SOLUTIONS

Enhance efficiency and effective use of resources

The United States is the largest public funder of global health innovation. Several US departments and agencies contribute to global health R&D, including the US Agency for International Development, Centers for Disease Control and Prevention, National Institutes of Health, Biomedical Advanced Research and Development Authority, Food and Drug Administration, and Department of Defense. Each agency has a distinct mission and unique expertise, which make its contributions to global health R&D strategic and important across the continuum of product development. However, there is currently no clear interagency coordination strategy to guide US R&D efforts, delineate divisions of labor across programs, or promote interagency collaboration.

Without a formal coordination structure, we risk gaps in US programming for global health R&D, including implementation of research, host country capacity-building, and scaling of innovations. One possible consequence is that a breakthrough innovation may not make it from early-stage research in one agency to late-stage research or product introduction in another. Another could be failure to allocate resources for R&D among a range of neglected diseases and conditions. To effectively leverage important US investments in global health R&D in this era of fiscal challenges, it is critical that we promote formal collaboration, information-sharing, and partnerships within the US government.

Coordination between US agencies and multilateral organizations is also essential for effective use of R&D investments. There is currently no formal mechanism for the international community to discuss their work on R&D, pursue partnerships, and share learning. In this way, similar consequences from limited coordination of global health R&D at a national level also affect international efforts, including limited leveraging of resources and the perpetuation of gaps in product development.

What does GHTC do?

GHTC works to promote more deliberate and effective information-sharing, transparency, and coordination of global health R&D. In the United States, the coalition works with agency officials to establish formal dialogue between the key government players in global health innovation. We also champion the development of a comprehensive, integrated strategy for US government work in global health R&D.

At the global level, GHTC works with international partners to engage with the World Health Organization on global health R&D issues, with the goal of creating effective mechanisms for international information-sharing, collaboration, and partnership.

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Increase effective public funding

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Enhance efficiency and effective use of resources

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Advance multisector partnerships

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Strengthen regulatory pathways

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Incentivize greater private sector investment and engagement

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Promote innovative financing mechanisms

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