BREAKOUT SESSION GUIDE

SESSION OBJECTIVE
This activity aims to identify, score, and rank regional disaster risk reduction (DRR) in health or climate change
adaptation (CCA) in health research.

DURATION
2 hours and 30 minutes

AGENDA OVERVIEW
Table 1. Agenda overview.
Agenda Item Timeframe Materials Person/s-in-charge

Introduction and breakout to 20 minutes Laptop, presentation slides, Dr. Ofelia Saniel, participants,
groups per region projector, tables, chairs and facilitators

Identification and prioritization 1 hour 40 minutes Metacards, pens, whiteboard, Participants and facilitators
of DRR in health or CCA in tape, scissors, scoring sheets,
health research topics and tables, chairs
specific research questions

Finalization of regional DRR in 30 minutes Session output template, Participants

health or CCA in health laptop, tables, chairs
research priorities

SESSION GUIDE
1. Introduction
a. Overview of the purpose and objectives of the breakout session
b. Instructions and discussion guide

2. Regional Breakout Discussions

a. Grouping of participants by region
b. Identification of research topics
Participants will discuss and identify DRR in health or CCA in health research topics specific to
their region. There will be two rounds of sharing and discussion. The following information
may be used as guide during the breakout session:

COMMON WAYS TO CLASSIFY HEALTH RESEARCH

WHO defines health research if the research covers any of the five generic areas of activity:
1. Measures the magnitude and distribution of the health problem
2. Contributes to the understanding of the diverse causes or the determinants of the problem, whether they
are due to biological, behavioral, social, or environmental factors
3. Assists in developing solutions or designing interventions that will help to prevent or mitigate the problem
4. Supports the implementation or delivery of solutions through policies and programs
5. Evaluates the impact of these interventions on the magnitude and scope of the problem

Health research can also be classified according to potential application or purpose:

1. Etiology (biologic, endogenous, psychological, social, economic)
2. Disease prevention and promotion of well-being (e.g., interventions to modify behavior, promote
well-being, or alter physical, biological, or environmental risks)
3. Detection, screening, and diagnosis (all phases – from development to evaluation – of markers and
technologies)

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 4. Development of treatments and therapeutic interventions (pharmaceutical, medical devices,
psychological, behavioral, physical)
5. Evaluation of treatment and therapeutic interventions
6. Management of diseases and conditions (individual care; end-of-life care; management and
decision-making)
7. Health and social care services (organization and delivery of services, health economics, policy, ethics
and governance; resources and infrastructure; research design and methodologies)

Types of epidemiologic research:

Figure 1. Types of research approaches and designs.

DISASTER RISK REDUCTION FRAMEWORKS

Figure 2. Public health services and the phases of emergency management (Centers for Disease Control and Prevention
(CDC), 2014).

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 Figure 3. Conceptual framework of phases of a disaster (Birnbaum, 2015).

Figure 4. Temporal framework depicting the phases of a disaster from the pre-event state through recovery. The phases
usually overlap, and some run concurrently (Birnbaum, 2015).

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Figure 5. The societal framework. A community deconstructed into 13 component functional systems linked together by a
coordination and control function (Birnbaum, 2015).

CLIMATE CHANGE ADAPTATION FRAMEWORKS

Figure 6. Health impact assessment framework (Dr. George Luber, CDC).

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Figure 7. Operational framework for building climate resilient health systems (World Health Organization (WHO), 2015).

Figure 8. Intergovernmental Panel on Climate Change (IPCC) Fifth Assessment Report framework (IPCC, 2014).

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 Figure 9. Discussion matrix.

a. After the first round of discussion, each stakeholder will score the identified topics, labeled as
A, B, C, and so on, using the scoring matrix below.
Table 2. Scoring matrix.
Topic Magnitude of Urgency Capacity and Equity Impact Total Score
the problem feasibility Highest
possible score
= 25

C
Note:
1 - Very low, 2 - Low, 3 - Moderate, 4 - High, 5 - Very high
Magnitude of the problem - Refers to mortality, morbidity, prevalence, population coverage of problem
Urgency - Degree of whether the problem has current or potential severe effect
Capacity and feasibility - Refers to adequacy of human and physical resources and affordability of funding requirements to
pursue research
Equity - Degree of how proposed research will provide inputs to policy development and enhancement and improve health
care systems/programs in relation to DRR in health or CCA in health
Impact - Refers to social, economic and health benefits that can be yielded from pursuit of research
(National Unified Health Research Agenda 2006-2010)

b. To establish the overall rank of DRR in health or CCA in health research topics in round 1, total
scores from each stakeholder will be collected, averaged, and ranked using the matrix below.
Table 3. Decision matrix.
Topic Stakeholder 1 Stakeholder 2 Stakeholder 3 Average Rank

Topic A

Topic B

Topic C

The top three (3) topics from round 1 will be included into the regional group output. The group
will then proceed with the second round of sharing and discussion. Topics from round 1 that did not
make it to the top 3 may be reintroduced in round 2.

There will be another round of scoring, and prioritization (ranking) during the second round.
The top 3 topics from round 2 will be included in the regional group output.

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3. Identification of Specific Research Questions
a. After identifying the six prioritized research topics, each participant takes a turn to suggest a
research question for the topics.
Note: Craft questions that are clear, concise, and specific.

4. Output Presentation and Q&A Session

a. Each region will assign a representative to present their identified and ranked DRR in health
or CCA in health research topics and specific research questions during the plenary
session. A presentation template will be provided. There will be a question and answer portion
after each presentation.
b. Time limit: 10 minutes presentation and 20 minutes Q&A
c. Order of presentation
i. Region IX (Zamboanga Peninsula)
ii. Region X (Northern Mindanao)
iii. Region XI (Davao Region)
iv. Region XII (SOCCSKSARGEN)
v. Region XIII (Caraga)
vi. Bangsamoro Autonomous Region in Muslim Mindanao

5. Finalization of Regional Priorities

a. After the plenary session, the regional groups will be given 30 minutes to refine and finalize
their research priorities based on the discussions and suggestions during the Q&A portion.

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References

Birnbaum, Marvin & Daily, Elaine & O’Rourke, Ann & Loretti, Alessandro. (2015). Conceptual framework of
phases of a disaster. Research and Evaluations of the Health Aspects of Disasters, Part I: An Overview.
Prehospital and Disaster Medicine. 30. 512-522. 10.1017/S1049023X15005129.
https://www.researchgate.net/publication/283959220_Research_and_Evaluations_of_the_Health_Aspe
cts_of_Disasters_Part_I_An_Overview
Birnbaum, Marvin & Daily, Elaine & O’Rourke, Ann & Loretti, Alessandro. (2015). Temporal framework depicting
the phases of a disaster from the pre-event state through recovery. Research and Evaluations of the
Health Aspects of Disasters, Part I: An Overview. Prehospital and Disaster Medicine. 30. 512-522.
10.1017/S1049023X15005129.
https://www.researchgate.net/publication/283959220_Research_and_Evaluations_of_the_Health_Aspe
cts_of_Disasters_Part_I_An_Overview
Birnbaum, Marvin & Daily, Elaine & O’Rourke, Ann & Loretti, Alessandro. (2015). The societal framework.
Research and Evaluations of the Health Aspects of Disasters, Part I: An Overview. Prehospital and
Disaster Medicine. 30. 512-522. 10.1017/S1049023X15005129.
https://www.researchgate.net/publication/283959220_Research_and_Evaluations_of_the_Health_Aspe
cts_of_Disasters_Part_I_An_Overview
Centers for Disease Control and Prevention. (2014). The 10 essential public health services [GIF].
https://www.cdc.gov/publichealthgateway/publichealthservices/originalessentialhealthservices.html
Intergovernmental Panel on Climate Change. (2014). Intergovernmental Panel on Climate Change (IPCC) Fifth
Assessment Report framework.
https://www.ipcc.ch/site/assets/uploads/2018/02/WGIIAR5-TS_FINAL.pdf
Kellaghan, T. (2010). Evaluation Research, Editor(s): Peterson, P., Baker, E., McGaw, B., International
Encyclopedia of Education (Third Edition), Elsevier, 150-155.
https://doi.org/10.1016/B978-0-08-044894-7.01326-9
Luber, G. (2014). Health impact assessment framework. https://www.youtube.com/watch?v=6V_0JaE2Gz0
Ranganathan, P., & Aggarwal, R. (2018). Study designs: Part 1 - An overview and classification. Perspectives in
clinical research, 9(4), 184–186. https://doi.org/10.4103/picr.PICR_124_18
World Health Organization. (2015). Operational framework for building climate resilient health systems.
https://iris.who.int/bitstream/handle/10665/189951/9789241565073_eng.pdf?sequence=

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