Dr. Fahad Arab Panelist: Prof. Ahmad Madil, Prof. Tawfiq Khoja, Dr. Fatwan Al-Mohanna. IV. Opening Remarks The workshop was launched by the General Secretary, Dr. Yagoub Al-Mazrou. Setting Priorities for Health Research Workshop 6 Session 1. Moderator/chair: Dr. Salih Al-Muhsen A. First Presentation “Center for Health Research and Studies; a panoramic overview”. Presented by Dr. Fahad Arab, Director of Center for Health research and studies Key Points: Overview of the vision, goals, roles and responsibilities of the center. Stated why organizing this workshop on setting health research priorities and the significance of collaboration between all sectors Discussed the challenges that face health research industry Significance of setting health research priorities Research and Knowledge based economy. B. Second Presentation “Approach to setting health research priorities; WHO experience”. Presented by Prof. Ahmed Mandil Key Points: Prioritization of health research is important for sound resource allocation and related health policy making. There are many tools for setting research priorities; no universal methods or standards apply to all. Steps of prioritization of health research on national scale include: ▪ Reviewing existing data on different public health concerns whether from diseasecontrol programs or from existing databases and relevant literature ▪ Identifying knowledge gaps (morbidity, mortality burden; determinants , risk factors (biological / social; modifiable / non-modifiable), cost-effective interventions, impact of their implementation) ▪ Understanding prospective challenges (research and interventions); converting knowledge gaps into research domains; carrying out priority-setting exercises based on Setting Priorities for Health Research Workshop 7 priorities of different programs (involving various related stakeholders); and sharing results and converging on final decisions. Such exercises need capacity building on health research prioritization and consensus building mechanisms. Work of WHO/EMRO with national healthcare delivery agencies / disease control programs to yield information about health research priorities; converge and review information by relevant departments / areas or work; carry out priority-setting exercises with in-house technical units; and update lists, based on feedback / outcome of meetings. In health research prioritization, we have to keep in mind: ▪ Technical feasibility (capacity building in epidemiology, biostatistics, research methods & ethics, knowledge management & translation); ▪ Economic feasibility (effective national mechanisms for health research funding; institutionalization of research & development within different healthcare delivery agencies / disease prevention and control programs); ▪ Logistic feasibility V. Session 2 Moderator/chair: Dr. Ali Alzahrani A. First Presentation “The concept of evidence based health policy”. Presented by Dr. Abdullah Koja Key Points: Public health context and scope Importance of discussing evidence based public health (EBPH) when setting the national health research priorities Changing mindsets: Evidence-Based Medicine to Evidence-Based Public Health Policy and Research in the public health practice cycle Area of research and evidence development in health: The HEART model Vision 2030 / 2020; the gaps (Research, proposed interventions) Setting Priorities for Health Research Workshop 8 B. Second Presentation “E-surveillance and National databases”. Presented by Dr. Bin Dehaim Key Points: Introduction to the Smart Health Project Introduction about the Vital Statistics System What is public health surveillance and how surveillance databases can be utilized? Behavioral and Health Risk factors surveillance system Example of successful risk factor surveillance system Challenges of continuous and comparable health data in Arab countries The Arabic Electronic Risk Factor Surveillance System (AERFSS) The Components of the AERFSS and implementation updates Future Improvement via utilizing real-time visualization analysis of key risk factors overtime. In addition, Dr. Dehaim further discussed: The goals of the Smart Health Project are to improve global public health and to develop a low cost reusable electronic health research tools Q-platform “Sharik” is to target research methodologies and focuses on community engagement strategy Q-platform works with testing, sampling, and follow up VI. Session 3. Moderator/chair: Prof. Ibrahim Bani A. Presentation “Challenges that face health research industry”. Presented by Dr. Ahmad Alayobi Key Points: Suggesting a new concept of health research in Saudi Arabia Recommended that CHRS becomes a national center for health research in Saudi Arabia Focusing on building capacity for the center Set the research ethics law in the kingdom Setting Priorities for Health Research Workshop 9 The center should be an independent body Attract the best scientists and researchers in the kingdom Unify the research terminology VII. Panel Discussion Moderator: Dr. Fahad Arab Panelists: Prof.Ahmad Madil, Dr.Ali AlZahrani, and Prof.Tawfiq Koja Presenter: Dr. Weam Banjar Interactive discussion carried out to touch on: What so far had been achieved since publication of 2009 priority document by KACST Key challenges that face research industry Different research themes and focus areas VIII. Closing Remarks A. Lessons Learnt Health research priorities should meet national health needs and public expectations Public engagement is becoming a necessity Multi-sectorial collaboration has to be enforced Human capital planning should be in-line with national health research agenda Health mapping is the first step toward understanding the magnitude and weight of public health concerns and identifying the gaps Periodical review and update is very important B. What we expect from participated organizations It is expected from Center for Health Research and studies, Saudi Health Council, Executive office- GCC, and WHO is to carry on what we started and discussed on priority setting. Setting Priorities for Health Research Workshop 10 C. Recommendations Establish national health research priorities list in addition to priorities assigned to special population Establish knowledge sharing interactive platform Define themes for public engagement Define scheme for collaboration with General Authority for Statistics Setting Priorities for Health Research Workshop 11 ANNEXES Setting Priorities for Health Research Workshop 12 ANNEX 1-Workshop Scientific Program 8:00-8:30 Registration 8:30-8:45 Opening remarks Dr. Yaqoub Almazrou Session 1-Session chair: Dr. Saleh Al-Mohsen 8:45 – 9:00 Center for Health Research and Studies; a panoramic overview Dr. Fahad Arab 9:00 -9:30 Approach to setting health research priorities; WHO experience Prof. Ahmad Mandil 9:30 -10:00 Q&A Coffee Break 10:00- 10:30 Session 2-Session chair: Dr. Ali Al-Zahrani 10:30-11:00 The concept of evidence based health policy Dr. Abdullah Koja 11:00-11:30 E-surveillance and National databases Dr. Nassir Bin Dhim 11:30-12:00 Q&A Prayer and Lunch break 12:00-1:00 Session 3-Session chair: Prof. Ibrahim Bani 1:00-1:30 Challenges that face health research industry Dr. Ahmad Alayobi Q&A 1:30-1:45 1:45-3:00 Panel Discussion- Moderator: Dr. Fahad Arab Panelist: Prof.Ahmad Madil, Dr.Ali Al-Zahrani, Prof. Tawfiq Koja 3:00 – 3:15 Closing remarks Setting Priorities for Health Research Workshop 13 Dr. Fahad Arab ANNEX 2- List of all Attendees and Biography of Speakers Scientific committee: Brigadier-General Dr. Abdulaziz Al-Roba Dr. Hisham Al-Khashan Dr. Saleh Al-Mohsen Dr. Taghreed Al-Ghaith Dr. Turki Al-Harbi Dr.Turki Al-Qurini Ministry of Interior Ministry of Health Ministry of Education Saudi Health Council Armed Forces Medical Services General Authority for Statistic Workshop Attendees: Prof. Abdullah Al-Dahmash Prof. Ibrahim Bani Prof. Tawfik Koja Prof. Suliman Al-Hadlaq Eng. Abdulaziz Abu-Habsha Dr. Abdulaziz Abu-Melha Dr. Abdelali Houdi Dr. Abdullah Adlan Dr. Abdullah Al-Saigul Dr. Abeer Al-Tamimi Dr. Ahmad Abu-Abat Dr. Ali Al-Barrak Dr. Ali Al-Jaloud Dr. Ali Al-Zahrani Ms. Halah Jishi Dr. Hana Al-Sobayel Dr. Hanan Balkhy Dr. Hind Al-Mutlag Dr. Malak Al-Thagafi Dr. Mohammed Al-Hathloul Dr. Mohammed kelya Dr. Mohammed Al-Shehri Setting Priorities for Health Research Workshop 14 King Saud University King Saud Bin Abdulaziz University Former director general of the executive office for the GCC’s Ministry of Health Council Saudi Electronic University Ministry of Health King Khaled University King Abdullah International Medical Research Center Ministry of National Guard; Health Afairs Public Health Information and Research Unit- Qassim King Abdullah bin Abdulaziz University Hospital/ Princess Nora Bint Abdul Rahman University King Fahad Medical City Al-Qassim University General Organization for Social Insurance Saudi Health Council King Fahad Medical City King Saud University King Abdullah International Medical Research Center Saudi Health Council King Fahad Medical City King Saud University Ministry of National Guard; Health Afairs Ministry of Interior Dr. Mohammed Al-Tannir Dr. Mahmmod Al-Mahmmod Dr. Mustafa Al-Tannir Dr. Nasser Al-Qahtani Dr. Rajaa Rdady Dr. Randa Nouh Dr. Sami Al-Mudaraa Dr. Sulafa Al-Qutub Dr. Sulaiman Al-Ghannam Dr. Suliman Al-Hadlaq Ms. Nouf Al-Ghamdi King Fahad Medical City Imam Mohammed Ibn Saud Islamic University King Fahad Medical City Saudi Food and Drug Authority King Abdulaziz University Ministry of Health Ministry of Health Ministry of Health- Jeddah King Abdullah International Medical Research Center Saudi Electronic University Saudi Health Council Biography of Speakers Dr. Fahad Arab. Dr. Fahad Arab is the Director General of Health Research & Studies Center at Saudi Health Council, since 2015. He has interests in the health matter since graduating in 1992 from Britain. He received his Doctorate in Medical Parasitology from university of Reading, UK. He worked as an assistant professor at King Abdulaziz University and Secretary-General of several committees there. He joined the Ministry of Health as a consultant in 96/97 and was appointed as an Assistant Deputy Minister for Research and Planning in 2000. Then ministerial decision has issued of appointing him as an assistant Deputy Minister for Manpower 2002. Later, transferred to the Ministry of Higher Education as a consultant of health education in 2007. Dr. Arab was assigned to manage experts polarizing in the ministry and secretary of the National Committee experts polarization، and provide consultancies and prepare plans and strategies for the health specialties over the university level. He has more than 400 journals and articles about the health planning, public health and some social issues. Also, has many professional and social contributions during his work at King Abdul Aziz University and the Ministry of Health and the Ministry of Education and Higher Education sector at the Riyadh region. Lastly, has many professional and social contributions during his work at King Abdul Aziz University and the Ministry of Health and the Ministry of Education and Higher Education sector over the Riyadh region level. Setting Priorities for Health Research Workshop 15 Prof. Ahmed Mandil. Dr Ahmed Mandil is Coordinator, Research Development & Innovation, WHO/EMRO, Cairo, Egypt (seconded from the High Institute of Public Health, University of Alexandria, where he is Professor of Epidemiology). He received his bachelor degree in medicine and surgery degree (1981) and master’s degree in Pediatrics (1985) from Alexandria University, Egypt. Subsequently, he received his Doctorate in Public Health from UCLA School of Public Health, USA (1991). Before joining WHO, he carried academic posts with different GCC institutions, including King Faisal University (1996-2000), University of Sharjah (2004-2006) and King Saud University (2008-2014) where he served as Supervisor, Community Medicine Unit and helped establish postgraduate programs as: Saudi Board in Community Medicine and KSU-Master’s in Public Health. He currently serves as board member / peer reviewer of scientific journals including WHO Eastern Mediterranean Health Journal (EMHJ), Journal of Epidemiology & Global Health (JEGH), and Journal of Family & Community Medicine (JFCM). He has more than 50 publications in peer-reviewed journals, and contributed to the “Public Health in the Arab World” book (2012), WHO publications as “emergency preparedness and response national capacity assessment survey” (2008); and “non-communicable disease national capacity assessment survey” (2001). Dr. Abdulla Khoja. Dr Khoja is an assistant professor and consultant of Public Health and Family Medicine (PH & FM) at School of Medicine, Muhammad Ibn Saud University. In addition, he is the executive director of the Health and Biomedical Research Center. In addition, Dr. Khoja is a D.Ph. fellow at Department of Health Policy and Management, Johns Hopkins School of Public Health, JHU. Dr. Abdullah has a wide range of skills and experience that developed over the years of education and working with teams and leaders, volunteering, and engaging with community and patients. His skills and interest are mainly connected with the following areas: Evidence based policy development and implementation, concept of “Health in all policy”, strategic planning, intermediate term project execution, need assessment, program development, Programs’ Impact Assessment, project Management, business plans. Setting Priorities for Health Research Workshop 16 He is interested in Health systems chronic disease models implementations with community integration at primary care levels, health economy and management. In addition to epidemiology and Statistic skills. Skills in designing and conducting population-based research, Costeffectiveness, meta-analysis, using qualitative, quantitative and mixed, community participation research. His main research focus is on health service research, primary health care and chronic disease. Dr. khoja has clinical interest (Chronic Disease, Asthma, Geriatric Health, periodic health assessment and preventive medicine). Dr. Nasser Bin Dhim. Dr. Nasser F BinDhim is a researcher in public health with an interdisciplinary background in pharmacy and health informatics. Currently, He is the Chair of Health Informatics department at the Saudi Electronic University, and the Vice-Dean of the College of Health Sciences. He is particularly interested in utilizing smartphone and Web technology to empower health consumers and improve public health outcomes on a global level. Over the last few years he has published more than 35 research articles covering policies and regulations, feasibility, efficacy, and quality of smartphone health related apps, in various public health topics including smoking, depression, asthma and cardiovascular risks. His publications received international recognition and global media attention. In 2012, He won the Health Informatics Society of Australia Health App Challenge and since then he was selected to be a member of the award-judging panel. Recently, he founded the smart health project developing a low cost reusable electronic health research tools. He is also a lecturer in public health and health informatics in various universities. Dr. Ahmed AL-Ayoubi. Dr. Al-Ayoubi is a consultant Obstetrician and Gynecologist, Head of OB GYN Emergency Department & Labor Room at Al-Yamamah Women and Children's Hospital, Ministry of Health, Riyadh, Saudi Arabia. He is a member and co-founder of the Critical Obstetric Care Group (COC) established in 2011, Riyadh, Saudi Arabia. In addition, he is a member of OMMAHAT initiative to improve maternal health and safety, 2015. Setting Priorities for Health Research Workshop 17 Dr. Al-Ayoubi is active in his field over the years. Since 2008, he showed special interest in OBGYN emergency and critical care as a unique specialized unit serving high-risk population. Since 2000, he had special interest in legal medicine and bioethics. Since 1995, he demonstrated special interest in integrative and comprehensive medicine. In addition, he is interested in healthcare informatics and information management. He is a women rights activist and an advocate of women's healthcare enforcement; hence, she composes 2/3 of a family health ANNEX 3- Workshop Evaluation Executive Summary. “Setting Priorities for Health Research” Workshop was held on November 09, 2016 in Riyadh, Saudi Arabia. This workshop considered being the first workshop arranged by the Center for Health Research and Studies to setting health research priorities in the fields of public health and health services. It was targeting experts, academics and leaders in health researches field from different sectors. The purpose of this evaluation form is to identify areas of weakness and help the Center improve on future workshops and events. An evaluation form distributed to attendees and instructed to return at the end of the workshop. Methodology. A One-page evaluation form with 15 questions (divided into four main categories) distributed to attendees and instructed to return at the end of the workshop. In addition to an optional comments and suggestions section. The four main categories are program, venue, sessions, and discussion. Besides a final question of an overall assessment of the workshop. The form utilized the scale of 1 through 5 (1=Poor, 2=Fair, 3=Good, 4=Very Good, 5=Excellent). 43 copies of the forms were distributed; only 17 forms were handed in and analyzed. Analysis. The mean and standard deviation of the questions responses were calculated (attached document); no other statistical analysis like correlation is applicable to apply when response rates are low. The data suggest that all responses on the questions were on the scale of (3) good and above. However, distributing 42 copies and receiving back only 17 raise questions on how solid the results are. This low response rate might be due to several reasons related to the form itself or other factors. These other factors might be that respondents were not aware of the form due to communication failure, or that they are unmotivated or unwilling to complete the form. In this workshop, the two factors might be the case. There Setting Priorities for Health Research Workshop 18 was mismanagement in distribution of the forms, as they were distributed at the first break. On the other hand, many of the attendees left early and more that 50% did not complete to the end of the workshop. The top two of responses were the registration arrangements and process (4.71), and the cleanliness of the venue (4.94). The bottom response was the sequence of program and the allotted time (3.69) and second session. The second session lowest scores were for information gained, accuracy of objectives to the session presented, and the content presented. Both the clarity of agenda and schedule of sessions were (3.94) on the borderline of very good. Setting Priorities for Health Research Workshop 19 Setting Priorities for Health Research Workshop 20 Setting Priorities for Health Research Workshop 21 Beyond the quantitative results, an open-end question showed great overall satisfaction in the workshop as a whole. The comments primarily centered around three ideas. The first revolved around the workshop was not clear that it is one of the series of workshops to set health research priorities. The second was that they expected to see representatives from other organizations who are part of the process. Finally, limit one question per participant in the Q&A section. Conclusions and Recommendations. Overall, the respondents attended the “Setting Priorities for Health Research” workshop were pleased. The only concern as mentioned previously is how true the results reflect reality due to low response rate. The Center for Health Research and studies must make sure to distribute the evaluation forms prior of time on upcoming events. In addition, further team analysis to understanding the lack of interest in more than half of attendees in completing to the end of the workshop. The center must keep undertaking such evaluation forms and feedbacks to improve its performance and understand its weakness. Setting Priorities for Health Research Workshop 22
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