 Thanks, so I'm Sassi Mahu, I'm a social scientist, and I've been invited by night to co-lead the Health Systems Collaborative with him. Like many of the speakers that we've heard so far, I've actually also moved back from overseas, and I was actually proud to notice that I have spent more years in Kenya than very much. I'm going to be basically getting an overview of the Health Systems Collaborative, and I'm going to be doing this together with Shobie and with Al. We're just going to tell you a little bit about the group and give you some illustrations of some of the research that we do. So, like many other of the groups that we've already heard from, we link scientists based here in Oxford with scientists from a range of other different LMICs. But the focus of our work is to conduct research that's aimed at strengthening the health systems that are so crucial to getting out new innovations and developments in healthcare to the people who need it. And a really core concern of ours is to build capacity, our own capacity and the capacity of others in applied multi-disciplinary research. Some of you may have attended a series of Global Health Challenge webinars that we held online last year, bringing together people from many different places, focusing on a couple of key Global Health challenges. We're really grateful for that, and they're online in case anybody would like to see broader examples of our work and let me know if you want to hear more about that. And something that we're also doing to help build our own capacity and others is holding a whole series of skills-building sessions that are organised by our defaults on various methodological elements of doing multi-disciplinary research. So you're very welcome if you're not already joining that to do so and again get in touch with any of us in our group. So who are we? This is a mugshot of many of us who are based here in Oxford. And as you'll see by the names, we bring together a range of different disciplines across the clinical and social sciences. And we're really lucky to have managerial support from Holly and from Francis, which is fantastic. We have a wonderful group of default students based here in Oxford and many of them are actually really excited that they're going to be presenting their work. So I asked those of you who are here to stand up for a moment. Yeah, they were just telling me they're very excited. So most of the default students are based here in our, in NDN, but we also have two, Kain and Rita, who are based in the Department of Population Health. And we co-supervised together with colleagues at the Camry Medical Research Institute, Kenyon PhD students who are based there as well. So between us all we do a range of different studies, some small, some larger that fit into the broad themes outlined here. And many of the studies that we do cross these different themes. And I'm going to just give an example of one of the big programs of work we're currently doing that brings together many people in our group and that crosses those different themes. So this project is called HiQ, it's an NIHR funded health systems research grant, and the PI's are Mike English and Professor Fred Weren, who's based in Kenya. And this program of work brings together Oxford, Camry, Wellcome Trust and Kepakorn, which is the Kenya Pediatric Research Consortium. So the HiQ project is a recognition that if you have new technologies, new innovations and just dropping them into complex health systems without any other changes, often doesn't achieve the kind of impacts on quality of care patient outcomes that are hoped for. And in fact they can often be given a complexity of health systems unintended negative implications from introducing those innovations. So our main research question or objective around HiQ is to understand how technological and human resource interventions can be designed and implemented in ways that actually enhance quality of inpatient and post-discharge care. And our focus is on neonatal care, given there's such a huge opportunity to reduce mortality and poor outcomes in neonates. And the focus of our work is in Kenya. So part of the HiQ initiative involves trying to understand how an existing bundle of new technologies in newborn units, how they're impacting on the health workforce. And in four public hospitals, large public hospitals, we're also trying to look at the impact of introducing additional nursing staff and water systems into neonatal care units and looking at how that impacts on nursing care. So we've got four big packages of work. One looks at the impact of these types of of these interventions are just mentioned and looking at that both quantitatively and qualitatively. We have another work package which focuses on the post-discharge care space. So looking at whether new tools are needed. And if so, how those new tools might incorporate health worker and family needs, including through co-designing those new tools with the people who are ultimately going to use them. And then we have another work package which is looking at regulations and governance of technologies and how this impacts on the use of those technologies and their oversight and practice with a focus on medical devices. And a cross-cutting area of work is conducting process evaluations of each of these sets of interventions and how they layer on top of each other in order to understand if there's an impact or not, what's the what's and the why behind that impact. So, a big program of work like this always comes on top of long histories of collaborations and ongoing work. An important one here is the next NEST 360 program, which is has brought in a bundle of essential new more technologies into hospitals in quite a few different countries in Africa, including the four hospitals in which we're doing the focus time to work. So that means that we don't have to actually introduce those technologies ourselves, they're already in place and we're doing research to see how they're impacting. And another big platform of collaborations and work that we're building on is the clinical information network that was initiated by Mike and Fred and colleagues. And it's been ongoing since 2013 and I think now has 21 hospitals involved in it within Kenya. And the idea here is to work with the hospitals and the managers and the staff to strengthen the routine data that's collected and to be able to feedback performance and outcome data back to those hospitals so that that can help to strengthen the quality of care. So how that's helpful for research, including IQ is that that data is also available for research, and we're able in IQ to leverage that data in order to look at the impact of the interventions I described. And those platforms are part of a wider set of community and stakeholder engagement that's so essential for interventions and research programs like this to help us make sure that the research is as relevant and impactful as possible. And so we have a careful community engagement plan laid out and that's responsive to issues and new stakeholders as they as they come up over time, which includes involvement of parental representation. So the Premi Love Group is a parent's group which helps to implies new study. So that high Q project is just one illustration of the kind of work that we do that brings many of us together. In this slide I'm just showing in terms of my own interests, a lot of the work that I do and could fall under umbrella and umbrella of applied social science research. And in fact, the high Q project, which I'm certainly involved in is a good example of a project that falls across these three overlapping areas of interest that locked my work falls in. But just to give you two additional examples. I've had a long history of doing research with managers and with collaborators in South Africa and Kenya, trying to understand how health system resilience can be built to the kinds of chronic shocks and acute stresses that systems have to deal with. So star shortages starts strikes in adequate other resources and then an epidemic or a flood on top of that how health systems hoping how can they come transformed positively and how can they also at the same time maintain their requirement to be responsive to patients and to publics. And just to mention in terms of ethics and practice. Here the interest is not so much how the rules and the regulations and how they're constructed, but more for the people who are actually doing the work on the ground for the frontline staff in health systems for the frontline research data collectors. What are the kinds of ethics dilemmas and issues that they face in their daily work. How do we hire up in systems and as research leads support these frontline staff, and how can we strengthen those support processes, including through improving our public and broader community engagement strategies. So that's just, if anybody's interested in any of these areas very happy to talk more about them. And Sebastian has asked me just to share an illustration of some work that he's involved with so Sebastian is actually a really senior social scientists who've been coordinating the whole of my Q. He let me know yesterday he wouldn't be coming to present all of this today. He used his own slides to to additional interest, which is an important care test for sexually transmitted infection so it's pretty incredible that as well as coordinating all of that work. I just described under like he's also taking towards his, his own interest in this area. Many of you will be very aware that this is a huge problem in terms of the numbers of new cases globally on a daily basis, and the impacts of these cases, not only on things like MR, but also for the individuals in terms of on the baseline. And there is very good evidence for an STI post care test to improve clinical outcomes, but unfortunately they're rarely implemented into care. There is a model of implementation that's being developed for use in NHS England that involves a co creation process, working with stakeholders to evolve to evolve the implementation and and benefit systems. So Sebastian has submitted a proposal together with collaborators and the WHO to modify and evaluate this, this approach in Ecuador and in Zambia and doing that using a realist evaluation approach. So if you want to hear more about that work. Feel free to contact him. So we're going to now just hand over to show you who's going to give some more examples or an example of research. Hi everybody, my name's show me and I'm clinical researcher based in health systems collaborative group and I work mainly in the field of implementation science and doing a few projects here in the UK around childhood malnutrition in Oxford and with the hospital but mainly working in India around two main areas which are tree temper and climate nutrition and health and and free to birth for anyone who's not aware about it affects about 15 million babies every year is the leading cause of the native mortality and the burden really falls on the low living countries in particular South Asia and South Korea and Africa and the communities that are really hardest to reach those living in rural areas are the ones that don't really get primary care or have that level of care in hospitals. So, we're working very closely with grassroots organizations and NGOs in two different areas of India, Carol and South India, and with the account which is in the Himalayan region, quite in the north India as well. So just to give you a bit of an overview of the types of context that we're working across and together with the the Amir Foundation and their partners who are based in these very rural areas and we're working in the mountains across urban settlements and slums around fishing villages in particular, and also in the jungles, which had the pleasure of visiting earlier this year and trying to reach families in these areas can be quite challenging. And so as this is sort of just at the very first stages of the work, but we started up doing a landscape analysis to look at the major global stakeholders involved in pre temper and identify those areas where we can really have an impact for these rural communities. And the second part of this work has been with the focal geographies actually focusing on the grassroots organizations working in these areas, developing their theories of change and thinking about how they might evaluate their programs effectively, so they can have self sustaining solutions and funding as well for themselves. And this has mainly been in the two areas of India that I've talked about but also across Indonesia with a partner organization that works across all the islands. And so hopefully we'll get to visit them very soon. And just to highlight a few of the challenges that we're facing when we're developing models of care babies born in these settings. And sometimes people say data doesn't tell a story but I think this slide really tells a story, which is in this region of Himalayas, the nearest villages that circle them on this slide. And they look quite geographically close to each other but it takes about three to five hours to get in between each of these locations. The nearest hospital is four to eight hour drive away and doesn't have any natal intensive care units doesn't even have a pediatrician. And so this slide with the data on it shows that over 1000 babies were born in an 18 month period within the ambulance, which is actually staffed by just drivers who don't have any medical background. And so some of the challenges that we face when we're thinking about delivering effective care in these settings. It's about how we can implement things that can actually, for example getting women down the mountain in time to have birth near the hospital or thinking about training the ambulance staff and those kind of challenges that we're facing as well. So the other aspect of the work in India that I've been doing has been around a small priming award, which is awarded to a few of us in HSE team, and I'm looking after the India side of things, and working together with partners, and I'm called Dead Pro, who's the Global Institute for Food and Nutrition and Health Research, and also I aura and vertebrae who do the state national and national action plans to find a change in India. And 70% of the Indian population living rural areas, rural areas, and their life is directly depends on climate. And so we've held two round table meetings in September, and we're just pulling together all the findings about it to a white paper at the moment. So thank you very much. I'm going to hand over to Al. This slide is by colleague of ours, Atacrit at Lexibilize. He's not here today. He's working in two areas, models and decision aid tools for health workforce planning, and that work is geared towards suggesting potential gaps in future research needed, particularly to incorporate task sharing task shifting. The reason why he's not here today is because he's submitting an application to NIHR within the next hour. That work is on physician associates, answering the question, how am I position associates help or not to address the workforce crisis in the NHS. So that's Atacrit. I think it's cross there for him. On to my work. I'm conscious not much time left. My work is mainly in public community and stakeholder engagement. Over the last two years, a lot of my work has been involved with COVID-19 trials. I lead a public, sorry, I lead a WHO technical working group for COVID-19 or GPP with COVID-19 vaccine trials. I've also worked on a piece of work for the WHO Global Health Ethics and Governance Unit looking at ethics and adaptive trials, particularly in the consent and community engagement area. I also do, I'm also working on a training for NIHR for community engagement. Last slide. We're currently, I think for the next year, also the main focus of my work will be on scoping out a new MEC Global Health Intervention and Programme evaluation. Today that work has involved consultations within the group to map out what we can offer from our group and also consultations with collaborators in LMIC to work out what the demand is, what kind of areas they want in such a course. And also benchmarking against what's on offer out there within Oxford itself in terms of masters, but also in other leading universities. And yeah, that's it for us.