Historical:Historical:

Situation Analysis: PakistanSituation Analysis: Pakistan

Situation Analysis: Situation Analysis: (Cont’d)(Cont’d)

Research Institutions of PakistanResearch Institutions of Pakistan

Global Health Research System

INTERNATIONAL HEALTH RESEARCH ORGANIZATIONS

Global and international networks and partnerships

International

initiatives

International research

centres and university-

based institutes

Drug industryR & D*

HR Investors

Development Banks

Bilateral Development

agencies

Foundations and other funding agencies

REGIONAL NETWORK

NATIONAL HEALTH RESEARCH BODIES**

Rates of BoD by Country income Rates of BoD by Country income - 1998- 1998

The 10/90 gap.(burden calculated as disability-The 10/90 gap.(burden calculated as disability-adjusted life years per 100000 population)adjusted life years per 100000 population)

Group Low-/middle-income High-income Rate ratio

countries countries

Communicable disease, 11 206 863 13:1perinatal and nutritional conditions

Noncommunicable disease 10 200 9 664 1:1

Injuries 4 198 1 403 3:1

Prioritization in Health Research: Prioritization in Health Research: 4 Dimensions.4 Dimensions.

Prioritization in Health research all four Prioritization in Health research all four dimensions:dimensions:

1. Research on disease and conditions.1. Research on disease and conditions.2. Research on determinants and risk factors.2. Research on determinants and risk factors.3. Research on priority-setting methodologies.3. Research on priority-setting methodologies.4. Research on policies and cross-cutting issues 4. Research on policies and cross-cutting issues

affecting health and health and health affecting health and health and health research.research.

Priority Scoring for Health ResearchPriority Scoring for Health ResearchPriority Setting for Policy-Linked ResearchPriority Setting for Policy-Linked Research

Priority Prevalence Seriousness Feasibility ScoreProblems of Problem

Population Studies +++++ +++++ ++ 50Nutritional growth patterns, micronurients +++++ +++++ +++ 75

Drug abuse +++ ++++ + 12

Industrial health ++ +++ ++ 12

Acute respiratory +++ ++++ ++ 24infections

Behavioural health ++ ++ + 4problems

Framework for Formulating Framework for Formulating an Action Plan for Researchan Action Plan for Research

Priority Problems Policy Capacity Action Status Status Status

Population Studies Y +++ C/NTNutritional growth patterns, micronurients Y +++ P,C/NT

Drug abuse N + P,C/NT

Acute respiratory Y + C/NTinfections

Behavioural health N ++ C/LT problems

Recommendations:Recommendations:

Research Policy and Agenda:Research Policy and Agenda:

“ “To make arrangements at national, To make arrangements at national,

provincial and local levels that both provincial and local levels that both

provide organizational support of provide organizational support of

research, and also facilitate interactions research, and also facilitate interactions

among the various parties in research”among the various parties in research”

Recommendations: Recommendations: (Cont’d)(Cont’d)

Liaison PMRC+MOH.Liaison PMRC+MOH. Set Research Priorities (involvement of Set Research Priorities (involvement of

stake holders and community).stake holders and community). Applied and operational research.Applied and operational research. Encourage transfer of knowledge and Encourage transfer of knowledge and

technology from other countries.technology from other countries. Global research - capability to address and Global research - capability to address and

mobilize collective action.mobilize collective action. Advocacy for research.Advocacy for research.

Recommendations: Recommendations: (Cont’d)(Cont’d)

Capacity Building for Research:Capacity Building for Research: Part of undergraduate Curriculum.Part of undergraduate Curriculum. Mandatory for post-graduate Mandatory for post-graduate

qualifications.qualifications. Train teachers in research methodology.Train teachers in research methodology. Collaborative links.Collaborative links. Recognition in the ‘job market’.Recognition in the ‘job market’.

Key Challenges:Key Challenges:I. Equity

II. Ethics.III. Sustainability.

– Through good governance and leadership in organizations institution and pressure groups.

IV. Capacity Development.V. Financing:objective unbiased, reduce 10/90 gap.VI. Knowledge management- access to, distil, use (application)

and contribute to knowledge base.VI. Research Environment:

– Culture, advocacy (health research=tool for health development).– Linkages (intersectorial)– Globalization (international partnerships)

VIII. Priority Setting.

Health

Health Research