Social sciences research in neglected tropical diseases 3: Investment in social science research in neglected diseases of poverty: a case study of Bill and Melinda Gates Foundation

Health Research Policy and Systems - Tập 9 - Trang 1-6 - 2011
Subhash Pokhrel1, Daniel Reidpath2, Pascale Allotey2
1Health Economics Research Group, Brunel University, UK
2Global Public Health, School of Medicine, Monash University, Malaysia

Tóm tắt

The level of funding provides a good proxy for the level of commitment or prioritisation given to a particular issue. While the need for research relevant to social, economic, cultural and behavioural aspects of neglected tropical diseases (NTD) control has been acknowledged, there is limited data on the level of funding that supports NTD social science research. A case study was carried out in which the spending of a major independent funder, the Bill and Melinda Gates Foundation (BMGF) - was analysed. A total of 67 projects funded between October 1998 and November 2008 were identified from the BMGF database. With the help of keywords within the titles of 67 grantees, they were categorised as social science or non-social science research based on available definition of social science. A descriptive analysis was conducted. Of 67 projects analysed, 26 projects (39%) were social science related while 41 projects (61%) were basic science or other translational research including drug development. A total of US$ 697 million was spent to fund the projects, of which 35% ((US$ 241 million) went to social science research. Although the level of funding for social science research has generally been lower than that for non-social science research over 10 year period, social science research attracted more funding in 2004 and 2008. The evidence presented in this case study indicates that funding on NTD social science research compared to basic and translational research is not as low as it is perceived to be. However, as there is the acute need for improved delivery and utilisation of current NTD drugs/technologies, informed by research from social science approaches, funding priorities need to reflect the need to invest significantly more in NTD social science research.

Tài liệu tham khảo

Hotez PJ, Molyneux DH, Fenwick A, Kumaresan J, Sachs SE, Sachs JD: Control of Neglected Tropical Diseases. N Engl J Med. 2007, 357 (10): 1018-1027. 10.1056/NEJMra064142. Gates Foundation: Our Work in Neglected Diseases: Visceral Leishmaniasis, Guinea Worm, Rabies - Overview & Approach - Bill & Melinda Gates Foundation [Internet]. 2010, [cited 2010 Sep 23], [http://www.gatesfoundation.org/topics/Pages/neglected-diseases.aspx] Moran M, Guzman J, Ropars A, McDonald A, Jameson N, Omune B: Neglected Disease Research and Development: How Much Are We Really Spending?. PLoS Med. 2009, 6 (2): e1000030-10.1371/journal.pmed.1000030. Moran M: A Breakthrough in R&D for Neglected Diseases: New Ways to Get the Drugs We Need. PLoS Med. 2005, 2 (9): e302-10.1371/journal.pmed.0020302. IPPPH: Initiative on Public-Private Partnerships for Health [Internet]. 2009, [cited 2010 Sep 23], [http://www.globalforumhealth.org/About/Research-initiatives/IPPPH] TDR: TDR - For research on diseases of poverty [Internet]. 2010, [cited 2010 Sep 23], [http://apps.who.int/tdr/] Stein C, Kuchenmüller T, Hendrickx S, Prüss-Űstün A, Wolfson L, Engels D: The Global Burden of Disease Assessments--WHO Is Responsible?. PLoS Neglected Tropical Diseases. 2007, 1 (3): 10.1371/journal.pntd.0000161. McCoy D, Kembhavi G, Patel J, Luintel A: The Bill & Melinda Gates Foundation's grant-making programme for global health. The Lancet. 2009, 373 (9675): 1645-1653. 10.1016/S0140-6736(09)60571-7. Allotey P, Reidpath DD, Pokhrel S: Social sciences research in neglected tropical diseases 1: the ongoing neglect in the neglected tropical diseases. Health Res Policy Syst. 2010, 8: 32-10.1186/1478-4505-8-32. Reidpath DD, Allotey P, Pokhrel S: Social sciences research in neglected tropical diseases 2: A bibliographic analysis. Health Res Policy Syst. 2011, 9: 1. Balasegaram M, Balasegaram S, Malvy D, Millet P: Neglected Diseases in the News: A Content Analysis of Recent International Media Coverage Focussing on Leishmaniasis and Trypanosomiasis. PLoS Neglected Tropical Diseases. 2008, 2 (5): 10.1371/journal.pntd.0000234. Anderson GF: Spurring new research for neglected diseases. Health Affairs. 2009, 28 (6): 1750-10.1377/hlthaff.28.6.1750. Manderson L, Aagaard-Hansen J, Allotey P, Gyapong M, Sommerfeld J: Social research on neglected diseases of poverty: continuing and emerging themes. PLoS Neglected Tropical Diseases. 2009, 3 (2): 10.1371/journal.pntd.0000332. Woolf SH, Johnson RE: The Break-Even Point: When Medical Advances Are Less Important Than Improving the Fidelity With Which They Are Delivered. Ann Fam Med. 2005, 3 (6): 545-552. 10.1370/afm.406. Leroy JL, Habicht J, Pelto G, Bertozzi SM: Current priorities in health research funding and lack of impact on the number of child deaths per year. Am J Public Health. 2007, 97 (2): 219-223. 10.2105/AJPH.2005.083287. Parker M, Allen T: Does mass drug administration for the integrated treatment of neglected tropical diseases really work? Assessing evidence for the control of schistosomiasis and soil-transmitted helminths in Uganda. Health Res Policy Syst. 2011, 9: 3. Frank C, Nason E: Health research: measuring the social, health and economic benefits. Canadian Medical Association Journal. 2009, 180 (5): 528-10.1503/cmaj.090016. International Health Group of the Centre for Public Health Research at Brunel University P: Applied Social Sciences for public health (ASSPH): Higher degree training for implementation research on tropical diseases. 2007, Geneva: TDR Buse K, Mays N, Walt G: Making health policy. 2005, Maidenhead UK: Open University Press