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Q J Med 2002; 95: 469-473
© 2002 Association of Physicians

Commentary

Towards equity in global health knowledge

N. Pakenham-Walsh and C. Priestley

From the International Network for the Availability of Scientific Publications, Oxford, UK

The first 150 words of the full text of this article appear below.


   Introduction
 
Although global spending on health research currently exceeds US$ 60 billion, less than 10% of it addresses the diseases and conditions that account for 90% of the global disease burden.1 Many biomedical researchers in developing countries are also professionally isolated by difficulties in accessing, generating, synthesizing and disseminating information. We emphasize the interdependence of global health knowledge, and draw attention to inequities in the global flow of information that profoundly affect the evolution of the global knowledge base and its relevance to health priorities. Information and communication technologies have great potential to reduce these inequities, not only by disseminating information, but also by supporting such important activities as international co-operation and Southern-led development. We describe briefly some of the challenges, recent achievements, and priorities for the future.


   Global health knowledge and the flow of information
 
Health depends on our understanding of its determinants, and the application of this knowledge in the prevention and treatment of disease. This understanding . . . [Full Text of this Article]


   Addressing the problem
 
Access to biomedical research knowledge
Programme for the Enhancement of Research Information (PERI)
Health InterNetwork Access to Research Initiative (HINARI)
Support for national and regional biomedical journals
Access to existing learning and reference materials
Support for local adaptation, synthesis and repackaging of knowledge

   The need for international co-operation
 

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