IOM Reports on Global Health 1997 2009 - France-Science€¦ · Other non-degree training includes certificate, diploma, sabbaticals Sustainability –FIC Trainees Return Home 86%

11/15/2010

1

Partnerships for Global Health Research

November 10, 2010

Michael P. Johnson, M.D., M.P.HDeputy DirectorFogarty International Center

IOM Reports on Global Health

1997 2009

11/15/2010

2

Overseas Development Assistance in Health

Lancet 2009

US

D (

Bill

ions

)

Global Health Leadership and Commitment

11/15/2010

3

Expansion and Reach of Global Health Programs

Saving Lives, CUGH

Toward a Definition of Global HealthConsortium of Universities for Global Health

Lancet, 2009

• Issues that affect health and transcend national boundaries

• Development, implementation of solutions require global cooperation

• Both prevention in populations and clinical care of individuals

• Health equity among nationals and for all people is a major objective

• Highly interdisciplinary and multidisciplinary within beyond health sciences

11/15/2010

4

World Development Report 1993 p. 34.

80

70

60

50

40

300 5,000 10,000 15,000 20,000 25,000

About 1900

About 1930

1960

1990L

ife

Exp

ecta

ncy

(Y

ears

)

Income Per Capita(1991 International Dollars)

Increase in Life Expectancy by Decade

About 1900

About 1930

1960

1990

Global Health Challenges of 21st Century

11/15/2010

5

Global Burden of Disease (DALYS)

1990 2020

Lower Respiratory Infection 1 Ischaemic heart disease

Diarrhoeal Disease 2 Depression

Perinatal 3 Road Traffic Accidents

Depression 4 Cerebrovascular

Ischaemic Heart Disease 5 COPD

Cerebrovascular 6 Lower Respiratory Infection

Tuberculosis 7 Tuberculosis

Measles 8 War

Road Traffic Accidents 9 Diarrhoeal Disease

Congenital Diseases 10 HIV

www.dcp2.org

Scientific Productivity

worldmapper.org

11/15/2010

6

Global Health Leadership of Three NIH Directors

Global Health Meeting,January, 2010

60 global health leaders invited by NIH Director

Fundamental science

Population Science

Sustaining investments

Partnerships

11/15/2010

7

National Institutes of Health

Office of Director

National Cancer

InstituteNational Eye

Institute

National Heart,

Lung and Blood

Institute

National Human

Genome Research

Institute

National

Institute of Aging

National Institute

on Alcohol Abuse

and Alcoholism

National Institute

of Allergy and

Infectious Diseases

National Institute

of Arthritis and

Musculoskeletal and

Skin Diseases

National Institute

of Biomedical

Imaging and

Bioengineering

Eunice Kennedy Shriver

National Institute

of Child Health and

Human Development

National Institute on

Deafness and Other

Communication

Disorders

National Institute

of Dental and

Craniofacial

Research

National Institute

of Diabetes and

Digestive and Kidney

Diseases

National Institute

on Drug Abuse

National Institute of

Environmental

Health Sciences

National Institute

of General Medical

Sciences

National Institute

of Mental Health

National Institute

of Neurological

Disorders and Stroke

Fogarty Intl

Center

National Library

of Medicine

National Institute

of Nursing

Research

National Center for

Complementary and

Alternative Medicine

National Center on

Minority Health and

Health Disparities

National Center

For Research

Resources

Clinical Center

Center for

Information

Technology

Center for Scientific

Review

Fogarty Intl Center Percent of NIH Budget

11/15/2010

8

0 100 200 300 400 500 600 700 800

Middle East & North Africa

OECD & High Income

Europe & Central Asia

South Asia

East Asia & Pacific

Sub-Saharan Africa

Latin America & Caribbean

Bachelor's Master'sProfessional Doctorate Research DoctoratePostdoctoral position (>=3 months) Short-term trainingOther non-degree training (>=3 months) Other

Fogarty funded trainees’ degree by world bank region, 1988-2009

Other non-degree training includes certificate, diploma, sabbaticals

Sustainability – FIC Trainees Return Home

86%

92%

85%

92%

86%

Fogarty CareerTrac Database

11/15/2010

9

Guiding Principles of FIC Programs

• Low- and middle-income countries

• Leverage; funded, competitive research base with critical mass

• Partnership & collaboration to meet local and national needs

• Long term investment

• Multi-disciplinary science

• Institutional capacity

• Networking

Obama administration support for global health

May 6, 2009

Obama Seeks a Global Health Plan Broader

Than Bush’s AIDS Effort

Global Health Initiative seven principles• Woman- and girl-centered approach• Strategic coordination and integration• Leverage multilateral organizations,

partnerships and private sector• Country ownership, country-led plans• Health systems strengthening• Metrics, monitoring and evaluation• Promote research and innovation

11/15/2010

10

G8 Planning MeetingNIH, February 2010

Statement from 2009 Summit

” … to establish a consortium of interdisciplinary centers of health innovation”

• Commitment to explore partnerships

• Better integration of overseas development assistance and research funding

• Realize commitments; (Bamako Health Ministerial)

Individuals

Networks

Institutions

• ICT

• Management

• Bioethics

11/15/2010

11

Medical Education Partnership Initiative (MEPI)

• Botswana

• Ethiopia

• Ghana

• Kenya

• Malawi

• Mozambique

• Nigeria

• South Africa

• Tanzania

• Uganda

• Zimbabwe

• Zambia

•United States

•Mexico

•Brazil

•Uruguay•Chile

•Argentina

United States-Latin America Cancer Research NetworkA New Model for International Cancer Research

Connecting at the government-to-government

and investigator levels

Jorge Gomez, 2010

11/15/2010

12

Centers Funded for Cardiovascular Disease Research

NHLBI/NIH

Experiment in NetworksWellcome Trust

African Institutions Initiative

7 awards made to consortia involving 70 institutions

5 year period starting August 2009 (renewable)

£28m (~ $42m) in total

11/15/2010

13

Réseau International des Instituts Pasteur

Directions in Global Health Research

• Multi-disciplinary teams to study complex, systems approach to

disease control; Implementation Science

• Capacity for collaboration and partnerships; individual,

institutional, and networked levels

• Harmonization of resources; leverage, and to strengthen health

systems to integrate service delivery and related research