This module on Training Workshop on Health System Research Proposal Development prepared by Nepal Health Research Council with the support of World Health Organization is  an outcome of series of expert consultation meeting and tireless efforts of experts of this field.

Session 1: Course Orientation
Time frame: 1 hour
Course objectives: At the end of this course, participants (trainee) will be able to:
1. Describe Health System Research (HSR) and explain its contribution towards solving
priority problems in health care within the local context.
2. Prepare a health systems research proposal by completing the following steps:
o Identification, analysis and description of a research problem
o Review of relevant literature and other available information
o Formulation of research objectives, research questions and hypothesis
o Development of an appropriate research methodology
o Preparation of a work plan for the study
o Identification of resources required and preparation of a budget
o Development of Logical Framework

Whom is the health systems research proposal development course aimed at?
The health systems research proposal development (HSRPD) course has been developed for mid and higher level managers, health workers and health-related staff, as well as interested researchers. The criteria for selecting the participants for HSRPD are as follows.
Qualification and Experience
1. At least Bachelor Degree in Health Sciences (Medicine, Ayurveda, Public Health, Nursing, Pharmacy) + At least one year experience in health sector
2. At least Bachelor Degree in Health Related Sciences (Health Education, Sociology, Anthropology, Psychology, Population Studies, Rural development, Environmental Sciences, Microbiology, Geography, Statistics, Economics ) and at least two year working experiences in health sector after the completion
of Bachelor Degree
Documents to be submitted
1. Updated Curriculum Vitae (CV)
2. Photocopy of Highest Degree Received
3. Filled up Application Form with recent Photo
4. Photocopy of Experience Letter
5. Recommendation Letter from Institute (Who are affiliated with Institution)
Course Duration
The duration of the course will be one week.

An Overview of Course Contents
Session 1: Course Orientation
Session 2: Introduction of Health and Health System of Nepal
Session 3: Fundamentals of Health Research
Session 4: An Overview of Proposal Development Steps
Session 5: Identification, Analysis and Formulation of the Health System Research
Problem
Session 6: Formulation of Research Title, Objectives, Research Questions and Hypothesis
Session 7: Accessing Health Research Information and Literature Review
Session 8: Concept of Variables and Scales of Measurements
Session 9: An Overview of Research Design and Conceptual framework
Session 10: Study Types
Session 11: Introduction of Sampling Techniques
Table of Contents
Acknowledgement ………………………………………………………………………………………………………………….ii
Session 1: Course Orientation ………………………………………………………………………………………………….. 1
Session 2: Introduction to Health and Health Systems of Nepal ……………………………………………………. 5
Session 3: Fundamental of Health System Research……………………………………………………………………. 9
Session 4: An Overview of Health Research Proposal Development Steps……………………………………20
Session 5: Identification, Analysis and Formulation of Health Systems Research Problem…………….. 27
Session 6: Formulation of Research Title, Objectives, Research Questions and Hypothesis……………. 37
Session 7: Accessing and Use Health Research Information, Literature Review and Referencing ……51
Session 8: Concept of Variables and Scales of Measurements…………………………………………………….. 59
Session 9: An Overview of Research Design and Conceptual Framework……………………………………. 70
Session 10: Study Types (Study Design)………………………………………………………………………………….. 77
Session 11: Introduction of Sampling Techniques …………………………………………………………………….. 87
Session 12: Types of Sampling……………………………………………………………………………………………….. 94
Session 13: Study Based Sample Size Calculation…………………………………………………………………… 103
Session 14: Data Collection Techniques ………………………………………………………………………………… 110
Session 15: Data Collection Tools………………………………………………………………………………………….119
Session 16: Data Management and Analysis Plan……………………………………………………………………. 126
Session 17: Work Plan and Planning of Budget ………………………………………………………………………. 143
Session 18: Logical Framework …………………………………………………………………………………………….150
Session 19: Basic Principles of Ethics in Health Research………………………………………………………..160
Session 20: Final Review of the Research Proposals ………………………………………………………………..168
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