In Spring 2012 NICE International was successful in gaining funding from the Health Partnerships Scheme. The funding stream lasts for three years and will be used for projects to provide advice on the processes and methods of using evidence to inform policy in low-income and middle-income countries.
The focus will be primarily on developing capacity in India and China; and the generation of wider global public goods which can be shared with other countries including Uganda and Afghanistan.
Helping to develop measures to reduce maternal mortality in conjunction with the government of Kerala, as well as exploring and strengthening links with national level organisations.
- Better Decisions for Better Health: Priority-Setting and Health Technology Assessment for Universal Health Coverage in India
- Quality standards for post-partum haemorrhage and hypertensive disorders of pregnancy
- Towards national standard treatment guidelines (STGs) for India
We've been active in India since 2009 working on various projects at Central and State level.
Supporting the development of a dedicated institution for evidence-informed policy development.
3. Monitoring and evaluation
Itad worked to develop a Theory of Change for NICE International, which has informed more recent monitoring and evaluation for the International Decision Support Initiative.
They have compiled several reports on NICE International’s engagement in India and China as part of this process:
Health Partnerships Scheme - India
The India workstream initially focusses on supporting the development of quality standards for maternal mortality, working with the government of the state of Kerala.
Future work will centre on exploring and opportunities for development of evidence-based guidance and policies through links with national level organisations.
The Royal College of Obstetricians and Gynaecologists features the Kerala project on developing Quality Standards to improve hospital maternal care in its March international newsletter. NICE International is providing technical support on the project, working with the Government of Kerala and the Kerala Federation of Obstetricians and Gynaecologists.
Health Partnerships Scheme - China
NICE International (NI) has been actively involved in the Chinese Rural Health Reforms since 2009. Its main counterpart in China is the China National Health Development and Research Centre (CNHDRC), a policy think-tank part of the Ministry of Health, which has over the years been leading on policy-orientated research projects of health strategy and health system reform; academic-based research of National Health Account and payment as well as health financial protection; and application-centred project of technology assessment and policy evaluation across China.
The current project allows NI to continue supporting the Chinese government in developing streamlined ways of developing guidelines, through the development of a dedicated local institution. Work is underway to assist in the development of evidence-based pathways for cancers and stroke.
Monitoring and evaluation
Itad is a specialist monitoring and evaluation (M&E) agency, which worked with NICE International (NI) during 2014-2015 to develop a Theory of Change and monitoring framework for NI’s country support activities.
Itad developed several indicators which could be used to measure the value and impact of NI’s project work under the Health Partnerships Scheme (HPS) in China (where NI supported the implementation of clinical pathways for management of stroke and COPD) and in India (where NI worked with the state of Kerala to develop a quality standard to reduce maternal mortality), and assessed these indicators during visits to China and India.
During these visits, Itad reviewed documents and interviewed key informants involved in the implementation of both of these HPS projects, including government representatives, healthcare professionals and development partners. A summary report produced by Itad brings together the main conclusions from these interviews and reflects on the implications for future M&E.
Their report highlights the convening power of NI and the ‘NICE brand’ and the role of in-country ‘evidence champions’ in supporting the HPS-funded projects. Interviewees valued NI’s support for the fact that it is not prescriptive, but rather focuses on bespoke and country-specific strategies.
NI’s projects, including the International Decision Support Initiative (iDSI), represent complex interventions which aim to build capacity and support policy change. Itad are now developing a M&E framework for iDSI, which builds on this work, the aim of which will be to measure developments over time, in each country, and to assess iDSI’s contribution to this change.