4. Priorities for Global Research and Development of Interventions

Table 4.3: R&D Best Buys

R&D Best Buys
CategoryKey R&D investments
Maternal and child health
Strategic researchUnderstand the relative importance, in different environments, of increased nutrient intake and of control of infectious disease as a way to reduce malnutrition
Package development and evaluationEvaluate and refine the package for the integrated management of the sick childSFTRETDevelop, evaluate, and refine the mother-baby package for pregnancy, delivery, and neonatal careSFTRETEvaluate the implementation of a range of family planning packages offering a wide choice of methods
New tools to improve package contentEvaluate the efficacy and optimal dosage of candidate rotavirus vaccines in low-income countriesSFTRETEvaluate the efficacy of optimal dosage of candidate conjugate pneumococcal vaccines and the effectiveness of existing vaccine against influenza B in low-income countriesSFTRETDevelop and evaluate ways to increase efficiency in the Expanded Program on Immunizations by simplifying delivery and maximizing use of opportunities for immunizationSFTRETEvaluate the promotion of insecticide-impregnated bednets for inclusion in a future healthy household packageSFTRETDevelop new contraceptive methods, particularly to widen the choice of long-term but reversible methods, postcoital methods for regular and emergency use, and methods for men
Microbial threats
Strategic researchScreen drugs on molecular targets predicted by the genome sequence of major pathogensSFTRETInvestigate influences on the spread of antimicrobial resistance and approaches to monitoring resistant strains with the aim of identifying ways of slowing their emergence
Intervention developmentDevelop an effective prophylaxis for TB—for example, depot (or long-acting), or a vaccine chemoprophylaxisSFTRETDevelop a malaria vaccineSFTRETDevelop an HIV vaccineSFTRETDevelop improved methods for the diagnosis, prevention, and treatment of sexually transmitted diseases, including vaginal microbicides
Noncommunicable diseases and injuriesEstablish a special program for research and training on noncommunicable diseases and healthy agingSFTRETEstablish a special program or initiative for research, training, and capacity building on injuries
Health policyEstablish a special program for research and training on health systems and policy

Source: Ad Hoc Committee on Health Research Relating to Future Intervention Options 1996.