South-East Asia Regional Conference on Epidemiology

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<strong>South</strong>-<strong>East</strong> <strong>Asia</strong> <strong>Regional</strong> <strong>Conference</strong> on Epidemiology | 317 There are also structured processes for dealing with equity issues. When something is done to one group, does another group get disadvantaged? Is there any reason to believe that this can happen? The process needs to be made very simple because policy-makers would need a very brief document. This is what the Support Summaries prepared by the SUPPORT Collaboration (http://www.supportcollaboration.org/summaries/methods.htm) are about that are used as policy briefs. An example of the policy brief is whether birth attendants improve health behaviours for better pregnancy outcomes. (http://www.iecs.org.ar/support/iecs-visor-publicacion.php?cod_publicacion=21&origen_ publicacion=publicaciones). A very brief summary with key messages tells what the evidence is and what the factors are that need to be considered while implementing it. A simple look at this type of policy brief will help a policy-maker arrive at decisions. The policy brief also gives evidence in the form of a summary statement of the interventions, participants, settings, outcomes, what kind of studies were used, and a summary of findings, which even give references. These briefs have relevance for low- and middle-income countries in terms of applicability, equity, cost-effectiveness and monitoring and evaluation. Policy dialogues are needed with representative groups involving the public to find practical ways of implementing and monitoring and evaluation. This is what makes good health policy. But that does not necessarily happen because the process is not followed. Capacity building is really important and that is where EVIPNet (http://www.who.int/rpc/evipnet/en/) can strengthen existing systems. It can facilitate the process of going through the structured and systematic way of developing policy briefs. The Cochrane Collaboration (www.cochrane.org) can also help because it is an independent organization devoted to producing, maintaining and disseminating systematic reviews of the effects of interventions in health care. The <strong>South</strong> <strong>Asia</strong>n Cochrane Network & Centre (www.cochranesacn.org) is an independent centre of this collaboration representing the <strong>South</strong> <strong>Asia</strong>n Association for <strong>Regional</strong> Cooperation (SAARC) countries. India has six network sites, all of which are Fig. 3: <strong>South</strong> <strong>Asia</strong>n Cochrane Network & Centre involved in doing systematic reviews. There are also sites in Pakistan, Sri Lanka and Bangladesh. People here are involved in asking questions of relevance to health care in this Region and their number is increasing (Fig. 3). The Indian Council of Medical Research (ICMR) has access to the best single source for the effects of interventions used in health care from the Cochrane Library. The government has actually paid a national subscription and people are increasingly using the Cochrane Library (www.thecochranelibrary.com ). There is an effort to find all the trials that have been conducted in the region. A website (www. cochrane-sadcct.org) now gives a listing of all the controlled trials done in the Region, but evidence is also needed on all the observational studies gathered in one place otherwise that will not be utilized for contextualizing the evidence. There are lots of experts in the Region who can help with capacity building and can also help build systematic reviews. The first EVIPNet meeting in India was held in January 2010, and two weeks after that the Government of India’s Department of Health Research has sent a formal invitation through the WHO
318 | <strong>South</strong>-<strong>East</strong> <strong>Asia</strong> <strong>Regional</strong> <strong>Conference</strong> on Epidemiology <strong>Regional</strong> Office to EVIPNet to help build capacity in India. Now, the question is how to structure the network and what partnership models to take. Working together with EVIPNet can certainly make a big difference to evidence-informed policy-making in India and in the Region. References (1) Tharyan P. Don’t just do it, do it right. Evidence-informed health care and health policy. Ceylon Medical Journal, 2010,55:1-4. (2) Duley D. Henderson-Smart. Magnesium sulphate versus diazepam for eclampsia. Cochrane Database of Systematic Reviews, 2003, Issue 4. Art. No.: CD000127. DOI: 10.1002/14651858.CD000127. (3) Guyatt GH, Oxman AD, Kunz R, Vist GE, Falck-Ytter Y, Schunemann HJ, and the GRADE Working Group. What is ‘quality of evidence’ and why is it important to clinicians? British Medical Journal, 2008,336:995-8.
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Contents Preface ..................
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Foreword The health systems in seve
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Section 1 Opening ceremony Executiv
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Conference objecti
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Opening remarks Dr Samlee Plianbang
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Inaugural address Mr Kapil Sibal Ho
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Plenary 1 The enduring relevance of
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Revitalizing primary health care: h
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Plenary 2 Epidemiology: ensuring he
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Translating data into information f
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Research and policy interface Ulyss
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Monitoring progress towards the ach
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Social determinants of health, MDGs
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MDGs 4 and 5: the challenge of redu
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Source: World Health Statistics, 20
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Methods and application of molecula
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Scope South-<stron
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The future of epidemiology: how is
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Table: Quick poll of epidemiology g
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Towards universal childhood immuniz
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Section 3 Special lectures
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Economic crisis and health of the p
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Country Fig. 4: Growth shocks <stro
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PRC HKG PHI SIN MAL THA INO KOR IND
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6. Recommendations 6.1 Monitoring a
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The use of epidemiological data to
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Fig. 1: Modelling the IDU epidemic
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Section 4 Parallel Sessions
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Facilitating appropriate response i
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Parallel Session 2 Noncommunicable
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Reducing the burden of cardiovascul
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Research and evidence-building for
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The role of current diarrhoea manag
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Global child deaths due to rotaviru
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Health Facility 22% 25% 18% Fig. 3:
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Integrating prevention and control
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Trends in tuberculosis: what is the
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TB cases/100k/year South</s
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Towards universal access to HIV pre
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1995 2005 Fig. 3: Targeted interven
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Parallel Session 6 Climate change:
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Impact of climate change on diarrho
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The impact of climate change on vec
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The role of influenza surveillance
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Annex 1. Programme Monday, 8 March
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1600 - 1730 Hrs Parallel Sessions P
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Panel discussion: Climate change: a
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Wednesday, 10 March 2010 0900 - 103
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Nominees of Member Countries Bangla
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South-East Asia Regional Conference on Epidemiology

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