historical: situation analysis: pakistan
TRANSCRIPT
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