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"id":"a5b83fe6-ce75-4b90-9b3d-7dc2d247c0d4", "related_activity_context":"ID: GB-GOV-10-RIGHT_5\nTitle: NIHR Research and Innovation for Global Health Transformation: Call 5\nDescription: National Institute for Health and Care Research (NIHR)'s fifth Research and Innovation for Global Health Transformation (RIGHT) call. RIGHT funds cutting-edge interdisciplinary applied health research in key areas in low- and middle-income countries (LMICs) where a strategic and targeted investment can result in a transformative impact. \nRIGHT Call 5 supports equitable partnerships between researchers to generate new research knowledge and evidence on interventions aimed to strengthen health service delivery and resilience for extreme weather events in ODA-eligible countries. \nUK and LMIC-based universities and research institutes were invited to submit applications. Research must be focused on improving the health and welfare of people in LMICs. . The aims of NIHR RIGHT Call 5 are to:\n1. Deliver applied health research for the direct and primary benefit to the health and wealth of people living in ODA-eligible countries, with a focus on strengthening health service delivery and resilience for extreme weather events. \n2. Strengthen capacity for research and knowledge exchange through equitable partnerships between researchers and institutions involved in the research.\n3. Promote interdisciplinary approaches to working (including, but not limited to: clinical medicine, health economics, statistics, qualitative and social sciences), to ensure that research objectives can be delivered. \n4. Generate new research knowledge and evidence on interventions to improve health outcomes of people in LMICs.\n \n ID: GB-GOV-10-RIGHT_5_204820\nTitle: NIHR RIGHT 5: Improving business continuity for health services following extreme weather events\nDescription: A UK and low-and-middle-income-country (LMIC) partnership jointly led by the University of East Anglia and the Kamuzu University of Health Sciences, Malawi. \n\nBeginning in January 2024, the four-year project builds on key recommendations derived from the 2012 Intergovernmental Panel on Climate Change Special Report. These include a portfolio of actions to reduce risk; a multi hazard risk management approach; and the importance of integration of local and scientific knowledge. \n\nThe award consists of a four-phase research plan. \n\nPhase one involves the collation, synthesis and improved knowledge of the effects of extreme weather events on healthcare systems globally, and of factors affecting healthcare system resilience. \n\nPhase two involves an in-depth investigation using several different approaches and four case-study areas within Malawi, Vietnam, Tanzania and Uganda. \n\nPhase three will build on the baseline analysis to deploy a novel integration of business continuity planning, resilience engineering and participatory research methods to develop and deliver a set of tools for extreme weather event mitigation preparedness, response, and recovery. \n\nPhase four focuses on the evaluation of co-designed tools in other district level health services to enhance healthcare resilience. \n\nThe research will include work with national governments, non-governmental organisations and international agencies (World Health Organization and International Organization for Standardization to help drive improvements in health care system resilience globally. To help enhance research capacity in the global south, as the project progresses, the co-creation of research activities and project leadership will increasingly transfer to southern partners.. The project has four objectives: \n\n1. Improve knowledge of the impact that extreme weather events have on healthcare systems globally and what factors affect systems’ resilience in the face of such events (Work Package 1).\n\n2. Describe the healthcare systems in the case study areas, their served communities and how both have been affected by, and responded to, extreme weather events to provide a foundation for locally relevant insights into processes and adaptations, and their influence on health outcomes (Work Package 2).\n\n3. Develop protocols for extreme weather event preparedness, response and recovery, and guidance on good practices, knowledge exchange, and interventions development with local partners as a process for enhancing resilient healthcare delivery (Work Package 3).\n\n4. Apply and evaluate the interventions, targeting specific levels of healthcare systems, and embed resources and processes to sustain and enhance broader healthcare system resilience, with feedback into global frameworks (Work Package 4).\n \n ID: GB-GOV-10-RIGHT_5_204825\nTitle: NIHR RIGHT 5: Warning system for Extreme weather events, Awareness Technology for Healthcare, Equitable delivery, and Resilience (WEATHER).\nDescription: A UK and low- and middle-income country (LMIC) collaborative research partnership between the University of the West of Scotland and the University of KwaZulu-Natal that aims to develop an early warning system for extreme weather such as flooding in two vulnerable districts; eThekwini and Ugu districts of KwaZulu-Natal province, South Africa. \n\nDue to commence in January 2024, this four-year award consists of four work packages which work together to assess the relationship between extreme weather and health risk due to water contamination and associated disease outbreaks. The research will investigate predictive disease modelling and develop an early warning system to improve communication between affected communities and central healthcare providers from existing mobile phone platforms in conjunction with predictive technology. This includes the design, development, pilot adaptation, and testing of a pathogen and contamination management tool to inform the development of the early warning system and for identification and management of resources during flooding. The disease burden, health needs, and community experiences during flooding and health system resilience to respond to flooding will be assessed through a mixed methods approach. \n\nThe early warning system will enhance communication, resource allocation, predict disease outbreaks and improve healthcare service delivery during flooding.. The project has seven objectives:\n\n1. To develop a community engagement and co-creation strategy informing Objectives 2-7.\n\n2. To assess the relationship between the health risk agents and reported disease outbreaks of extreme weather events. \n\n3. To map and review healthcare delivery organisations to establish pre-existing capacity/ resilience and training needs. \n\n4. To develop an early warning system, pathogen and contamination management tool to be used by healthcare providers.\n\n5. To support and deliver disaster management and intervention implementation training to health professionals.\n\n6. To evaluate the impact of the early warning system on extreme weather event preparedness, system resilience and establish cost-effectiveness.\n\n7. To build local research capability, strengthen knowledge transfer with other lower- and middle-income countries.\n \n ID: GB-GOV-10-RIGHT_5_204828\nTitle: NIHR RIGHT 5: Adaptations to strengthen healthcare delivery and resilience to extreme weather events in Southern Africa (ASTRA)\nDescription: A UK and low-and-middle-income-country (LMIC) partnership jointly led by the University of Sussex and The Aurum Institute, South Africa. Starting in January, 2024, the four-year project aims to evaluate interventions to strengthen community and health system resilience to extreme weather events on vulnerable populations living with human immunodeficiency virus (HIV) and/or tuberculosis in Mozambique, South Africa and Zambia. These three countries are exposed to recurrent extreme weather events resulting in injuries, loss of lives, damage to infrastructure, including of healthcare facilities, often resulting in their inability to provide care during these extreme events.\n\nThe research findings will be analysed with stakeholders to develop interventions and policies that will be evaluated for their effectiveness in increasing the resilience of healthcare facilities during extreme weather events.. The project has nine objectives: \n\n1. Systematically engage communities, health service implementers, and policymakers from health determining sectors to prioritise needs and design interventions/adaptations to strengthen health service delivery in the context of extreme weather events.\n\n2. Undertake community and health service delivery vulnerability and adaptive capacity assessments to establish health-related extreme weather events vulnerability baseline in study countries.\n\n3. Develop system dynamics models to evaluate the impact of co-created interventions for improving health system resilience.\n\n4. Quantify the value for money of identified interventions.\n\n5. Strengthen existing partnership between the University of Sussex, Africa Health Research Institute, South Africa, Zambart, Zambia and the London School of Hygiene and Tropical Medicine and extend the partnership to include the two Aurum institutes, civil society (Groundwork) and industry (Black box and Pista).\n\n6. Develop a sustainable network of researchers with expertise in climate and health research.\n\n7. Train the next generation of researchers and foster research leadership on climate change and health.\n\n8. Educate the health workforce about climate change and impact on human health to better prepare the health system to respond during extreme weather events.\n\n9. Facilitate South-South and North-South sharing of best practice in research and advocacy in climate change and health.\n\n \n ID: GB-GOV-10-RIGHT_5_204845\nTitle: NIHR RIGHT 5: Health service delivery during climate-induced disasters in vulnerable communities\nDescription: A low-and-middle-income-country (LMIC) award led by the National Institute of Health, Mozambique which aims to develop an intervention that can reduce health service delivery disruption at the community-level , service-level, and district-level in the most vulnerable communities of two provincial districts in Mozambique. Commencing in January 2024, the three-year award will involve the engagement of community members and stakeholders in participatory systems; dynamic modelling to map out causes and consequences of health service delivery disruption in disaster-affected settings; and the design of a multi-component intervention to address the challenge of extreme weather events in Mozambique. \n\nThis multicomponent intervention will involve building a robust data surveillance system to provide the data needed to inform adequate preparedness and response, the implementation and development of the intervention, as well as capacity-building of public health sector staff that can progress the preparedness and response of health facilities and services during extreme weather events.. The project has five objectives:\n\n1. To outline the causes and consequences of disrupted access to equitable health care services by using two modelling approaches. Two groups of identified stakeholders will work together to identify variables considered to be causal factors, and those that are consequences of disrupted access to health services during extreme weather events in Mozambique.\n\n2. To design interventions aimed at improving disaster resilience across health services through robust preparedness, response, and recovery strategies. The proposed intervention/strategy will be multi-component using a modified intervention mapping approach that will address critical weak points in disaster preparedness that lead to high morbidity and mortality.\n\n3. To develop a robust and integrated data surveillance system, and methods to monitor and assess the impact of disasters on population health. A rapid assessment of data collection for non-communicable diseases will take place, followed by in-depth interviews with front-line data collectors, information technology staff and epidemiologists. With the information produced in this assessment, the current data surveillance system will be reprogrammed followed by a quick assessment of the feasibility of the system on a small scale. \n\n4. To implement and evaluate an integrated disaster preparedness response and recovery strategy to build climate-induced disaster resilience. Based on outcomes from objectives two and three, interventions will involve community, healthcare, and government-level individuals to implement the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) Framework to evaluate the multilevel intervention/strategy. Quantitative and qualitative data will be integrated using a narrative approach to provide a comprehensive understanding of the effectiveness and implementation of interventions to improve disaster resilience at multiple levels in the most vulnerable communities of Mozambique.\n\n5. To strengthen capacity for integrated community-engaged research using systems science and implementation science methodologies among faculty members in Mozambique with interest and enough skills to continue working in climate and health.\n \n ID: GB-GOV-10-RIGHT_5_204850\nTitle: NIHR RIGHT 5: A Novel Extreme Weather Risk Insurance System for Kenya (NEWRISK)\nDescription: A UK and low-and-middle-income-country (LMIC) partnership which aims to investigate the best ways to protect Kenya’s health system from the effects of extreme weather. Currently, lower middle income countries like Kenya face significant health impacts from extreme weather, but do not have plans in place to protect their vulnerable populations.\n\nBeginning in January 2024, Oxford University will work with Kenyan partners over four years to address this issue by developing high resolution climate models that show how anticipated changes to Kenya’s climate and impacts on the country’s health facilities. The team will map vulnerable populations and survey health facilities in order to determine how extreme weather will impact access to healthcare and the effects that this will have on people living in different areas. \n\nThe award will involve work with communities, local and national governments, and with other stakeholders to devise plans designed to encourage adaptation and preparedness. The research will work to determine the feasibility of climate risk insurance in assisting identified populations’ access to health services to address extreme weather-related health problems. Targeted financial support to facilities and staff will be provided.. The project has five objectives:\n\n1) To create a comprehensive overview of hazards posed by extreme weather events in a changing climate at the level of individual health facilities in Kenya and create methods to replicate this approach elsewhere. \n\n2) To explore the scale and impact of effects related to closure or limitations of health services due to extreme weather on vulnerable populations in Kenya and methods to replicate this approach elsewhere.\n \n3) To determine the physical, operational, and workforce risks posed to health facilities by extreme weather and design new tools for analysing these risks. \n\n4) To explore how climate risks and their effect on health and health services can be conveyed to community members in Kenya and how their priorities can inform practical adaptive action to ensure local resilience of health facilities. \n\n5) To examine the economic impact of extreme weather events on the Kenyan population and on healthcare facilities and what climate risk strategies, including climate risk insurance, can be used to manage risks.\n \n ID: GB-GOV-10-RIGHT_5_204854\nTitle: NIHR RIGHT 5: Strengthening responsiveness of health services provision to extreme weather events for urban marginalised people\nDescription: A UK and low-and-middle-income-country (LMIC) partnership between the Liverpool School of Tropical Medicine and the George Institute for Global Health in India which aims to collaboratively design, implement and evaluate context sensitive interventions to improve the preparedness and responsiveness of health service delivery in the context of extreme weather events for urban marginalised people. Commencing in January 2024, this three-year research will be undertaken through equitable partnerships with urban marginalised people, and identified health system and governance actors in ten urban informal settlements across seven cities between India, Kenya and Sierra Leone. \n\nThe research consists of five phases, with capacity strengthening of all actors including the research team built into phases two through five. \n\nPhase one will bring together all stakeholders to collaboratively finalise the research design and plans for capacity strengthening, ethics, and safeguarding. \n\nPhase two will involve assessments aimed at bridging existing data gaps regarding health impacts, community vulnerabilities and capacities, as well as health service preparedness in each setting. \n\nPhase three will use these assessments to focus on collaboratively designing packages of interventions to improve health service provision in extreme weather events. \n\nPhase four will implement and evaluate the intervention packages, which are likely to include utilisation of existing technologies such as mobile phone applications and two-way information systems. Learning within and across settings will be monitored and evaluated throughout the project. \n\nPhase five focuses on knowledge uptake at local, national and global levels. This phase will create and communicate evidence-based models to improve the responsiveness of health systems and service delivery to extreme weather events.. The project has six objectives:\n\n1. To retrospectively assess the health and social vulnerabilities and health service impacts of specific recent extreme weather events for urban marginalised people.\n\n2. To assess the preparedness and capacities of health systems for health service delivery during and following extreme weather events based on existing frameworks, policies, tools and mechanisms.\n\n3. To work with communities, health system and governance actors to co-produce and implement a package of research-informed interventions to strengthen health service preparedness and delivery for urban marginalised people during and following extreme weather events.\n\n4. To assess and strengthen the capacities of researchers, community groups, health system and governance actors, their relationships and processes for working together equitably to improve responsiveness of health services to the health consequences of extreme weather events. \n\n5. To collaboratively monitor and evaluate implementation of the intervention package within and across city and country contexts for feasibility, fidelity, costs and enabling/constraining factors across diverse contexts.\n\n6. To promote uptake of project learning by health system actors, communities, other stakeholders and global health researchers by integrating communication within all phases to ensure timely sharing of actionable information.\n \n ID: GB-GOV-10-RIGHT_5_204869\nTitle: NIHR RIGHT 5: Early warning of mosquito-borne disease outbreaks caused by extreme weather in Uganda\nDescription: A UK and low-and-middle-income-country (LMIC) partnership between the Malaria Consortium and Uganda Virus Research Institute that aims to improve the health system in Uganda to develop a capacity to forecast impending outbreaks of mosquito-borne diseases associated with extreme weather events.\n\nCommencing in January 2024, the four-year research will be implemented in three phases:\n\nPhase one involves the analysis of data on past outbreaks to determine associations with extreme weather events and other factors. Past data on disease incidence, weather variables, and other risk indicators will be used to develop forecasting models.\n\nPhase two, involves the development of an interactive risk mapping platform based on the forecasting models and data inputs for routine use. The mapping approach will be based on a dashboard portal developed within the research partnership.\n\nPhase three consists of developing a national outbreak preparedness and response plan which will be based on existing plans in close collaboration with all relevant partners. The plan will be aligned with outputs of the online portal to provide specific guidance on interventions.\n\nAffected communities, local health services, and village health workers will be engaged to identify important risk factors and gaps in outbreak preparedness. The researchers will be working closely with government and other partners for adoption and routine use of the system and the associated plan for prevention of outbreaks and effective mitigation of their impacts.. The project has six objectives:\n\n1. To document past mosquito-borne disease outbreaks in Uganda and analyse their association with extreme weather.\n\n2. To develop and validate a risk index and early warning models to forecast the outbreaks.\n\n3. To develop a platform that maps risks and generates predictions continuously, with real-time surveillance data feeding into it, for routine use by disease control programmes.\n\n4. To develop an outbreak preparedness and response plan for various risk scenarios.\n\n5. To facilitate adoption and use of the outbreak risk mapping system. \n\n6. To engage communities across the research activities.\n \n ID: GB-GOV-10-RIGHT_5_204871\nTitle: NIHR RIGHT 5: Improving primary healthcare for patients with non-communicable diseases during flooding in India\nDescription: A UK and low-and-middle-income-country (LMIC) research partnership between University of Birmingham and Sree Chitra Tirunal Institute for Medical Sciences and Technology, India that aims to co-develop primary care interventions with communities and stakeholders, to improve preparedness and response for non-communicable diseases (NCDs) during flood-disasters in India.\n\nIndia has the second highest rates of diabetes and heart disease globally. During flood-emergencies, patients may not receive their usual medicines or care from their doctor or hospital, interrupting the on-going care that is needed. Lack of medicines and stress or other illnesses due to floods cause conditions to get worse. The health system prepares for infectious diseases or injuries caused by disasters but has limited plans in place for dealing with these common diseases. This results in worsening health and increased complications, hospital admissions, and death. Floods have become more frequent, unpredictable, and severe, and current warning systems are inadequate to prepare the population or services adequately.\n\nThe research will involve surveys, discussions, and interviews with patients and health-workers, and observe how services work in Kerala districts during annual monsoon floods. Key stakeholders will be consulted to develop and test a practical, community-focused intervention to ensure that community members and primary healthcare services are better prepared for and can respond to the needs of patients with common long-term conditions during floods.\n\nThe ‘prepare-and-response’ intervention system will adapt existing, and develop new processes with communities and health-workers. Climate specialists will provide methods for future advanced flood forecasting. The development of the intervention will be tested across 20 flood-prone Kerala communities over two years. How well the community and health system are using the new ‘prepare-and-response’ system will be measured before comparing results with data gathered in the same district before the intervention, and with another district without the intervention. An assessment of the economic costs and benefits to patients and health systems with and without the system will be undertaken. Subsequent investigation involving Bihar state will take place to understand the context and prospective adaptation of the Kerala-based intervention.\n\nCommunity members and stakeholders will be involved in the decision-making process in a culturally appropriate and inclusive way in all aspects of research and intervention development. Additionally, the project aims to influence policy-makers in other Indian states and share findings with other flood-risk countries through a targeted communication plan and engagement with expert partners, the United Nations, and other global agencies.\n. The project has ten objectives: \n\n1. To conduct a situation analysis in Kerala to investigate the major flood-related non-communicable disease management challenges, including mapping healthcare service and patient needs.\n\n2. Co-develop health system and community preparedness intervention components to manage non-communicable diseases during floods.\n\n3. Implement and evaluate the complex intervention model in Kerala.\n\n4. Investigate co-adaptation of the complex-intervention model in Bihar through situation analysis, and community and stakeholder engagement activities.\n\n5. Co-develop an integrated meteorological-hydrological modelling system to provide timely flood forecasts, integrated with the needs of the health system.\n\n6. Estimate the potential costs and benefits of the complex intervention with the health system, community, and meteorological-hydrological forecasting, including a societal perspective and the effect of flood-forecasting on this estimate.\n\n7. Engage stakeholders, patients, and communities in two-way exchanges of experiences and information that support their meaningful involvement.\n\n8. Ensure capacity building across the range of research disciplines in our consortium.\n\n9. Ensure comprehensive dissemination of the findings to key stakeholders and academics across states, national and global levels.\n\n10. Ensure equitable partnership in governance and project management.\n\n \n ID: GB-GOV-10-RIGHT_5_PPDA\nTitle: Proposal and Partnership Development Awards (PPDA) for NIHR Research and Innovation for Global Health Transformation (RIGHT) call 5 Stage 2 applicants\nDescription: The purpose of Proposal and Partnership Development Awards (PPDA) funding is to improve the quality and likelihood of success of the projects funded through the NIHR Research and Innovation for Global Health Transformation (RIGHT) programme. Applicants that are successful at RIGHT Stage 1 and invited to submit a Stage 2 application are eligible for a PPDA, subject to satisfactory submission of a PPDA application. Not all Stage 2 applicants awarded a PPDA go on to secure RIGHT programme funding, therefore the details of PPDA recipients are not published. For RIGHT Call 5, PPDA were extended to 12 applicant organisations to support partnership development and the preparation of a RIGHT Stage 2 application.. Proposal and Partnership Development Awards (PPDA) provide funding of up to £10,000 for organisations applying to NIHR Research and Innovation for Global Health Transformation (RIGHT) programme funding to:\n1.\tSupport applicants to work collaboratively with all study partners to develop the stage 2 application\n2.\tEnhance partnerships across the proposed research collaboration\n3.\tInitiate preparation of study governance documentation (i.e. due diligence and finance assurance policies)\nPPDA funds must be spent between the notification of RIGHT stage 1 outcome and the submission of the RIGHT stage 2 application.\n", "_version_":1862221874700746752 }] } }