NAVRONGO HEALTH INFORMING HEALTH POLICY THROUGH RESEARCH

Transcription

1 NAVRONGO HEALTH RESEARCH CENTRE INFORMING HEALTH POLICY THROUGH RESEARCH

2 Strategic Location of Ghana DSS Sites Burkina Faso Cote d'ivoire Togo Dangbe West Kassena-Nankana Kintampo Kilometers

3 Kassena - Nankana District showing the major villages Burkina Faso N # Kayoro # Paga # Manyoro Upper West Region Navrongo #Y#Y # Kandiga Bolga District # Ketiu Chiana # # Doba # Nakong Builsa District # Kologo South Zone West Zone East Zone North Zone District Boundary - # Naga Northern Region

4 Characteristics of Kassena- Nankana District Land Area: 1674 km 2 Population: 147,500 (under surveillance) 90% rural Economy: subsistent agriculture Ecology: sahelian savannah woodland one rainy season People: bi-ethnic (Kassena and Nankani)

5 Figure 1. Population pyramid for Navrongo DSS, Female Male Some indicators 2005 IMR = 65.1 TFR = 4.1 Life expectancy = Percent of Population

6 From VAST to NHRC The Vitamin A Supplementation Trial (VAST), came to an end. ROSS IN 1992 Navrongo Health Research Centre (NHRC), started. BINKA

7 NHRC S MISSION To research into priority health problems facing Ghana and inform policy decisions on appropriate interventions

8 NHRC S RESEARCH FOCUS Malaria Diarrhoea Meningitis Reproductive health General population dynamics Community-based health delivery strategies

9 COMPLETED STUDIES - I Malaria related Bednet trial Malaria attack rates studies Etaquine trial Rectal Artesunate trial Malaria case control study Intermittent treatment of malaria in infants Intermittent treatment of malaria in pregnancy

10 COMPLETED STUDIES - II Reproductive Health related Navrongo Community Health and Family Planning project Female Genital Mutilation project Maternal mortality studies Other studies CSM vaccine trial

11 RESEARCH RESOURCES District-wide demographic surveillance Access to district health facilities (hospital, health centres and health compounds) Laboratory facilities Internet facilities Independent ethics review committee Multi-disciplinary scientific staff Network of collaborators

12 COLLABORATORS & FUNDERS Rockefeller Foundation Population Council / USAID Ghana Health Service WHO UNICEF University of Ghana Swiss Tropical Institute London School of Hygiene and Tropical Medicine US National Institute of Health US Navy INDEPTH Network

13 MAJOR STUDIES THAT INFORMED HEALTH POLICY - I Vitamin A Supplementation Trial ( ) Insecticide-treated bednet trial ( ) Navrongo Community Health and Family Planning Project ( )

14 VITAMIN A TRIAL Vitamin A Supplementation Trial ( ) Impact of repeated large doses of vitamin A on child survival 20% reduction in under five mortality National policy on distribution of vitamin A to children under five years

15 BEDNET TRIAL Impact of sleeping under insecticide treated bednet on child survival 17% reduction in child mortality National policy on use of ITNs especially by children and pregnant women

16 NAVRONGO COMMUNITY HEALTH AND FAMILY PLANNING PROJECT Test the fertility and mortality impact of restructuring health service delivery at the community level Reduction in fertility by one birth Reduction in child mortality by 40% National policy on Communitybased Health Planning and Services

17 ONGOING STUDIES Human Rota virus vaccine (RotaTeq) trial Meningitis vaccine trial Adolescent sexual and reproductive health study Cerebrospinal meningitis surveillance IPTi Acceptability Study Birth cohort study Home management of malaria

18 CONCLUSION Accurate data on effective health technologies and interventions are required to inform policy Consistent findings from diverse settings make a stronger case NHRC research has added to the evidence base on critical health interventions Policies that have been informed by NHRC research contribute to improving access to basic health care

19 APPRECIATION Government of Ghana People of the Kassena-Nankana District Funders Collaborators Staff of NHRC

20 How to contact us Website: Phone: ; Fax: s: or s: or

21 Thank you