Solutions to Global Health, Equity and Development through Research and Innovation
in low-and middle-income countries
Najia Musolino, Ph.D
COHRED - Colloquium
16 – 17 April 2015
Executive Summary
The COHRED Fairness Index
An actively managed certification system to optimize the ability to engage in and sustain fair
research and innovation partnerships
1. Outcomes of Panel Session I
1. The CFI is as good as the value it adds to the users
1. Domains the CFI should measure
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Outcomes of Panel Session I, April 16th 2015
TO BE COMPLETED THE SAME DAY
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The CFI is as good as the value it adds to the users
If you are a donor
1. Respect and value for transparency and openness to public scrutiny
1. You are thinking local, respecting the priorities of your beneficiaries
1. Improved national priority setting, accountability and institutional
research and innovation management capacity
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The CFI is as good as the value it adds to the users
If you are a grant recipient:
1. Enhance public profile
1. Increase your fundability
1. Facilitates access to partners and partnerships
1. Better contracting expertise
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The CFI is as good as the value it adds to the users
If you are a research & innovation contract organisation or
SME in a LMIC
1. Gain leverage to convince local governments and private sector to invest in
priority problems
1. Access to local resources
2. Access to a practical tool to prove transparency
1. Gain a competitive edge
1. Proof of fairness, provides validity. Maintain an up-to-date record of practices.
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The CFI is as good as the value it adds to the users
If you are low income R&D institution seeking to improve
funding track
1. Gain partners sensitive to best practices
1. Increase the benefits sharing and negotiating ability
1. An investment in the future value of the institution
1. Provide assurance to partners/collaborators
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The CFI is as good as the value it adds to the users
If you are a pharmaceutical company
1. Decrease reputational risk, increase credibility
1. Have a simple tool to improve the social bottom line of your company
1. Access guideline that defines limits to the extent of engagement needed in good
partnerships
1. Avoid duplication and redundant activities to reduce transaction costs and time
wasting
1. Demonstrate commitment to transparency
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The CFI is as good as the value it adds to the users
If you are a a Research Council or a ministry of health, S&T in a
LMIC
1. Have donors and research and innovation sponsors align better with national
priorities
1. Research and innovation system building is enhanced
1. Practical tool to support national research and innovation governance
1. Build institutional partnerships
1. Strong ability to sufficiently mitigates potential risks
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The CFI is as good as the value it adds to the users
If you are an international organisation
1. Reduce potential conflict of interest in partnership with the private sector in
funding research and innovation
1. Provides a practical and transparent approach to research and innovation
engagement for global health
1. Practical tool to exercise global research and innovation stewardship
1. Promote a culture of ‘consciousness for equity in partnerships’
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Domains/areas the CFI should measure
Domain 1: Balancing Research and Innovation Contracting process
Domain 2: Valuating contributions (Equal Partnership is not the same as Equal Financial
Contribution)
Domain 3: Return On Investment (Responsibility for post-research action)
Domain 4: Minimizing Reputational harm (Reputational risk)
Domain 5: Acceleration of contracts, increased accountability, trust
Domain 6: Harmonizing relationships (Aligning different interests of different partners)
Domain 7: Preventing ‘collateral damage’ of large research and innovation programmes
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Levels of Intensity to Implement
1. Raising Awareness
e.g. Costello and Zumla (2000)
2. Establishing principles of best practice
e.g. KFPE : 11 principles, 7 questions,
Elmina Declaration on Partnerships to address Human Resources for Health
3. Creating practical tools
e.g. Fair Research Contracting (FRC)
4. Actively managed certification system
e.g. the COHRED Fairness Index
5. Generating legal obligation
e.g. the Nagoya Protocol
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Towards implementation
Raising Awareness
1. Publications: ( E.g. The Lancet Correspondence Letter DOI: Volume 385, No. 9975,
p1293–1294, 4 April 2015; COHRED blog, CFI website)
1. Workshops (E.g. Swiss National Science Foundation)
2. CFI Presentations / panel discussions (E.g. Third Global Symposium on Health
Systems Research 2014; TDR/WHO seminar; COHRED Africa Launch, Gaborone,
Nov 2014; ACU/SARIMA, Johannesburg May 2015; International Health
Conference, Oxford, June 2015)
1. Pre-launch of the CFI (Global Forum on Research and Innovation for health, Manila
August 2015)
2. Endorsements (Institutional and Individual)
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Towards implementation
Institutional Endorsements:
 The Nigerian Academy of Science
 Turkish Academy of Sciences
 Union of the German Academies of Sciences and Humanities
 President of the University of the Philippines System (comprising component
universities from Baguio to Mindanao, including the University of the Philippines Manila)
 The Chancellor of the University of the Philippines Manila, the Health Sciences
Campus of the University of the Philippines System
 Forum for Medical Ethics Society (FMES), India
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Towards implementation
Institutional Endorsements:
“The CFI is long overdue. Currently, there is a disproportionate
distribution of research benefits among partners; with the “junior”
partner receiving a “token” of the benefits of research. The CFI
which seeks to promote fair practices, transparency and
accountability, will ensure that due recognition is accorded each
partner’s contribution for equitable access to research benefits”.
Prof. Oyewale Tomori,
President, Nigerian Academy of Science
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Acknowledgements
Anatole Krattiger, WIPO
Andrew Cherry, Association of Commonwealth Universities
Charles Mgone, EDCTP
Cristiane Quental, Fiocruz
Eric Buch, University of Pretoria
Garry Aslanyan, TDR
Gerald Keusch , Boston University
Glaudina Loots, South Africa Dept. of Science and Technology
Glenda Gray, South Africa Medical Research Center
Jack Watters, Pfizer
Jackie Olang, Network of African Science Academies
Jennifer Dent, BIO Ventures for Global Health
Jens Hinricher, London School of Hygiene and Tropical Medicine
Jim Kaput, Nestlé, Switzerland
John Mugabe, University of Pretoria
Kanyawim Kirtikara, BIOTEC, Thailand
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Konji Sebati, Innovative Pharmaceutical Manufacturers Association, SA
Lola Adedokun, Doris Duke Charitable Foundation
Marième Ba, Pharmalys, UK & Senegal
Martin Sepúlveda, IBM Corporation
Merlita Opena, Philippine Council for Health Research and Development
Nelmara Arbex, Global Reporting Initiative
Nelson Sewankambo, Makerere University, Uganda
Orakanoke Phanraksa, National Science & Tech Devpt. Agency, Thailand
Pamela Andand, School of Law, University of the Witwatersrand, SA
Rieke Vandergraaf, University Medical Center Utrecht, Netherlands
Robert Fraser Terry, TDR
Robert Eiss, Fogarty International Center
Sibongile Gumbi, Technology Innovation Agency – South Africa
Suresh Jadhav , Serum Institute, India
Teodora Padilla, Pharmaceuticals and Health Care Association, Philippines
Thomas Nyirenda, EDCTP
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COHRED Fairness Index Team
Carel Ijsselmuiden
Janis Lazdins
Jacintha Toohey
Lauranne Botti
Najia Musolino
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For more information on the scope
of the CFI, its content, governance
and operation model, please visit
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