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"id":"7b372749-07a4-46d1-8107-fc7d806fde00", "related_activity_context":"ID: GB-GOV-10-HPSR_Consortia\nTitle: NIHR Global Health Policy and Systems Research Consortia\nDescription: The UK Department of Health and Social Care (DHSC) funds outstanding global health research through the National Institute for Health and Care Research (NIHR). The NIHR Global Health Policy and Systems Research (Global HPSR) programme funds health policy and systems research that is directly and primarily of benefit to people in low and middle income countries (LMICs), and to improve access to appropriate and affordable health services aligned with the aims of Universal Health Coverage and Sustainable Development Goal 3. The Global HPSR Consortia call supports broad ambitious programmes of health policy and systems research and capacity strengthening delivered through a consortium of partners. UK and LMIC universities and research institutes were invited to submit applications including two joint lead applicants, at least one of whom must be employed by a LMIC institution.. To support broad ambitious programmes of health policy and systems research and capacity strengthening delivered through a consortium of partners which:\n1) Include interrelated work packages involving applied research on health policy, services, or systems with a coherent theme.\n2) Address priorities identified by and relevant to local stakeholders and policy makers, and deliver evidence and outcomes that will inform policy or change practice at local, regional and/or national levels, for example informing local, regional or national strategies.\n3) Involve multidisciplinary teams to ensure that research objectives can be met.\n4) Include an element of strengthening LMIC institutional capacity to undertake, manage and disseminate high-quality applied health research.\n5) Strengthen research career pathways across LMIC partner institutions by including a minimum of three formal training posts for LMIC nationals.\n6) Include appropriate project management and financial/administrative support.\n7) Develop LMIC research leaders of the future through opportunities for developing leadership skills at all levels through effective mentoring and support.\n8) Have clear and demonstrated institutional commitment and support for delivery of the research and for developing this field of research within the institution beyond the end of the award.\n \n ID: GB-GOV-10-HPSR_Consortia_158242\nTitle: NIHR HPSR-CA - Reducing delays in cancer care in sub-Saharan Africa\nDescription: A UK and lower- and middle-income country (LMIC) partnership (University of Ibadan, Bayero University, African Population and Health Research Center, Kenya Medical Research Institute, University of Birmingham, University of Edinburgh, University of Warwick, University of Exeter, Georgetown University) that aims to develop and then evaluate a service change to avoid delays in receiving cancer care. This study will take place over 54 months from November 2024 to April 2029. Cancer is the second largest cause of death in sub-Saharan Africa (SSA) and the outlook for cancer is much worse in SSA than in high-income countries, mostly because people already have late-stage, and therefore incurable, disease by the time they are diagnosed. Approximately half of the delay arises after the person has been to a clinic, and it is this delay within the health sector that we will study.\n\nWe will build on our ongoing relationships with local governments in two countries: Oyo and Kano states in Nigeria, and Nairobi County in Kenya. These countries are increasingly using public messaging to encourage people with serious symptoms to attend health clinics, and they are upgrading specialist services. It is therefore crucial to close the gap and provide an effective, efficient, compassionate, and equitable pathway from presentation at a primary health clinic to receiving specialist treatment. We will study care for people with symptoms of seven ‘marker’ cancers; uterus (womb), colon, breast, stomach and gullet (oesophageal), lung, prostate/bladder/kidney, and head/neck. Working with patients, policymakers and civil society we will design interventions to reduce delay arising in primary health clinics by designing an educational programme and to reduce delays after referral by developing a programme of peer navigation assistance.\n\nTo evaluate clinician education we will test knowledge through structured tests and the use of 'mystery shoppers' who will go into clinics to pose as patients with possible cancer symptoms. We will evaluate both interventions by monitoring referral rates, patient wellbeing and delay. To better understand factors that influence the successes of our interventions, we will study the broader system, including workforce, collaboration between organisations, leadership and governance.\n\nCommunity members and policymakers will work with us to disseminate findings and engage people across SSA and beyond so that they can learn from what we have done and advocate for similar services locally.. The project has 1 objective:\n\n1. To develop and then evaluate a service change to avoid delay in receiving cancer care.\n \n ID: GB-GOV-10-HPSR_Consortia_158462\nTitle: NIHR HSPR-CA - Yaba Guy Che (For the men): Implementation and evaluation of a co-developed multi-disease intervention for men\nDescription: The research aims to ascertain if a community-based digitally supported care pathway, integrated into the existing primary health system in Zambia, will improve the coverage of Human Immunodeficiency Virus (HIV), sexually transmitted infections (STIs) and non-communicable disease (NCD) services among men. The project aims to demonstrate delivery of an integrated and co-designed system of providing equitable HIV/STI/Tuberculosis and NCD preventative and care services for men using a model of strengthened community and primary health systems in a high HIV burden urban community through an international collaboration between researchers, policymakers, and the community. \n\nThe project will be run by Brighton and Sussex University Hospitals NHS Trust UK, Institute of Tropical Medicine Antwerp Belgium, Ministry of Health Zambia, University of Brighton UK, Zambart Zambia and Zambia's Men's Network between March 2025 and February 2030.\n\nMen are less likely than women to attend primary health services in much of Africa. This has led to men falling behind women on coverage of HIV testing and treatment services and in achieving HIV viral load suppression. This inequity in access presents a threat not only to men’s health but also to the continued success of HIV programmes due to ongoing HIV transmission. Furthermore, NCDs and STIs are increasing in countries like Zambia, yet there are few screening and prevention services offered, and opportunities to access them are particularly limited for men. \n. The project has 5 objectives:\n\n1. Co-develop an integrated, digitally supported care pathway (Yaba Guy Che) with men, community members, healthcare workers and policy-makers.\n2. Deliver the Yaba Guy Che intervention and assess adoption, reach, fidelity, sustainability and scalability.\n3. Create a men’s peer monitoring group to strengthen community health system accountability and document how men experience the Yaba Guy Che intervention.\n4. Estimate the plausible impact of the Yaba Guy Che intervention on coverage of of Human Immunodeficiency Virus (HIV) and non-communicable disease services.\n5. Measure the effect of the intervention across the six building blocks of the health system and assess the cost and economies of scope of implementing Yaba Guy Che to inform scalability and sustainability.\n\n \n ID: GB-GOV-10-HPSR_Consortia_158495\nTitle: NIHR HSPR-CA - Social participation for universal health coverage: evidence-informed networks advancing inclusion\nDescription: The social participation for universal health coverage - evidence-informed networks advancing inclusion (SUNWAI) consortium seeks to institutionalise and deepen cross-regional research and action that advances the inclusion of key populations – specifically transgender communities in social participation for universal health coverage (UHC), and to understand its contexts, mechanisms, outcomes, and costs. The study will build within and cross-country partnerships between community (especially key populations), civil society, government and academic actors to understand the context of social participation for UHC, the mechanisms used, what these cost and what kinds of outcomes they yield. The study will also have a participatory action research (PAR) component, whereby it will promote mechanisms to improve inclusion of key populations in social participation for UHC.\n\nThe study will be undertaken by Hanoi Medical University Vietnam, The George Institute for Global Health India, Mahidol University Thailand, and University of Essex England. The project will conduct 6 studies in Thailand, Vietnam and India between June 2025 and May 2030.\n\nAchievement of UHC, like other sustainable development goals (SDGs) targets, means that we “leave no one behind.” There is global recognition that this requires actual social participation of people affected by UHC policies. In Asia, sexual and gender minorities - that is transgender persons or men who have sex with men - have had variable involvement with health priority-setting: flagship UHC reforms, mostly related to insurance, rarely involves them. SUNWAI (Hindu/Urdu for “being heard”) is a consortium that will use participatory and realist research methods to enhance the inclusion of sexual and gender minorities (SGM) in UHC-related social participation platforms. In Vietnam, Thailand and India, it has taken approximately four decades for sexual and gender minorities to be recognised and granted entitlements, with potential for access to health under UHC reform. Yet, there are still gaps on what the role of SGM can be in UHC reform, what the related contexts, mechanisms, costs and outcomes could be.\n. The project has 5 objectives:\n1. To align, strengthen, evaluate, and sustain intra-and inter -country academic and civil society partnerships working on social participation of transgender populations for universal health coverage (UHC) with a specific emphasis on the “leave no one behind” agenda in Vietnam, India, and Thailand.​\n2. To understand the contexts, mechanisms, outcomes, and costs of involving transgender populations in social participation for health initiatives as well as social participation (of any group) in UHC reform initiatives at national and subnational levels in each country.​\n3. To co-produce country-specific as well as cross-country mechanisms intended to enhance meaningful inclusion of transgender populations in social participation for health geared towards achieving UHC.​\n4. To evaluate and or assess the relationship of these mechanisms to health system process goals from the perspective of community, civil society, government, and academic actors.​\n5. To catalyse exchange and expansion of the social participation for universal health coverage - evidence-informed networks advancing inclusion (SUNWAI) in the run-up to the endpoint of the sustainable development goals in 2030 and beyond​.\n \n ID: GB-GOV-10-HPSR_Consortia_158627\nTitle: NIHR HPSR-CA - Strengthening the health workforce to respond to health impacts of climate crisis in Nepal & Zimbabwe\nDescription: The climate crisis is the biggest threat to human health. It is resulting in extreme weather such as heatwaves, droughts, floods and landslides. These events are affecting people emotionally and physically. We are seeing malnutrition, respiratory illnesses, maternal and newborn complications, heat-related deaths, and the spread of diseases such as malaria, and the situation will only worsen. The climate crisis is impacting people’s ability to access health care and health systems’ ability to provide services. We need health systems that can withstand climate shocks and stresses, and the health workforce (HWF) is an important part of that response. If health workers (HWs) do not have the relevant knowledge, skills and support then it will have consequences for health. HWs are well-positioned to talk to people about the climate crisis and to act to protect health and respond to health needs. However, we know that they do not have enough knowledge about the climate crisis and its impact on health. This study aims to change that by developing interventions designed and produced with our chosen communities. Interventions will differ but each will help HWs respond to the health impacts of the climate crisis in their environment. This project will be joint led by Liverpool School of Tropical Medicine and Centre for Sexual Health and HIV AIDS Research Zimbabwe. They will work in partnership with HERD International Nepal from 1st November 2024 to 31st October 2028.\n\nNepal and Zimbabwe are our country study settings, chosen because they are highly vulnerable to climate crisis. However, they differ in terms of the extreme weather they experience, how their health systems are organised, their geography, their social structures, and their policy frameworks. Together they offer the opportunity to learn different lessons about the climate crisis, its impact on health, and how we can help HWs develop and respond to that challenge - which are lessons useful in other countries facing similar issues. A mix of research tools will help us understand the issues communities face and co-create and implement appropriate interventions. By engaging locally and considering gender and equity we will create interventions that work for everyone. Also, throughout the study we will help those involved learn from their experiences of the research process, whether health systems actors, other stakeholders or researchers in Nepal, Zimbabwe and elsewhere. Together we aim to develop a resilient HWF which is better able to cope with the changing health impacts of the climate crisis, and which can ultimately help save lives.. The project has 4 objectives:\n\n1. To assess preparedness and capacities of health system actors (workers, managers, policymakers and community members including patients and vulnerable groups) to respond to climate crisis related health impacts in Nepal and Zimbabwe.\n2. To collaborate with health system actors to co-create context sensitive and gender equitable intervention across both Nepal and Zimbabwe to address climate-related health issues.\n3. To monitor and evaluate context-specific pilot intervention packages for equity, feasibility, effectiveness, cost, sustainability and scalability through a mixed-methods approach.\n4. Throughout the project duration (2025-2028), facilitate quarterly learning sessions involving health system actors, stakeholders, and researchers in Nepal, Zimbabwe, and globally to share experiences, insights, and adaptations from the research, with the goal of documenting and disseminating at least five key learnings by the end of the project.\n \n ID: GB-GOV-10-HPSR_Consortia_158646\nTitle: NIHR HPSR-CA - Shaping health packages and researching priorities (SHARP)\nDescription: Governments' funding decisions for Universal Health Coverage include choosing health services among a wide range of options, varying in costs, health, and societal impacts, within a limited budget envelope. Collating locally relevant evidence on these services and involving key local stakeholders can help governments and national insurers prioritise the health services they fund and provide legitimacy to these choices.\n\nOne approach to deciding which services to fund is to define ‘health benefit packages’ (HBPs). HBPs list the services to be publicly funded and guaranteed to the population. Several countries in Africa and elsewhere have begun adopting processes to assess and review a range of evidence to prioritise their HBPs, considering whether services provide value for money, improve equity, and are feasible to deliver at scale. This priority-setting process requires the creation of national structures that organise transparent, expert review of the evidence as well as stakeholder engagement that includes both public and patient representatives. Informing this process is challenging given the extent of evidence required; the complexity of engaging various stakeholders; and the challenge of ensuring HBPs are adopted by healthcare providers.\n\nOur consortium will explore and test approaches to defining HBPs from 2025-2029. Emphasis will be placed on producing evidence under real data, time, and capacity constraints; involving communities and patients; and ensuring linkage between HBPs and service delivery. This research will be embedded in HBP revision processes in Rwanda and Kenya, with the aim of informing the wider African region. Our novel methods will explore the risk of making decisions under weak evidence; acceptability of HBP design; and the implications of HBPs for the health system including challenges to existing interests.\n\nOur research will be undertaken by a partnership comprising University of Rwanda, University of Nairobi, KEMRI, London School of Hygiene and Tropical Medicine (LSHTM) and Radboud University. The work will strengthen capacity in health systems, economics, and policy analysis, facilitating institutions in Rwanda and Kenya to develop or expand research groups. We will engage communities and support national policy makers to identify technical and policy constraints affecting priority setting and we will work with Africa Center for Disease Control and the World Health Organisation to ensure lessons are shared regionally and globally.. The project has 8 objectives:\n\n1. To inform and design an approach to selecting the best evidence assessment method for evidence informed priority setting for health benefits packages (HBPs) in Rwanda and Kenya, based on an evaluation of the data, time and resource requirements, the cognitive demands and the risk associated with each method.\n2. To inform and design strategies for effective patient and community involvement in HBP revision through the identification of the key stakeholders, and determining their interests and preferences.\n3. To develop an approach to selecting which health systems functions and costs should be considered in HBP design to identify the implications of HBPs for the health system.\n4. To assess whether HBPs achieve the procedural aims of evidence-informed priority setting processes in Rwanda and Kenya.\n5. To assess the consequentialist outcomes of evidence-informed priority setting processes in HBP design in Rwanda and Kenya.\n6. To understand how HBPs impact the allocation of resources and power between key actors, including how interests are contested, stated, aligned, and negotiated in Rwanda and Kenya.\n7. To pilot a self-reflective evaluation for stakeholders involved in evidence-informed priority setting and HBPs to determine: how and why priority setting processes succeed or fail, how success or failure relates to underlying interests and what lessons other countries can learn from Rwanda and Kenya.\n8. To strengthen training and capacity development and community engagement and involvement for HBP design process in Rwanda and Kenya.\n \n ID: GB-GOV-10-HPSR_Consortia_158706\nTitle: NIHR HPSR-CA - Preventing blindness in children by integrating eye health into child health policies and systems\nDescription: Many young children in lower- and middle-income countries (LMICs) become or remain blind because of a lack of eye care at the primary level of care. This means that some eye conditions are not being prevented, and children with treatable conditions are not being detected and treated early. We are addressing this by strengthening the health system at the primary level in Tanzania and Nepal. \n\nOur health system model has the following components: including eye care in the training materials of staff at the primary level who deliver the World Health Organization's (WHO) program, the Integrated Management of Newborn and Childhood Illness; improving staff supervision; providing staff with a device to test children’s eyes (Arclight); improving the referral of children who need to be seen by an eye specialist; adding eye conditions in the system staff use to document the conditions detected in children who attend the health facility, and improving awareness of the need for an eye test by including this in the booklet for parents. \n\nThe project will start in November 2024 and run for five years. There will be five inter-connected studies:\n\n1. Collecting baseline information on what is already in place in primary health facilities and whether there are other gaps to address in our model. \n2. A randomised trial in which all the components outlined above will be rolled out at intervals in a randomised manner in selected districts. We will assess whether more children are identified with eye or vision problems and receive appropriate care after the elements have been rolled out compared with before. \n3. Alongside the trial we will collect information from a range of different sources to find out what is working well, for whom and how (i.e., a process evaluation). \n4. An analysis of the costs and effectiveness of the model using data from the trial. \n5. A study to understand factors which might enable or hinder subsequent scaling-up of the model.\n\nCommunity engagement activities will take place throughout the project. \nThe project is being led by the London School of Hygiene and Tropical Medicine, UK and Kilimanjaro Christian Medical College in Tanzania. The other partners are Muhibilli University Hospital and Allied Sciences in Tanzania, and Nepal Netra Jyoti Sangh and Kathmandu Medical College in Nepal. In each country the Ministry of Health and WHO representatives are actively involved.. The project has 5 objectives: \n\n1.In selected districts in Nepal and Tanzania we will collect information from primary level facility records, staff and parents, and districts supervisors and managers. We will also review relevant policy documents. The data will be analysed to find out whether the health systems strengthening model we have developed needs to be modified, and will provide baseline data for objectives 3 and 4. \n2. The districts will be randomly allocated to different time periods when the health system strengthening model will be delivered to health facilities within the district. There will be four training phases and the trial will last 35 months. Data will be collected over 35 months from health facilities and referral hospitals. \n3. During the trial, data will be collected from multiple sources to assess: how the intervention was implemented, the context of implementation and how the interventions brought about change. Findings will be used to recommend alterations to the model to be considered for scale up to other countries.\n4. Data on the additional costs of delivering the health system strengthening model will be obtained from multiple sources (e.g., training costs). Data from the trial will provide measures of effectiveness.\n5. Interviews will be conducted with key individuals in each country, regionally and globally to seek their views on scaling up the health systems strengthening model. \n\n \n ID: GB-GOV-10-HPSR_Consortia_158734\nTitle: NIHR HPSR-CA - Realising the full potential of the primary health care workforce: Addressing gendered workplace violence\nDescription: The consortium aims to fill an urgent and widespread gap to understand the nature of workplace violence and its gendered dimensions experienced by the primary health care workforce in three countries (Burkina Faso, South Africa and Tanzania), where high proportions of women work as health workers and have reported high levels of violence. The objectives are to undertake policy-relevant research to document the nature of primary health care workplace violence and its gendered dimensions, and address the conceptual and intervention gaps in the three countries. \n\nUsing desk reviews of policies, ethnographic and participatory action research methods and a survey (in one site), with approaches to engage communities to co-produce and co-design actionable interventions, they hope to iteratively implement and adapt interventions to address the problem in each site. They will invite health workers to be a part of the research team, thoughtfully navigating the sensitivities of researching violence within an active workplace and collecting data with a deep commitment to and practice of ethics. They plan to iteratively interrogate the data to deepen the insights, using emancipatory methods, like body maps and picture codes to get to the tacit and hidden scripts and meanings and co-design, with community engagement, actionable interventions for adaptive learning. \n\nThe project take place from March 2025 to February 2023, and will be undertaken by Ifakara Health Institute Tanzania, Institut National de Santé Publique Burkina Faso, United Nations University - International Institute for Global Health Malaysia and University of the Western Cape South Africa and Recherche pour la Santé et le Développement (RESADE) Burkina Faso. \n\nThe hope is that this research will generate compelling evidence and extrapolate it out to lessons learnt and actionable case studies on shifts in workforce management to take to other settings. The emphasis is on inclusive and equitable relationships, capacity building, sharing learning and facilitating exchange across the partners in order to seed the foundations of a strong consortium, the impact of which will go beyond geographic boundaries and the time bound nature of the funding.\n. The project has 4 objectives:\n\n1. To map public health sector human resource policies and assess how they recognise and respond to workplace violence and its gendered dimensions in Burkina Faso, Tanzania and South Africa to better understand the landscape of existing policies.\n2. To document the nature of primary health care workplace violence and its gendered dimensions in Burkina Faso, Tanzania and South Africa from the perspective of health workers, managers and community members to reveal the power relations that underline its invisibility and normalisation.\n3. To co-design and implement context specific system responses to address primary health care workplace violence and its gendered dimensions in Burkina Faso, Tanzania and South Africa.\n4. To assess and reflect on the experiences of these system responses with stakeholders to sustain changes in policies for workplace violence and its gender dimensions in Burkina Faso, Tanzania and South Africa and beyond.\n\n\n \n ID: GB-GOV-10-HPSR_Consortia_158745\nTitle: NIHR HPSR-CA - Improving primary health care access and quality in Georgia\nDescription: Primary health care (PHC) is a community's first point of contact with the health system. Many countries are trying to improve PHC, especially as people are getting older and have more health problems. This is particularly important for countries such as Georgia where long-term health problems such as heart disease or diabetes are common and where PHC is under-developed. \n\nGeorgia plans to change its PHC system to make it easier to access, especially for people in rural areas. Currently, some community members find it difficult to get to see a health worker because there are too few or they are overworked, while others are referred to specialists for care that could be provide at the primary level. Also, patients often have to pay directly for services, including for medicines. To address these challenges Georgia is introducing a package of reforms to improve PHC financing, organisation and quality. This project will investigate how well these changes are being conducted and whether they lead to better health services. It is well known from other countries, how challenging such comprehensive change can be. This project will systematically investigate in real-time how well these reforms are realised. This will give decision-makers and practitioners important information about how to adjust reform plans, ensure that the changes are accepted by the population, and that they will last. It will also generate new knowledge to help other countries that want to reform their PHC systems. The research will be carried out in three regions in Georgia that are experiencing different problems in accessing PHC. \n\nThe project is undertaken by a team of researchers in Georgia (Curatio International Foundation, Ilia State University) and the UK (London School of Hygiene and Tropical Medicine). The team will be supported by the 'World Health Organisation’s European Centre for Primary Health Care'. The work will be carried out over four years, from November 2024 to October 2028. . The project has 5 objectives:\n\n1. To assess the experiences of individuals with diabetes, hypertension, and/or chronic respiratory diseases regarding their utilisation of primary health care (PHC) services, and to evaluate the extent to which PHC reform enhances the quality of care they receive.\n2. To explore the experiences of healthcare providers with the new healthcare delivery methods introduced by the PHC reform, focusing on changes in their practices and their responses to new payment models for services rendered.\n3. To examine the understanding of PHC reform among decision-makers, and to evaluate their readiness and commitment to adopting changes in their operational practices as a result of the reform.\n4. To analyse the influence of the broader political and economic context in Georgia on the implementation and effectiveness of the PHC reform.\n5. To investigate whether the reforms lead to improved equitable and affordable access to PHC services, and to identify variations in access across different regions of Georgia.\n \n ID: GB-GOV-10-HPSR_Consortia_158821\nTitle: NIHR HPSR-CA - Harmful alcohol use in Southern Africa: studying drivers of drinking for effective intervention\nDescription: Harmful alcohol use is a substantial problem globally with negative impacts on health and wellbeing. The alcohol industry is a key driver of consumption or harms. It has responded to reduced consumption in many high-income countries (from increased regulation) by developing new sources of growth or profit in lower- and middle-income countries (LMICs) where harms are greater and policies are weaker. Expansion into Africa, with South Africa (SA) as a gateway, is an explicit part of this strategy. Many factors influence how much people drink, which vary from country to country: how easy or affordable is it to purchase alcohol, prevailing attitudes or ideas about drinking, and where or what type of alcohol people usually drink. It is usually the country’s alcohol policy (i.e. regulations about when/where alcohol can be sold) and enforcement that determine these factors.\n\nA research collaboration comprising the University of Cape Town, the South African Medical Research Council, Centre for the AIDS Programme of Research in South Africa, the London School of Hygiene and Tropical Medicine (LSHTM) and the University of Botswana will conduct the research in South Africa and Botswana from January 2025 to December 2029, focused on three sites in each of two provinces in South Africa (Khayelitsha, Klipfontein and Klapmuts in the Western Cape, and Atteridgeville, Olievenhoutbosch and Ga-Rankuwa in Gauteng) and three study sites in Botswana (Gaborone, Tlokweng and Francistown).\n\nWe will review, consolidate, and synthesise existing literature on the influence of political, economic, and regulatory contexts on local alcohol environments, iteratively map alcohol supply chains through documentary review and stakeholder engagement, and conduct a desk-based review of national and selected provincial and local laws, regulations and policies. In each study site, we will also map and describe alcohol outlets, conduct interviews and focus groups with vendors, alcohol consumers and non-drinking community members, and in each South African study site household surveys to understand the relationship between drinking patterns/behaviour and health/social outcomes. We will apply modelled provincial alcohol harm estimates to derive harm reduction scenarios, provide consolidated and accessible evidence for communities/policymakers to inform potential prevention interventions and document the data requirements for effectively monitoring the alcohol environment.. This project has 5 objectives: \n\n1. Examine business and political strategies that the alcohol industry uses to influence policy and regulation at a global level before considering how these strategies are applied locally.\n2. Describe the context in which people in South Africa and Botswana buy and consume alcohol and how these impact drinking patterns and behaviour. This will include mapping and visiting alcohol outlets, observing behaviour when buying/drinking, and interviewing people who sell and drink alcohol and those who do not.\n3. Investigate how drinking patterns and behaviour impact health using existing data and data we collect in our study sites. By using mathematical models, we will explore the possible impact of proposed interventions and policy changes on alcohol-related harm, as well as consumption or sales in South Africa.\n4. Harness community voices to influence alcohol policy by using research outputs that we co-create with community and policy stakeholders in South Africa and Botswana.\n5. Strengthen capacity for both research through formal training (PhD and Master's students) and skills transfer, and through community engagement and involvement at the organisational and network levels.\n \n ID: GB-GOV-10-HPSR_Consortia_158910\nTitle: NIHR HPSR-CA - Intersectoral policy coalitions to improve early childhood development in Argentina and Ghana\nDescription: Intersectoral action is key to improving early childhood development, yet major knowledge gaps persist about how intersectoral policies interact with multi-level governance systems; how to engage communities, civil society, and children; and which factors enhance stakeholder coalitions and sustainability. Few models of intersectoral action have been developed from lower- and middle-income countries (LMICs). In a previous project called 'Children in All Policies', or CAP-2030, Argentina and Ghana explored intersectoral responses to shared challenges around early childhood development including child poverty, malnutrition, and limited participation of children in policy processes. These countries’ differing governance systems and levels of political prioritisation of early childhood development provide an opportunity to compare the development of intersectoral coalitions and their integration, coherence, and accountability. \n\nThis prospective policy analysis will assess a participatory, data-driven intervention to improve intersectoral early childhood development policy for children aged 0-8 years at sub-national level in five localities each in Argentina and Ghana. The five-stage intervention is designed to redress common pitfalls of intersectoral action for health by using inclusive issue framing; deliberate co-production with public and non-public-sector actors, including children; and collaborative resource generation. The research will take place from November 2024 to October 2029 and will be undertaken by University College London (UCL, UK), UCL Institute for Global Health (UK), Ghana Health Services (Ghana), Ministry of Gender, Children and Social Protection (Ghana), Center for Learning and Childhood Development (Ghana) and the Latin American Faculty of Social Sciences (FLACSO, Argentina).. The project has 4 objectives:\n\n1. Explore how typologies of intersectoral action evolve in the context of differing political and fiscal power-sharing arrangements.\n2. Investigate whether intermediate process indicators of collaboration and partnership are aligned with intersectoral policy coherence, and integration, and effects on early childhood development indicators. \n3. Analyse how the engagement of non-governmental actors including civil society, communities and children can be maximised using inclusive issue framing and participatory data systems. \n4. Promote institutionalised learning and increase stakeholders’ knowledge of and self-efficacy to engage in intersectoral policy processes.\n", "_version_":1878710520363614208 }] } }