V. Research Implementation
5.5. Research Team
The research team consists of a core team and a local researcher team. The core team are from CPHM FK UGM and ARC Atma Jaya Catholic University with the following responsibilities: 1) to develop and coordinate the development and implementation of protocols to the National Research Advisory Council, research advisors, consultative groups, and local researchers; 2) to prepare training for local researchers; 3) to coordinate and supervise the data collection;4 ) to analyze the reports from local research team; and 5) to write a report which integrate all results from the national and regional levels.
Local research team consists of two (2) researchers from the working groups on AIDS who will conduct a national research and two (2) researchers from each of the 8 universities incorporated in a researcher network for AIDS policies that will conduct research in their respective regions in accordance with the stages listed in detail on the research proposal (protocol adaptation, data collection, analysis and reporting).
The followings are 8 universities involved in this research:
1. North Sumatra University (USU), a local researcher in North Sumatra 2. Atma Jaya University, as a local researcher in Jakarta region
3. Airlangga University, as a local researcher in East Java
4. Udayana University, as a local researcher in Bali area
5. Nusa Cendana University, a local researcher in East Nusa Tenggara 6. Hasanuddin University, as a local researcher in South Sulawesi 7. Papua State University, as a local researcher in West Papua 8. Cendrawasih University, as a local researcher in Papua 5.6. Administration and Management Team
Within the period of research project implemention, the management will be supported by an administration and management team from CHPM. The team consists of a research coordinator, a secretary and a financial and administrative staff.
In general, the administration and manegement team’s duties and responsibilities are to implement plans all activities and coordinate technical plans with each university to follow the predetermined schedules. In addition, the team also plays a role to manage financial and administrative aspects which support the project activities.
5.7. Research Duration
The research will be conducted in January-July 2014 with the following detailed agenda:
Research protocol finalization is currently taking place until the end of April 2014. At the same month a training for research method for the researchers will also be finalized. In parallel an ethic proposal is also undergone the process with the UGM. IF al researchers are ready for field collection data, then all data collection will be done in the following month of May. The whole month of May is scheduled for field research and data collection. Afterwards the data will be analysed. The end of the research is writing for publication that will elaborate the desimination of the academic paper.
Description January
Informants in this research are public officials who deal with the development of policies and programs on HIV and AIDS at the national and regional levels. Hence, the data presented by these officials is public data, thus the informants are not expected to represent themselves in the data collection process. Meanwhile, some other informants represent agencies or non-government organizations or groups affected by HIV and AIDS issues.The informant with such categories would be verbally asked to participate before the data collection is conducted.
To ensure that the informants’ rights are not violated and to ensure the welfare of informants in this research process, the team will ask for ethics approval to conduct this research to the Ethics Committee of the Faculty of Medicine, Gadjah Mada University. It is expected that ethical approval from the Ethics Committee of the Faculty can be used at the provincial/district level given that the research will cover areas in 8 provinces (multi - center study). Yet if there is a policy in certain universities which requires an ethics proposal, then it will also be done.
Besides, in conducting this research every team in each region is expected to pursue a research permit from the local government of each province/district.
5.9. Policies on Dissemination and Publication of Research Results
In addition to the supporting material for advocacy works, to follow up the findings and recommendations from the research, the research results can also be published. Since this research is a multicenter study, thus the publication policy will refer to a collective agreement with each university researcher. The main publication will be initiated by PKMK FK UGM and involve all researchers from universities. The publications will include an acknowledgement from Department of Foreign Affairs and Trade (DFAT) as the funder.
The research team is expected to publish the result of the research in national and international journals. Within the period of August 2013 to December 2015 (29 months) there will be 6 publications in international journals and national journals. The publications of the research will refer to the guidelines from the International Committee of Medical Journal Editors (ICMJE).
Terms for publication are as follows:
1. Ownership: ownership of data and research results goes to CPHM FK UGM.
2. Authorship: the author are all researchers involved (core researchers and local researchers).
3. All publications (abstracts, journals, etc.) using data from the research must be endorsed by CHPM, and proved by an official letter from the CHPM and an acknowledgment is given in written form to every kind of publication
4. It is recommended to use the data together with the universities involved in the research
The final results of the research are nine (9) reports consisting of one (1) report from national researchers and eight (8) reports from local researchers. The whole 9 reports will be compiled into one report covering the study at the national and sub-national levels. The research results will be presented and disseminated at the national, provincial, district/city levels and at a
meeting at the international level by inviting the actors in the field of HIV and AIDS, including related government offices and other stakeholders and also DFAT as the funder.
5.10. Risk Management
Risk Risk Sources Impacts Risk Management
Poor supports
The research results are not used for policy development
Developing a participatory research process
Utilizing the stakeholders’
expertise and experience concerning the research themes through a consultation process
Updating the research progress to the advisory on the protocol to be used Delays in
Informants’ busy time
The second stage of
Developing a coordination mechanism via a mailing list of researchers and doing field visits to supervise the implementation of the research
Conducting an informal approach and socializing to the prospective informants from the very beginning
Monitoring local political developments and preparing schedules to match local conditions
Developing a Scope of Work (SOW) and clear time commitment to researchers Low quality Respondents are less The objectives of the Creating the inclusion
information on the primary data
competent in
providing information
Span and depth of information that will be explored in this research
Skills of researchers in exploring information from informants
Limited time for data collection
research can not be achieved
There is a bias from the informants or the facilitator/
interviewer
It is difficult to compare the results among topics in different areas
criteria for informants
Submitting the instrument to the informant to be studied prior to workshops or interviews conducted
Holding training for researchers to administer the instruments
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Appendix 1
Stakeholder Analysis in province/city/district ______________________
Stakeholder Roles Interest Resources
high Middle Low high Middle Low 1. Head of regional
government 2. Health
Department 3. Community
Health Center 4. Non-government
Organization 5. Regional House of
Representatives (DPRD)
6. KPAD
7. Polda (Regional Police
Department) 8. Community
organization 9. others
Appendix 2
A List of Dimentions and Key Words per Sub-system
Sub-system Dimention Key words
1. Management and health regulation
1. Regulation Regional regulations on AIDS
Strategic plan
Regional budget
2. Policy formulation Information Source for epidemics data (HIV prevalence)
Use of epidemics data in planning at the regional level
3. Accountability and Responsiveness
Public access to information on HIV and AIDS programs in the region
Availability of funds from the APBD - regional budget and expenditure (grants, social assistance, and SKPD) 2. Financing 4. Amount, allocation and
financing sources
Sources of available fund for HIV and AIDS (government and other donors) 5. Budget and Expenditure Amount and composition of the
budget in regional budget per program
Report on regional budget use per program
6. Proportion Proportion between the government funds and foreign funds
7. Suitability (including adequacy)
Suitability of funds expended for programs, personnel, and others
12. Equitabilty Availability of services covers all key populations, services and
geographical areas
13. Quality Trained and certified health workers
Sub-system Dimention Key words
Availability of policies governing personnels outside the health department, who work on the contract basis by the health department to run AIDS response program (proved by instructions) 16. HR financing Sources of funding for non-health
workers for AIDS response 17. Education and Training Availability of policies governing
standardized competency for AIDS response workers
18. Number and types Availability of personnels for HIV and AIDS response in accordance with SRAN 2010-2014
1. Regulation (policies related to material provision of
Procurement of Food Supplement
Procurement of diagnostic Reagensia
Procurement of CD4 diagnostic device
Procurement of Reagensia ARV side effects
Procurement process of the above-mentioned list
Funding Source for the procurement of the above-mentioned list
6. Strategic information
3. Input Types of data sources
Data Collection Mechanism
Infrastructure
4. Process Data Processing Mechanism 5. Ouput Type and frequency of reporting by
program
6. Utilization Dissemination and Utilisation of Data
Sub-system Dimention Key words 7. Communiy
empowerment
7. Participation (planning, implementation, and monitoring of health services)
Coordination meetings conducted by stakeholders and community (e.g.
representatives of key populations)
The funds available for civil society for HIV and AIDS response effforts
Capacity building(e.g. Training and technical assistance)
8. Access and service utilization
Proportion of key population who can access HIV and AIDS services from government
Proportion of key populations who can access JKN or Jamkesda (regional health insurance)
Appendix 3
Research Instrument: Primary Data Collection
1. Sub-system management and health regulation on HIV and AIDS response
Definition: The management which brings together varios efforts of health policy, health administration, health law regulation, data management and health information to ensure that there is a strategic policy framework combined with supervision, partnership development, accountability, regulation, incentives and suitability with the existing health system design.
1. Under the existing regulations (laws, government regulations, ministry regulation, regional regulation), are the roles and responsibilities of SKPD and CSO in AIDS response clearly defined? In general, are the resources available to carry out those roles and responsibilities sufficient?
2. Is there a strategic plan for AIDS response? If Yes, does the strategic plan reflect a strategic plan in the health sector? Is there a periodic review on this strategic plan? Is this strategic plan used to make decisions, to determine allocation of human resources and to stipulate the epidemic situation in the region?
3. Are there any impacts of decentralization policy on AIDS policy in this region? If Yes, what are the impacts on AIDS response in this region?
4. Are there any plans from the regional governments to achieve MDGs for AIDS response?
5. Has there been any assessment of the epidemic situation in the district?
6. How is the planning for activities and services in order to develop AIDS response in this area developed? To what extent is this policy based on evidence of epidemiological trend or evalution of activities in the past?
7. How can people know HIV and AIDS programs implemented in this region so as to make them easy to access?
2. Sub-system for Health Financing
Definition: Management of various efforts on fund-raising, allocation, and expenditure of health funds to support the development of health sector to achieve the likely highest health level. The elements of health financing consists of funds, resources, and management of health funds.
Has any assessment ever been done on financing AIDS response in this region? If Yes , how often is the assesment conducted?
1. Are there any plans to increase the amount of regional budget (APBD) in the region for AIDS response? How is the plan prepared?
2. Where is the source of AIDS funding in this district from? Are there any funding sources from other parties used to help the AIDS response efforts? If Yes , are there any difficulties in managing these various financing sources?
3. Are there any government health insurance (JKN or Jamkesda) for HIV and AIDS-affected groups?
4. Do the HIV and AIDS-affected groups need to pay for this either formally or informally for AIDS- related health services they receive? If Yes, how much do they have to pay?
Does it create a problem for the patients to access the services?
3. Sub-system of Health Human Resources
Definition: Sub-system is used to ensure that the human resources involved in HIV and AIDS response are responsive, efficient, competent, fair, and evenly distributed in accordance with the available resources and the existing situation and sufficient in number.
1. How are HR policies for the AIDS response structured? What about the capacity building for doctors, nurses, midwives, other health workers and field officers who work for key populations or cadres? Are there any sustainable capacity buildings for them?
2. Are the human resources owned by the service providers (government and non-government) sufficient to carry out daily work and responsibilities, including meeting the needs of key population?
3. Are there any policies governing non-government personnels (from private or CSO ) contracted or hired to carry out the AIDS response? If Yes, please specify!
4. If the number of HR need in the district is insufficient, what steps has been taken to meet the need?
5. What support mechanism is used to maintain human resources working for AIDS response (career development, supervision, security, mobility, welfare)? Is the rotation and mutation for HR in AIDS response an important issue in the program implementation?
6. Are there any policies governing the competency standarization for AIDS response? If Yes, please specify!
7. Can universities produce human resources needed for AIDS response? To what extent do universities get involved in the capacity development of human resources for AIDS response? To what extent do universities get involved in ensuring the quality of human resources for AIDS response?
4. Sub-system for Strategic Information
Definition: The system used to perform the production, analysis, dissemination and use of reliable and timely information about the health determinants, health system performance and health status, used as a basis for decision making .
1. Has a research or assessment on HIV and AIDS response (e.g. research/behavioral survey, the evaluation, mapping of key populations, Integrated Bio-Behavioral Surveillance ( IBBS ) ) ever been conducted in your region?
2. Are there any information systems related to HIV and AIDS response efforts used to help to make decisions?
3. How are the results of the information systems disseminated and utilized?
4. Are there any data about key population and targets for HIV and AIDS response programs? What are they?
5. To what extent are the research results provided by the universities used for
5. To what extent are the research results provided by the universities used for