*Article*

### **Investing in Operational Research Capacity Building for Front-Line Health Workers Strengthens Countries' Resilience to Tackling the COVID-19 Pandemic**

**Rony Zachariah 1,\*, Selma Dar Berger 2, Pruthu Thekkur 2,3, Mohammed Khogali 1, Karapet Davtyan 4, Ajay M. V. Kumar 2,3,5, Srinath Satyanarayana 3, Francis Moses 6,Garry Aslanyan 1, Abraham Ase**ff**a 1, Anthony D. Harries 2,7 and John C. Reeder 1**


Received: 27 June 2020; Accepted: 15 July 2020; Published: 16 July 2020

**Abstract:** (1) Introduction. The Structured Operational Research and Training IniTiative (SORT IT) supports countries to build operational research capacity for improving public health. We assessed whether health workers trained through SORT IT were (1) contributing to the COVID-19 pandemic response and if so, (2) map where and how they were applying their SORT IT skills. (2) Methods. An online questionnaire survey of SORT IT alumni trained between 2009 and 2019. (3) Results. Of 895 SORT IT alumni from 93 countries, 652 (73%) responded to the survey and 417 were contributing to the COVID-19 response in 72 countries. Of those contributing, 307 (74%) were applying their SORT IT skills to tackle the pandemic in 60 countries and six continents including Africa, Asia, Europe, South Pacific and North/South America. Skills were applied to all the pillars of the emergency response with the highest proportions of alumni applying their skills in data generation/analysis/reporting (56%), situation analysis (55%) and surveillance (41%). Skills were also being used to mitigate the health system effects of COVID-19 on other diseases (27%) and in conducting research (26%). (4) Conclusion. Investing in people and in research training ahead of public health emergencies generates downstream dividends by strengthening health system resilience for tackling pandemics. It also strengthens human resources for health and the integration of research within health systems.

**Keywords:** COVID-19; operational research; health systems; SORT IT; pandemics; training
