Improving resource mobilisation for global health R&D: a role for coordination platforms?

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TitleImproving resource mobilisation for global health R&D: a role for coordination platforms?
Publication TypeJournal Article
AuthorsBeyeler N, Fewer S, Yotebieng M, Yamey G
Abbrev. JournalBMJ Glob Health
JournalBMJ global health
Year of Publication2019
Volume4
Issue1
Paginatione001209
Publication Languageeng
Abstract

Achieving many of the health targets in the Sustainable Development Goals will not be possible without increased financing for global health research and development (R&D). Yet financing for neglected disease product development fell from 2009-2015, with the exception of a one-time injection of Ebola funding. An important cause of the global health R&D funding gap is lack of coordination across R&D initiatives. In particular, existing initiatives lack robust priority-setting processes and transparency about investment decisions. Low-income countries (LICs) and middle-income countries (MICs) are also often excluded from global investment initiatives and priority-setting discussions, leading to limited investment by these countries. An overarching global health R&D coordination platform is one promising response to these challenges. This analysis examines the essential functions such a platform must play, how it should be structured to maximise effectiveness and investment strategies for diversifying potential investors, with an emphasis on building LIC and MIC engagement. Our analysis suggests that a coordination platform should have four key functions: building consensus on R&D priorities; facilitating information sharing about past and future investments; building in accountability mechanisms to track R&D spending against investment targets and curating a portfolio of prioritised projects alongside mechanisms to link funders to these projects. Several design features are likely to increase the platform's success: public ownership and management; separation of coordination and financing functions; inclusion of multiple diseases; coordination across global and national efforts; development of an international R&D 'roadmap' and a strategy for the financial sustainability of the platform's secretariat.

PubMed URL

http://www.ncbi.nlm.nih.gov/pubmed/30899563?dopt=Abstract

DOI10.1136/bmjgh-2018-001209
Link to full texthttps://gh.bmj.com/content/4/1/e001209
PubMed Central IDPMC6407558