Historical Situation Analysis Pakistan Situation Analysis Contd Research

Historical:

Situation Analysis: Pakistan

Situation Analysis: (Cont’d)

Research Institutions of Pakistan

Global Health Research System INTERNATIONAL HEALTH RESEARCH ORGANIZATIONS Global and international Internation al networks and partnerships initiatives International research Drug centres and industry university. R & D* based institutes REGIONAL NETWORK NATIONAL HEALTH RESEARCH BODIES** HR Investors Development Banks Bilateral Development agencies Foundations and other funding agencies

Rates of Bo. D by Country income - 1998 The 10/90 gap. (burden calculated as disabilityadjusted life years per 100000 population) Group Low-/middle-income High-income countries Rate ratio countries Communicable disease, perinatal and nutritional conditions 11 206 863 13: 1 Noncommunicable disease 10 200 9 664 1: 1 Injuries 4 198 1 403 3: 1

Prioritization in Health Research: 4 Dimensions. Prioritization in Health research all four dimensions: 1. Research on disease and conditions. 2. Research on determinants and risk factors. 3. Research on priority-setting methodologies. 4. Research on policies and cross-cutting issues affecting health and health research.

Priority Scoring for Health Research Priority Setting for Policy-Linked Research Priority Problems Population Studies Prevalence +++++ Nutritional growth patterns, micronurients +++++ Drug abuse Industrial health Acute respiratory infections Behavioural health problems +++ ++ Seriousness Feasibility Score of Problem +++++ ++ 50 +++++ +++ +++ ++ 75 12 12 24 + 4 ++

Framework for Formulating an Action Plan for Research Priority Problems Population Studies Nutritional growth patterns, micronurients Drug abuse Acute respiratory infections Behavioural health problems Policy Status Capacity Status Action Status Y +++ C/NT Y N Y +++ + + P, C/NT N ++ C/LT

Recommendations: Research Policy and Agenda: “To make arrangements at national, provincial and local levels that both provide organizational support of research, and also facilitate interactions among the various parties in research”

Recommendations: (Cont’d) u Liaison PMRC+MOH. u Set Research Priorities (involvement of stake holders and community). u Applied and operational research. u Encourage transfer of knowledge and technology from other countries. u Global research - capability to address and mobilize collective action. u Advocacy for research.

Recommendations: (Cont’d) Capacity Building for Research: u. Part of undergraduate Curriculum. u. Mandatory for post-graduate qualifications. u. Train teachers in research methodology. u. Collaborative links. u. Recognition in the ‘job market’.

Key Challenges: Health I. Equity Health Research 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.