6. Historical:

7. Situation Analysis: Pakistan

8. Situation Analysis: (Cont’d)

9. Research Institutions of Pakistan

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

11. 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-incomeRate ratio countries countries Communicable disease,11 206 863 13:1 perinatal and nutritional conditions Noncommunicable disease10 200 9 664 1:1 Injuries4 198 1 403 3:1

12. 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.

13. Priority Scoring for Health Research Priority Setting for Policy-Linked Research Priority Prevalence SeriousnessFeasibility 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

14. Framework for Formulating an Action Plan for Research Priority Problems Policy Capacity Action Status StatusStatus 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

15. 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” “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”

16. 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.

17. 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’.

18. 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