Research, monitoring and advocacy are integral parts of Nick Simons Institute which are the foundations for strengthening the programs and advocacy works. NSI has developed a stronger research, advocacy and monitoring (RAM) unit that continues to carry out operational and formative research pertaining to continuous improvement of NSI programs. New research studies and internal program assessments; and timely evaluations are conducted. A more systematic monitoring system is being developed and utilized. Advocacy efforts and public communications are expanded. Advocacy materials are produced and used with the aim to scale up or change in government policies and networking for rural healthcare workers. In addition to research, RAM also extensively provides technical advice and coordinates with the monitoring activities of NSI.

NSI continued designing and conducting new research to generate evidence to improve the program and suggest policy/system changes in Nepal’s primary healthcare system. A regular monitoring and occasional impact evaluations, process evaluations and assessments relevant to meeting NSI’s institutional goals are conducted. NSI has developed a robust database system to store relevant data collected from each hospital, and programs for not only records but also periodic analysis, reporting, advocacy and dissemination/publications purposes. This unit oversees the M/E and provides technical support to concerned departments as needed. NSI has realized a need to generate more disaggregated data to see a better picture of our healthcare system. In the future NSI will try to capture socio-economic and demographic data within the programs.

Since, it’s establishment, NSI has been conducting various research studies. Ultimately, each research study ends up with the dissemination and/or publication [report, journal article] or an advocacy material. Between 2005-2010, NSI published 5 journal articles and 11 reports. Similarly, during 2011 -2016, 10 journal articles, 6 reports were published and one conference was attended. Moreover, in between 2017- 2021, research activities were expanded, with the formal establishment of Research Unit [RU] which stands currently as RAM. During this period, 6 journal articles, 9 reports, 4 policy briefs/advocacy materials were published. In addition, 5 disseminations seminars were attended/presented. As part of staff capacity building, 2 staff driven research and 9 interns/practicum students were supervised; and 5 capacity building sessions were organized.


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