Eleventh Five Year Plan

Health and Family Welfare and AYUSH 99abreast with the dynamic international health researchenvironment and to address the current and futurehealth challenges, the Central Government is creatinga new Department of Health Research under theMoHFW. The newly created Department will deal withpromotion and co-ordination of basic, applied, andclinical research including clinical trials and operationsresearch in areas related to medical, health, biomedicaland medical profession, and education throughdevelopment of infrastructure, human resources, andskills in the cutting edge areas and management ofrelated information thereto; promote and provideguidance on research governance issues including ethicalissues in medical and health research; inter-sectoralcoordination and promotion of PPP in medical, biomedical,and health research areas; advanced trainingin research areas concerning medicine and health includinggrant of fellowship for such training in Indiaand abroad; international co-operation in medical andhealth research including work related to internationalconferences in related areas in India and abroad; technicalsupport for dealing with epidemics and naturalcalamities; investigation of outbreaks due to new andexotic agents and development of tools for prevention;matters relating to scientific societies and associations,charitable and religious endowments in medicineand health research areas; coordination betweenorganizations and institutions under the Central andState Governments in areas related to the subjectsentrusted to the Department and for promotion ofspecial studies in medicine and health, and ICMR.3.1.164 The following priority areas for the healthsystem research have been identified for the EleventhFive Year Plan:• Impact of PPPs in health on the public health services,State finances, and whether PPPs really bringabout equity in health access.• Studies on modalities and impact of health insurance.• Issues of health care access in urban areas, healthproblems of urban poor, the migrants, homeless,street, and working children.• Health care in situations of violence and conflict.• Gender issues in disease prevalence, access to healthcare, and education.• Studies on the innovation, diffusion, use, and misuseof medical technologies, research on their relevanceor appropriateness, misuse and irrationaluse, the additional financial burden on the users dueto misuse. Such studies should cover prescriptionpractices to the new medical technologies such asgenetics, assisted reproduction, life prolonging technologies,stem cell research, and organ donation andtransplantation.• Medical audit to establish various ways of improvinghealth care service delivery at differentlevels.• Nursing research to be undertaken by the nursingas well as social science and bioethics institutionsin India.• Audit of research, that is, whether research is justifiedand relevant.3.1.165 During the Plan, clinical and operational researchin both the modern and AYUSH systems willcontinue. The major thrust in Allopathy as well asAYUSH will be given to the following areas:• Improving diagnosis, treatment delivery, anddevelopment of new tools for the diagnosis andtreatment• Integrating disease control programmes withinprimary health care system• Cost effectiveness analysis of different regimen forprevention and treatment of diseases• Quality of lab-diagnosis, lab related factors, periodictraining, adequacy of reagents, kits and goodmicroscopy• Delayed diagnosis: community factors, surveillancefactors, lab factors, and health system factors• Upgradation of drug delivery system: surveillancemechanisms• Research on poor drug compliance rate: community,social, educational, ethnic, cultural, and healthsystem factors• Research on social determinants of health, healthcare seeking, and the epidemiological web3.1.166 The institutions and organizations like ICMRinvolved in research, should be committed to an agendathat recognizes that future improvements in health