Ubuntu initiative
Research suggests that social determinants can influence 30-55% of health outcomes, often outweighing healthcare or lifestyle choices. Key social determinants of health range from income and social protection to education, food insecurity and access to affordable healthcare.
Meta-research and evidence synthesis unit
Program overview:
The meta-research and evidence synthesis unit is dedicated to improving healthcare and the knowledge ecosystem through:
Meta-research(research on research) : to analyse the philosophical basis, methods, reporting, evaluation, and incentives for research. We also specialise in research priority setting, and core outcome set development.
Evidence synthesis: conducting scoping reviews, evidence gap maps, systematic reviews, meta-analyses, rapid evidence synthesis, and qualitative evidence synthesis.
Capacity building: On evidence synthesis , meta-research, and its application.
Program objectives:
The overarching objectives of this program are to:
To improve the quality of primary research, evidence synthesis, and knowledge translation.
To foster pro-justice and pro-equity approaches in the knowledge ecosystem.
To conduct high quality evidence synthesis using fit for purpose methods to inform policy, and practice.
Evaluation and system reform
Program overview:
System reform is complex, long-term, and involves multiple stakeholders. Traditional evaluation methods, which often focus on short-term outcomes and linear cause-effect relationships, are often not well suited to informing or evaluating system change.
The George Institute’s Evaluation and System Reform Program focuses on furthering the role of evaluation in system reform in recognition of the power of evaluative data to contribute to social change - this has implications for what is evaluated and how evaluations are conducted. There is an implicit equity agenda – recognising that systems need to reform to benefit those who need them most.
We are concerned with:
Conducting ‘mission critical’ evaluations, which in practice means scale, reach and equity
Using participatory approaches at all stages, since this increases the potential of evaluation findings being relevant and used
Building regular and timely cycles of feedback to imple
Economic evaluation and health technology assessment
Program overview:
Economic evaluation involves an assessment of the costs of outcomes of health sector interventions to determine their value for money to governments and other payers. This involves cost effectiveness or cost-utility or cost-benefit studies, carried out alongside intervention trials. The evidence from such studies is critical in informing government to optimize their investment decisions in the health sector.
Health technology assessment (HTA) is a framework which governments use to embed the use of cost-effectiveness evidence in their decisions to fund new drugs, devices and medical procedures. It is increasing being used by governments around the world to ensure evidence-based investment of scarce health care resources and provides them a tool to achieve universal health coverage in a financially sustainable manner.
We have an extensive ongoing program of economic evaluation and HTA studies led by our team of health economists along with researchers at the Insti
Health workforce economics
Program overview:
While health workers drive population health outcomes, investments into their training, recruitment and retention often do not align with system goals resulting in wasted resources and worse health. This program investigates sustainable ways to build the workforce needed for universal health coverage. Using methods like discrete choice experiments, economic evaluations and analyses of survey and administrative datasets, we investigate health system incentives, policy interventions and financing models to improve the motivation, retention and training of health workers, reduce corruption and investigate the economic impacts and investment case for greater use of non-physician health workers.
Program objectives:
The program aims to contribute to the development and scale-up of sustainable interventions to tackle global workforce challenges and improve population health.
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Ageing and health systems
Program overview:
The number of older people globally is growing rapidly, yet many national health systems remain unprepared to meet their needs. A driving factor is that governments do not have adequate evidence to guide the design and delivery of appropriate health and social care services for older adults. The Ageing and Health Systems Program aims to produce new evidence to inform effective national and local health system responses to population ageing. The program includes applied policy studies and implementation research, embedding participatory co-design and priority setting methodologies to maximize translational impact.
Program objectives:
The overarching objectives of this program are to:
Conduct participatory assessments of healthy ageing policy, program and service priorities to inform an effective health system response to population ageing.
Harness the capacity of population health data to identify priority populations and opportunities to deliver e