Developing Regional HPRSIs Database Surveys

The USAID-supported activity under the cooperative agreement: 7200-AA-18CA-00037 operated by Result for Development (R4D). This activity aims to strengthen the Health Policy and System Research (HPSR) network by developing a regional database in Asia, allowing for future collaboration in a well-functioning HPSR ecosystem.

The institution's information collected from this pilot will be used to build a living electronic database, collating information to assemble the institution's profile that is publicly accessible as an output of this activity.

*Questions have been already carefully reviewed by the internal team to ensure validity and alignment with the aim of the pilot.

For this pilot, four countries (India, Bangladesh, Indonesia, and the Philippines) are prioritized to start the HPSRIs data gathering. Data collection efforts may be scaled up to other countries once the database has been established.

UGM Centre of Health Policy and Management (Indonesia) and ACCESS Health (India) are jointly leading this pilot.

---------------------

Please do not hesitate to contact Kadek Darmawan - kadek.hendra.d@ugm.ac.id (UGM-CHPM) and Ms. Aaliyah Khan/ Ms. Oshia Garg - aaliyah.khan@accessh.org / oshia.garg@accessh.org (ACCESS-INDIA) if you have any questions.
- We invite institutions (referred to as HPSRIs) taking part in this pilot; HPSRIs' participation is a volunteer with no incentives will be provided upon participation received. HPSRIs could draw back their involvement at any stage of this activity.
  
  There is minimum risk identified for participating in this activity. At the same time, participating HPSRIs would have a higher opportunity to communicate and collaborate after the publicly-accessible database is online, which could benefit each HPSRI.
  
  Each HPSRI is given a wide opportunity to ask in detail about this activity. If you have concerns anytime about this pilot, kindly connect with pilot's contact person through kadek.hendra.d@ugm.ac.id or aaliyah.khan@accessh.org / oshia.garg@accessh.org .
- After reading all the provided information in the above section,blank [fill with name of institution],blank [fill with consent/not consent] to participate in this pilot.
- Date of participation
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate when the form is filled

I. Institution's contact for collaboration:

To allow effective communication, we kindly ask a person for being a point of contact for each institution (referred to as HPSRIs).
Name of Institution's point of contact

First NameLast Name
Email
example@example.com
Position at Institution
e.g. Research Manager
II. Institution's Structure:
Institution Name
Registered Institution name, do not use abbreviations,
Year of Establishment

YearMonthDay
4 digit year, 2 digit month, 2 digit dayYear of Establishment. if exact date is unknown put as 1st of January of the year
Institution Website
(e.g., https://www.acceleratehss.org/)
Institution Address

Street Address, in the case where an institution has multiple locations, please only report the city of its main campus or headquarters office of the institution. (e.g.,. Jakarta, Indonesia)

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Institution Type
Classification of the institution that reflects the mission and/or vision of the institution
If Other is selected, please specify the type of institution other than listed.
Number of years of implementing HPSR that your institution has
Accumulated years of implementing the Health Policy and System Research
III. Institutional Priority Topics on HPSR:
Select the HPSR topics your institution currently focuses on [select all that apply]
If Other is selected, please specify the other topics that serves as current focus of institution, where each item is separated by a comma (,)
(e.g., Universal Health Coverage, Health Information )
Select functions of your institution on the HPSR topics (check all that apply)

Other
How does your institution prioritize HPSR topic/research areas of interest (select up to three options)

Other
What are the topics prioritized in the HPSR ecosystem (including by policymakers or other stakeholders) over the next three years, as observed by your institution? [please choose the top 3-5 topics]
If Other is selected, please specify the other topics that are prioritized in the HPSR ecosystem (including policymakers or stakeholders) over the next three years, where a comma separates each item (,)
(e.g., Universal Health Coverage, Health technology)
What are the critical functions needed to advance the HPSR ecosystem strengthening efforts?

Other
What are the gaps in topics prioritized in the HPSR ecosystem (including by policymakers or other stakeholders) over the next three years, as observed by your institution [please choose the top 3-5 topics]
If Other is selected, please specify the other gaps topics that should be prioritized over the next three years where a comma separates each item (,)
(e.g., Universal Health Coverage, Health technology)
What type of institutional capacity-strengthening support is needed for HPSRIs to better address the HPSR ecosystem gaps?

Other
How do your institutional research topics/areas align with the identified HPSR ecosystem priorities and gaps? Please elaborate
How do the identified critical functions or types of capacity strengthening supports align with your institutional needs? Please elaborate
IV. Institution's Capabilities:
Please select all existing types of collaboration between your institutions and other networks in the last three years. (check all that may apply)

Other
The geography of work is closely related to the scope of collaborative work on HPSR's topics handled by institution whether at global, regional, national scale or sub-national, varies over time and spatial variations.
Please select the geographic scope of your institution's work (select all that apply)
If Global is selected, please list the name of all International Collaborators where each item is separated by a comma (,)
(e.g., WHO Alliance partner)
If Regional Asia is selected, please list the name of all Regional Collaborators where each item is separated by a comma (,)
(e.g., Asian Development Bank, etc.)
If National is selected, please list the name of all National or Domestic Collaborators where each item is separated by a comma (,)
(e.g., Ministry of Health, Ministry of Research and Innovation, other)
If Sub-national is selected, please list the name of all Sub-national Collaborators where each item is separated by a comma (,)
(e.g., District of Health Office, etc.)
Which of the below networks are affiliated with your institution?
If Other is selected, please specify the network you are engaged in, where a comma separates each item (,)
(e.g. WHO Health partner report)
If your institution is not a member or affiliate, which of the below networks would your institution be interested in learning more about?
Please share any regional gatherings, events, workshop, etc. that your institution has attended or is planning to attend this year (2023)
e.g. regional co-creation workshop by ACCELERATOR
Is your institution open to collaboration with other organizations on HPSR?
What type of collaboration is possible at your institution?

Other
V. HPSR Financing:

In this section, the public-categorized information regarding the source of the institution's funding and the estimated budget for HPSR projects/activities.
Sources of HPSR Funding
If Other is selected, please specify the sources of institutional funding other than those listed.
e.g. Internal University Funding
The HPSR budget of your institution comes from (check only one)
Estimated average of the general institutional budget for HPSR activities in 2022
VI. Institutional Capacities:

This section asks the institution's capacity to conduct research projects or academic activities (training/short course) within HPSR umbrella topics.
Please share which functions your organization engages in

Other
Number of faculty/staff/experts and/or researchers conducting HPSR topics on projects and research
In academic institutions, this may include, but not be limited to, Professor, Assistant Professor, Lecturer, Research Fellow, or other faculty designation. In other types of entities (NGO, Think-thanks, Independent Research Center), this may be HPSR staff, experts, and/or permanent consultants.
List all of the expertise of your faculty/researcher/staff/experts (Check all that apply)
If other is chosen, please list all of other topics of expertise, where each item is separated by a comma (,)
(e.g., global health - planetary health)
Please share the number of staff conducting HPSR projects/ research who have been engaged in your organization for 5 years or more.
What HPSR expertise does your organization lack, where a comma separates each item (,)?
(e.g., health technology assessment, epidemiology)
Does your institution invite other researchers and/or staff to conduct projects/research/ training/exchange programs?
Does your institution have a plan to leverage outside research/partnerships to expand the institution's scope of expertise (outside of current institutional expertise)
What HPSR expertise will your organization be focused on for the next five years, where a comma separates each item (,)?
(e.g. maternal and child health, public-private engagement)
Is your institution willing to collaborate with other institutions to develop this expertise?
Does your organization provide training, seminars/webinars, workshops, and/or annual short courses with a focus on the HPSR topics?
Please list the name(s) of the training, seminars/webinars, workshops, or short courses on HPSR topics offered by your institution where each item is separated by a common (,).
e.g. (1. Workshop on Health Economics for Healthcare, not determined, following the business need) (2. Short course on a qualitative study on health policy, yearly, August) (3. Training on the use of NVivo for qualitative research on health, monthly, every month)
HPSR project/reseach may include, but not be limited to reports addressing health policy and system research (HPSR) listed in previous section.
Flagship products of your institution (core project/activity with a significant influence on health policy or healthcare system)
(e.g., initiating a national forum for policy strengthening, making country health system review, etc.)
Total number of projects/research handled by your institution in the period of 2020 to 2022
If "More than 100 research/projects" is selected, please specify the number
Please share any other HPSRIs you have partnered with to complete research activities or exchange knowledge in the last three years.
(name of institution/network, e.g., Epimetrics, Inc.)
How will your institution use the collaboration to maximize the potential of your research/project? Please elaborate.
VII. Project/Research Dissemination Activities:

This section explores how institutions influence the policymaking process, whether directly or indirectly influenced.
Who are the targets of research dissemination? (check all that apply)

Other
Does your institution have a strong linkage with policymakers?
What are the mechanism that your institution uses to influence policy?

Other
Number of governmental or community task forces, reference groups or committees that your institution has been a part of in the last three years.
If there are no community task forces, reference groups or committees that have been part of in last three years, please answer with "0"
Please share the committee or task forces and the organizer of these groups.
Number of formal dialogues initiated by your organization that inviting policymakers/ stakeholders in 2022.
If there are no formal dialogues were initiated in 2022, please answer with "0"
Number of scientific papers related to HPSR topics published by your researchers/staff/faculty in 2022.
Academic papers should discuss the topic of Health Policy and System Research (see above about the research area section) in accredited journals. The selected publications that included in the calculation only when the first author and/or the last author are affiliated with institutions. If there are no academic paper has been published, please answer with "0"
Number of policy brief related to HPSR topics produced by your institution in 2022.
If there are no policy brief has been produced in 2022, please answer with "0"
Number of the local newspaper article authored by staff members (researchers/staff/faculty) in 2022.
Newspapers include those of national-level significance with wide circulation, which may be online or in print. If there are no appearances in media (newspaper) in 2022, please answer with "0"
Number of television media appearances by staff members (researchers/staff/faculty) in 2022.
If there are no appearance in media (television) in 2022, please answer with "0"
Thank you for finishing the questionnaire and disclosing information under the information domains. After this, the internal team will compile the data to build each institution's profile and construct a living database of HPSR institutions in the region of Asia.
Snowballing of other HPSR Institutions in your country as your connection (Specify the name of the Institution)
Please suggest other institutions conducting projects/research within HPSR topics in your country. We highly appreciate your helping us to identify other institutions for rolling in this living database.
Email of your suggested HPSR institution/connection
example@example.com
Point of contact to your connection (contact's name and his/her role or function in the institution)
David Wijaya, Senior Researcher
Conformity
Should be Empty:

I. Institution's contact for collaboration:

II. Institution's Structure:

III. Institutional Priority Topics on HPSR:

IV. Institution's Capabilities:

V. HPSR Financing:

VI. Institutional Capacities:

VII. Project/Research Dissemination Activities: