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Sustaining Global Capacity for Implementation Research for Health in Low- and Middle-Income Countries

November 2 - 18, 2020
Virtual Workshop

Description

During this workshop, a panel of domestic and international experts in global health, research training, implementation research, and related disciplines will explore challenges to and opportunities for advancing implementation research training and capacity development in low- and middle-income countries (LMICs) and Small Island Developing States (SIDS). Sessions will cover the following topics:

  • Burden of Disease and Current Research Capacity and Research Training in LMICs and SIDS
  • Factors of Risk for Health: Biologic, Behavioral, and Social Risks in LMICs and SIDS
  • Current Models of Successful and Sustainable Research Capacity Building Programs and Their Impact
  • Infrastructure Needed to Develop and Test Implementation Strategies
  • Current and Future Opportunities

Early Stage Investigator (ESI)* Presentation Opportunity

To assure the inclusion of ESI perspectives, the workshop planning committee accepted applications from ESIs interested in presenting innovative, feasible, and sustainable research capacity building models that address the challenges and opportunities in implementation research for heart, lung, blood, and sleep disorders. 

The top three submitted meritorious models were selected for presentation in the workshop on Monday, November 16, 2020 and the ESIs making those presentations were invited to participate as speakers in all workshop discussions. In addition, submitted models by other ESI applicants that were deemed meritorious were included in a virtual poster presentation.

* Eligibility was based on NIH’s ESI definition: “A Program Director/Principal Investigator (PD/PI) who has completed their terminal research degree or end of post-graduate clinical training, whichever date is later, within the past 10 years and who has not previously competed successfully as PD/PI for a substantial NIH independent research award“ (NIH Reference:  https://grants.nih.gov/policy/early-investigators/index.htm).

Please contact Makeda Williams, Ph.D., MPH, NHLBI Global Health Program Director, at CTRISGrants@nih.gov with any questions about the workshop or ESI Application Call.

To view the workshop agenda please visit the event page. 

Recap

In this recording of the November 2, 2020 keynote session of the workshop, Salim Yusuf, MD, DPhil, MRCP, Professor, Division of Cardiology, Department of Medicine, McMaster University, Canada discussed the importance of conducting clinical and population research in LMICs; challenges in health research and health in LMICs; regional, cultural and international barriers to health research; and potential opportunities and successful examples of research capacity building initiatives in LMICs. Professor Yusuf emphasized the need for developing research career opportunities and implementing a “coordinated, tailored and evolving strategy” for building research capacity in LMICs.

In this recording of the November 18, 2020 keynote session of the workshop, Agnes Binagwaho, MD, PhD, Vice Chancellor, University of Global Health Equity, Rwanda, discussed the status of implementation research in LMICs, the challenges faced, and mechanisms to overcome challenges. She discussed the need for implementation research to implement evidence-based interventions, examined challenges preventing IR in LMICs, explored how sustainable implementation research could be incorporated into the health sector of LMICs, and provided an example of an implementation research project in the LMIC context. Professor Binagwaho highlighted transferable lessons for conducting implementation research in LMICs, and how these implementation research lessons can strengthen health systems.

 

Agenda

8 AM to 9:45 AM US Eastern Time
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Session 1: Opening Plenary

Session Moderator:

  • Makeda J. Williams, PhD, MPH, Global Health Program Director, National Heart, Lung, and Blood Institute, National Institutes of Health, USA 

Welcome and Workshop Overview:

  • George Mensah, MD, FACC, FCP(SA) Hon, Director, Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, USA 

Opening Remarks:

  • Roger Glass, MD, PhD, Director, Fogarty International Center, National Institutes of Health, USA 

Keynote Presentation: 

  • Introduction of Keynote Speaker
    • George Mensah, MD, FACC, FCP(SA) Hon, Director, Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, USA
  • “Challenges in Building Clinical Research Capacity in LMIC Setting”
    • Keynote Speaker: Salim Yusuf, MD, DPhil, MRCP, Professor, Division of Cardiology, Department of Medicine, McMaster University, Canada
  • Open Discussion
    • Moderator: Catherine Stoney, PhD, FABMR, FAPA, Deputy Director, Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, USA

10 AM to 12 PM US Eastern Time
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Session 2: Burden of Disease and Current Research Capacity and Research Training in LMICs

Session Moderator:

  • Cheryl Anne Boyce, PhD, Chief, Implementation Science Branch, Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, USA

Panel Members:

  • Chair: Agnes Binagwaho, MD, PhD, Vice Chancellor, University of Global Health Equity, Rwanda
  • Panel Experts:
    • Karen Sliwa-Hahnle, MD, PhD, FESC, FACC, FAHA, DTM & H, Director of the Hatter Institute for Cardiovascular Research in Africa and President of World Heart Federation, University of Cape Town, South Africa
    • David Peters, MD, DrPH, Edgar Berman Professor and Chair, Department of International Health, Bloomberg School of Public Health, The Johns Hopkins University, USA
    • Judith Wasserheit, MD, MPH, Chair, Department of Global Health, University of Washington, USA
    • Gerald Bloomfield, MD, MPH, Associate Professor, Medicine and Global Health, Global Health Institute, Duke University, USA
    • RADM Nancy Knight, MD, Director, Division of Global Health Protection, Centers for Disease Control and Prevention, USA
    • Girardin Jean-Louis, PhD, Professor of Population Health and Professor of Psychiatry, New York University School of Medicine, USA

8 AM to 10 AM US Eastern Time
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Session 3: Risk Factors for HLBS: Clinical, Behavioral, and Social Determinants (SD) in LMICs

Session Moderator:

  • Marishka Brown, PhD, Program Director, National Center on Sleep Disorders Research, National Heart, Lung, and Blood Institute, National Institutes of Health, USA

Panel Members:

  • Chair: K. Srinath Reddy, MD, DM, MSc, President, Public Health Foundation of India
  • Panel Experts:
    • Archana Shrestha, PhD, MPH, Associate Professor, Department of Public Health, Kathmandu University School of Medical Sciences, Nepal 
    • Karen Emmons, PhD, Professor of Social and Behavioral Sciences, Department of Social and Behavioral Sciences, Harvard H.T. Chan School of Public Health, Harvard University, USA
    • Ivor Benjamin, MD, FAHA, FACC, Director, Cardiovascular Center; Professor, Medicine, Physiology, Pharmacology and Toxicology, Cell Biology, Neurobiology and Anatomy, and Surgery, Medical College of Wisconsin, USA
    • K.M. Venkat Narayan, MD, MSc, MBA, Ruth and O.C. Hubert Professor of Global Health and Epidemiology, Rollins School of Public Health, Emory University, USA
    • Adolfo Rubenstein, MD, MSc, PhD, Director, Center for Implementation and Innovation in Health Policies, Buenos Aires, Argentina

2 PM to 4:15 PM US Eastern Time
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Session 4: Current Models of Successful and Sustainable Research Capacity Building Programs and Their Impact

Session Moderator:

  • Shimian Zou, PhD, Program Director and HIV/AIDS Coordinator, Division of Blood Diseases and Resources, National Heart, Lung, and Blood Institute, National Institutes of Health, USA

Panel Members:

  • Chair: Julie Makani, MD, PhD, FCRP, Associate Professor, Department of Hematology and Blood Transfusion, Muhimbili University of Health and Allied Sciences
  • Panel Experts:
    • Mark Huffman, MD, MPH, Quentin D. Young Professor of Health Policy and Associate Professor of Preventive Medicine and Medicine-Cardiology, Northwestern University, USA
    • Guerda Nicolas, PhD, Professor, Department of Educational and Psychological Studies, School of Education and Human Development, University of Miami, USA
    • Brian Oldenburg, B.Sc, MPsychol, PhD, Chair, Non-Communicable Diseases Unit and Director of the WHO Collaborating Centre for Implementation Research and Prevention and Control of NCDs, The University of Melbourne, Australia
    • Ghada El-Hajj Fuleihan, MD, MPH, Professor of Medicine, American University of Beirut, Lebanon
    • Jaime Miranda, MD, MSc, PhD, FFPH, Director, CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Peru
    • Anushka Patel, MBBS, SM, PhD, FRACP, FCSANZ, Vice Principal Director & Chief Scientist, The George Institute for Global Health, Australia
    • Three Early Stage Investigators

8 AM to 10 AM US Eastern Time
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Session 5: Infrastructure Needed to Develop and Test Implementation Strategies

Session Moderator:

  • LeShawndra Price, PhD, Director, Office of Research Training and Special Programs, National Institute of Allergy and Infectious Diseases, National Institutes of Health, USA

Panel Members:

  • Chair: Margaret Lartey, MBChB, MSc, MPH, FGCPS, FWACP, Dean, School of Medicine and Dentistry, University of Ghana
  • Panel Experts:
    • Lara Dugas, PhD, MPH, Associate Professor, Department of Public Health Sciences, Loyola University Chicago School of Medicine, USA
    • RADM Nancy Knight, MD, Director, Division of Global Health Protection, Centers for Disease Control and Prevention, USA
    • Corrado Cancedda, MD, PhD, Professor, Center for Global Health, Perelman School of Medicine, University of Pennsylvania, USA
    • Olugbenga Ogedegbe, MD, MPH, FACP, Professor of Population Health & Medicine, Chief Division of Health & Behavior and Director Center for Healthful Behavior Change in the Department of Population Health, New York University School of Medicine, USA
    • Archana Shrestha, PhD, MPH, Associate Professor, Department of Public Health, Kathmandu University School of Medical Sciences, Nepal
    • Ghada El-Hajj Fuleihan, MD, MPH, Professor of Medicine, American University of Beirut, Lebanon

9 AM to 11:55 AM US Eastern Time
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Session 6: Current and Future Opportunities, Closing Plenary, Workshop Summary and Next Steps

Session Moderator:

  • Kathleen Fenton, MD, MS, Deputy Branch Chief, Advanced Technologies and Surgery Branch, Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, National Institutes of Health, USA

Panel Members:

  • Chair: Rajendra Koju, MD, Dean, Kathmandu University School of Medical Sciences, Nepal
  • Panel Experts:
    • Agnes Binagwaho, MD, PhD, Vice Chancellor, University of Global Health Equity, Rwanda
    • Judith Wasserheit, MD, MPH, Chair, Department of Global Health, University of Washington, USA
    • Pablo Perel, MD, MSc, PhD, Director of Center for Global Non-Communicable Diseases and Professor of Clinical Epidemiology, London School of Hygiene and Tropical Medicine, UK
    • Peter Kilmarx, MD, Deputy Director, Fogarty International Center, National Institutes of Health, USA
    • Cudjoe Bennett, DrPH, MPH, Senior Research and Knowledge Management Advisor, Office of Maternal and Child Health and Nutrition, United States Agency for International Development, USA

Closing Plenary

Keynote Presentation:

  • Introduction of Keynote Speaker
    • LeShawndra Price, PhD, Director, Office of Research Training and Special Programs, National Institute of Allergy and Infectious Diseases, National Institutes of Health, USA
  • "Information Sharing, Implementation Science Research and Capacity Building: Keys to Strengthening Health Systems"
    • Keynote Speaker: Agnes Binagwaho, MD, PhD, Vice Chancellor, University of Global Health Equity, Rwanda
  • Open Discussion
    • Moderator: Catherine Stoney, PhD, FABMR, FAPA, Deputy Director, Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, USA

Workshop Summary and Next Steps

  • Overall Workshop Summary:
    • Michael Engelgau, MD, MS, Visiting Scientist and Former Deputy Director, Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, USA
  • Next Steps and Actions:
    • Makeda J. Williams, PhD, MPH, Global Health Program Director, National Heart, Lung, and Blood Institute, National Institutes of Health, USA
  • Closing Remarks and Workshop Adjournment:
    • George Mensah, MD, FACC, FCP(SA) Hon, Director, Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, USA