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Historical:

Historical:. Situation Analysis: Pakistan. Situation Analysis: (Cont’d). Research Institutions of Pakistan. Global Health Research System. INTERNATIONAL HEALTH RESEARCH ORGANIZATIONS. HR Investors. Development Banks. International research centres and university-based institutes.

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Historical:

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  1. Historical:

  2. Situation Analysis: Pakistan

  3. Situation Analysis: (Cont’d)

  4. Research Institutions of Pakistan

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

  6. Rates of BoD by Country income - 1998 The 10/90 gap.(burden calculated as disability-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

  7. 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 and health research.

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

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

  10. 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”

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

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

  13. Key Challenges: Health Health Research 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.

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