Setting priorities in global child health research investments: assessment of principles and practice

Scientific paper - Original scientific paper

• Author: Igor Rudan
• Author: Jennifer Gibson
• Author: Lydia Kapiriri
• Author: Mary Ann Lansang
• Author: Adnan A. Hyder
• Author: Joy Lawn
• Author: Gary L. Darmstadt
• Author: Simon Cousens
• Author: Zulfiqar A. Bhutta
• Author: Kenneth H. Brown
• Author: Sonja Y. Hess
• Author: Maureen Black
• Author: Julie Meeks Gardner
• Author: Jayne Webster
• Author: Ilona Carneiro
• Author: Daniel Chandramohan
• Author: Margaret Kosek
• Author: Claudio F. Lanata
• Author: Mark Tomlinson
• Author: Mickey Chopra
• Author: Shanthi Ameratunga
• Author: Harry Campbell
• Author: Shams El Arifeen
• Author: Robert E. Black
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care

Abstract (english)

This article reviews theoretical and practical approaches for setting priorities in global child health research investments. It also provides an overview of previous attempts to develop appropriate tools and methodologies to define priorities in health research investments. A brief review of the most important theoretical concepts that should govern priority setting processes is undertaken, showing how different perspectives, such as medical, economical, legal, ethical, social, political, rational, philosophical, stakeholder driven, and others will necessarily conflict each other in determining priorities. We specially address present research agenda in global child health today and how it relates to United Nation's (UN) Millennium Development Goal 4, which is to reduce child mortality by two-thirds between 1990 and 2015. The outcomes of these former approaches are evaluated and their benefits and shortcomings presented. The case for a new methodology for setting priorities in health research investments is presented, as proposed by Child Health and Nutrition Research Initiative, and a need for its implementation in global child health is outlined. A transdisciplinary approach is needed to address all the perspectives from which investments into health research can be seen as priorities. This prioritization requires a process that is transparent, systematic, and that would take into account many perspectives and build on advantages of previous approaches.

Abstract (croatian)

Članak daje pregled teoretskih i praktičnih pristupa postavljanju prioriteta prilikom ulaganja u istraživanje dječjega globalnog zdravlja. Daje i pregled prijašnjih pokušaja razvitka odgovarajućih alata i postupaka u području ulaganja u istraživanja o zdravlju. Napravljen je kratak pregled najvažnijih teoretskih postavki prema kojima bi se trebalo ravnati u postupku određivanja prioriteta. On je pokazao da će se različiti pristupi u postavljanju prioriteta, poput medicinskoga, gospodarskoga, zakonskoga, etičkoga, društvenoga, političkoga, pragmatičnoga, filozofskoga, onoga od poslodavaca i svih drugih nužno sukobiti. Posebno smo raspravili aktualne pravce istraživanja u području globalnoga dječjega zdravlja i njihov odnos prema Milenijskom cilju br. 4 organizacije Ujedinjenih naroda (UN), koji je da se između 1990. i 2015. dječja smrtnost smanji za dvije trećine. Procijenjena su postignuća pristupa koji su bili ranije primjenjivani i prikazane njihove prednosti i mane. Navedeni su razlozi organizacije Inicijativa za dječje zdravlje i prehranu (engl., Child Health and Nutrition Research Initiative) za stvaranje nove metodologije određivanja prioriteta u ulaganju u zdravstvena istraživanja i navedeni su razlozi za njezinu primjenu u području globalnoga dječjega zdravlja. Da bi se mogli obuhvatiti svi kutovi iz kojih je moguće promatrati prioritete ulaganja u istraživanja zdravlja nuždan je interdisciplinarni pristup. Određivanje prioriteta traži da njihovo stvaranje bude javno, jasno i sustavno i da u obzir uzme mnogobrojna gledišta i nastavi se na prednosti prethodnih pristupa.

• Keywords (english): Child Welfare; Models, Theoretical; World Health; Research - organization & administration; Child; Child Mortality - trends; Child, Preschool; Health Priorities; Humans; Infant; Research Support as Topic - trends; United Nations
• Language: english
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Croatian Medical Journal
• Numbering: vol. 48, no. 5, pp. 595-604
• p-ISSN: 0353-9504 (Print) 1332-8166 (Electronic)
• URN:NBN: urn:nbn:hr:105:283167
• Publication: 2007-10
• Document URL: http://www.cmj.hr
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 09:24:14