Control of Cardiovascular Diseases in Developing Countries Research, Development, and Institutional Strengthening (1998) / Chapter Skim
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6 Institutional Arrangements for Research and Development
6 Institutional Arrangements for Research and Development
Pages 59-64
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From page 59... ...
; United Nations Scientific, Educational and Cultural Organization (UNESCO) ; national and regional foundations; national academies of science and medicine in developed and in developing countries; medical schools and other academic centers of excellence; the World Bank; and donor agencies such as the Canadian International Development Centre and Swedish International Development Agency.
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From page 60... ...
Several developing countries now have a critical mass of qualified health professionals to meet the challenges of the global CVD epidemic. In many others, however, the trained scientists and infrastructure are too few to address already urgent tasks.
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From page 61... ...
3. Global: Support regional centers in the conduct of their activities: · maintenance of global data on CVD prevention and control programs; · dissemination of current data, protocols, guidelines, and literature on CVD prevention and control; and · convening of advisory groups to assess global needs, evaluate current activities, and recommend additional activities if they are needed.
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From page 62... ...
Because MONICA replicates the same core of observations in many different communities, the project is beyond the scope of any single research unit or national action. The model has accomplished the following favorable outcomes: · a 10-year study in 60 countries in North America, Europe, and the former Soviet Union, along with Australia, New Zealand, China, Japan, and Malta; · a common study protocol and centralized laboratory-electrocardiogram evaluation centers; · a defined population for study within each center; · census data defining each population by sex and age; · population surveys at the beginning and end of the 10-year study period, which included at least 200 individuals in each 10-year age and sex group between ages 35 and 64; and · collection of annual data on the use of health services by each population.
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From page 63... ...
The committee recommends that the activities of the steering committee be modeled after the TDR program with its broad range of participants that include scientists and donor agencies such as foundations, bilateral development agencies, and governments. Although the MONICA project is a strong model it was smaller, limited mainly to Europe and North America, lacked stable funding, and operated for a shorter term.
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From page 64... ...
. Partnerships among countries and agencies are a key element for the cost-effective and sustained R&D that is needed to support global CVD control.
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