SITUATION ANALYSIS ON CURRENT RESEARCH TRENDS IN SRI LANKA Dr Dineshan Ranasinghe Medical Officer MBBS /DFM Base Hospitla Panadura

WHY MEDICAL OFFICERS/ SPECIALISTS DO RESEARCH For a Salary hike Increase the take home pay Become a Academic/ Specialist in research A must for PGIM Trainees

WHY COUNTRY NEED RESEARCH IN HEALTH CARE To evaluate the quality of health care To Improve the quality of health care Usage of quality care in a cost effective way

ULTIMATE GOAL DESIRED OUTCOME Individual expectations Expectations of the nation

REASONS OF CONDUCTING RESEARCHES BY MEDICAL PROFESSIONALS IN SRI LANKA 1.Medical officers who undergo PG training 2.Medical officers who do surveys /audits to improve the quality and increase the efficacy of the working environment eg mainly in ICUs 3.Surveys and Audits done by Ministry of Health to improve the quality of health service – Funded by NCF, UNICEF, WHO 4.Medical officers with the intention of claiming research allowance

ANALYSIS OF RESEARCH TRENDS Desk review from ET & R unit of Ministry of Health PGIM

ET & R UNIT DESK REVIEW No of researches done from Data Available files from ET & R – 902 Files remaining in process at Ministry-174

AVAILABLE FILES TO EXTRACT DATA FROM ET & R unit – 902

TYPE OF RESEARCHES DONE FROM N= 902

Applied research is a form of systematic inquiry involving the practical application of science Identifying The Risk Factors For The Cellulitis of The Leg of Patients Presented to Ward 9 TH-Karapitiya During The Period of 15th March 2014 to 15th june 2014 Evaluation re-search - can be defined as a type of study that uses standard social research methods for evaluative purposes, as a specific research methodology, and as an assessment process that employs special techniques unique to the evaluation of social programs. Eg: Prevalence and associated factors of coronary atherosclerosis among young healthy adults: an analysis of autopsy findings. Action research is either research initiated to solve an immediate problem or a reflective process of progressive problem solving led by individuals working with others in teams or as part of a "community of practice" to improve the way they address issues and solve problems. Eg: A Two Year Prospective Cohort Study of St Elevation Myocardial Infarction Intervention Study

TYPE OF RESEARCHES DONE FROM Out of 902 researches Research on Research and Development – 0% Clinical Trials – 1% (12) Action Research -0.5 % (6) Types of researches that we should focus in the future ??

CATEGORIZATION ACCORDING TO THE GRADE Total no of researches -2702

No of doctors undergone the research from No: of doctors Number of researchers

PUBLICATIONS DONE FROM N =902

ONLY 21% PUBLICATIONS DONE Reasons why less publications Lack of research writing capability of Medical officers Lack of sustainability on doing a research Delay in administrative failures on paying research allowance

21% OF PUBLICATIONS FROM Are we using the publications for development of Health sector Yes / No How many research outcomes used to develop the health sector? If it is not used Are there any purpose of doing researches ?? Do these research important in health sector development??

END RESULT OF THE RESEARCHES FROM

REASONS FOR DROP OUTS Only interested on research allowance for stipulated period of time (1 st Year) Administrative support is not adequate to carry out the research Difficulty of publishing in a journal

POST GRADUATE INSTITUTE OF MEDICINE N= 264

NATIONAL RESEARCH COUNCIL SRILANKA Sri lankan scientists publication in indexed journals

NATIONAL RESEARCH COUNCIL SRILANKA Research grants funded on Health Food and Nutrition and other fields

RESEARCH ALLOWANCE FOR MEDICAL OFFICERS

After the introduction of research allowance rapid increase in performing research among medical officers RESEARCH ALLOWANCE FOR MEDICAL OFFICERS

Total No of Researches - 902

STATISTICS ON RESEARCH ALLOWANCES No: of doctors undergone the research from No: of doctors claiming research allowance No: of doctors awaiting for research allowance (Still files are processing at MOH)-522 Percentage entitled for research Allowance % { ( ) / x 100}

Still 80 % not claiming the allowance WHY STATISTICS ON RESEARCH ALLOWANCES

PERCEPTION OF MEDICAL OFFICERS REGARDING RESEARCH

Categorization of Medical officer participated in the research N=325

MEDICAL OFFICERS AWARENESS REGARDING RESEARCH ALLOWANCE 97 % Doctors aware about the research allowance

PERCEPTION OF CONDUCTING A RESEARCH 74% of Doctors thought of doing a research

NO: OF DOCTORS APPLIED FOR RESEARCH ALLOWANCE Only 12 % of Doctors applied for research allowance

PROBLEMS OF WRITING METHADOLOGY 81% stated that writing a methodology is difficult

91% stated that they need an assistance to write a methodology GUIDANCE OF WRITING METHADOLOGY

DIFFICULTY IN OBTAINING ETHICAL CLEARANCE 81% informed they went through a difficult period to obtain ethical clearance

PROBLEMS ENCOUNTERED IN OBTAINING ETHICAL CLEARANCE

37% satisfied regarding current allowance procedure LEVEL OF SATISFACTION REGARNDING CURRENT RESEARCH ALLOWANCE PROCEDURE

REASONS FOR NON SATISFACTION REGARDING CURRENT RESEARCH ALLOWANCE PROEDURE

DURATION FROM ETHICAL APPROVAL TO PAYMENT Average time is around 3 – 4 months

REASONS ON WHY RELUCTANT TO DO RESEARCH Difficulty in writing a methodology No assistance on writing methodology Lack of expertise on applying for ethical clearance Lack of accredited journals to publish the surveys Dissatisfaction regarding current allowance procedure Delay in payment of research allowance allowances

TO DEVELOP RESEARCH CULTURE AMONG MEDICAL OFFICERS Difficulty in writing a methodology No assistance on writing methodology Lack of expertise on applying for ethical clearance Dissatisfaction regarding current allowance procedure Lack of accredited journals to publish the surveys Administrative issues in research allowance Delay in payment of research allowance allowances