A SUCCE SS S TORY IN D A NI S H DEVELOPMENTH A ID – D B L (1964-2012 This book wishes to present a brief The examples span from snails and outline of the history and activities mosquitoes over domestic animals ) of the Danish Bilharziasis Labora- to man; from the freshwater envi- tory (DBL) from the foundation of ronment to health systems; from the institution in 1964 to its closure molecular biology to health impact in 2012. It is obviously not possible assessments and medical anthropol- to cover everything DBL did. But the ogy; and from research over capacity intention is, by presenting some rep- building to knowledge management. resentative examples, to provide a Many disciplines and approaches are picture of the challenges in research presented. They all share the com- for development and in capacity mon goal of improving health and building, of DBL’s outputs and impact livelihood among marginalised popu- and thus of an institution that made lation groups in the least-developed a difference. countries. A SUCCESS STORY IN DANISH DEVELOPMENT AID – DBL (1964-2012) ISBN 978-87-7611-562-3 Editors: Annette Olsen, Niels Ørnbjerg, Klaus Winkel A success Story omslag 2.indd 1 20/02/13 13.46 A succes story in Danish Development Aid DBL (1964-2012) A succes story in Danish Development Aid – DBL (1964-2012) Editors: Annette Olsen, Niels Ørnbjerg, Klaus Winkel 1. udgave 2013 © DBL 2013 Omslag: Annette Olsen Sats: SL grafik, Frederiksberg (www.slgrafik.dk) Tryk: Narayana Press, Gylling (www.narayana.dk) ISBN 978-87-7611-562-3 Svanemærket produktion Kvalitetssikring Ikrafttræden 30 juli 2007 Godkendt af Erik Tarp Narayana PressPhotos were provided by former and present staff members Jens Byskov, Solveig Dan- ielsen, Peter Furu, Maria Vang Johansen, Thomas K. Kristensen, Henry Madsen, Pas- Miljømærket skalcal væreMagnussen, grønt Peterog hvidt Nejsum, eller Annette sort og Olsen, hvidt. Erling Alternativt Møller Pedersen, kan miljømæret Claus Reimert, være hvidt på mørkt underlag.Paul Farvekoden Erik Simonsen, for denAnne-Sofie grønne Steensgaard farve er: (maps), Hanne Strandgaard, Birgitte Jyd- ing Vennervald and Jens Aagaard-Hansen. Also collaborators Gautam Biswas, Andrew Seidu Korkor, Faustin Lekule, Kabemba Evans Mwape, Harriet Namwanje and Am- PMS 347c (blankt papir) PMS 347u (mat papir) brose Onapa (map) provided photos. Farvekode SMYK 70C 0M 56Y 6K SMYK 70C 0M 56Y 6K In addition, a few photos from the archives of DBL, where the photographer is un- NCS s: 1565-Gknown, are included. 2060-G Det accepteres, at miljømærket trykkes sort eller grønt på et lyst, ufarvet eller ubleget underlag, så at selve svanen har underlagets farve. Al tekst skal have en størrelse, så den er læsbar. Teksten skal være sort eller grøn (med farvekode som nævnt ovenfor). Hvis tekstens baggrund er mørk, kan teksten være hvid. Teksten NORDISK MILJØMÆRKNING (og for den svenske licens MILJÖMÄRKT) følger mærkets runde form på oversiden. Testen skrives med versaler i Helvetica, lige og S v 2 halvfed. Spatiering og font størrelse tilpasses til a 6 n 5 e - mærkets størrelse. m 1 æ 4 rk 5 et tryksag Licensnummeret skal placeres horisontalt under mærket eller følge mærkets runde form på undersiden af mærket eller deles op i to dele, som skrives på hver sin side af mærket. Tillægsteksten Svanemærket tryksag (og for den svenske licens Svanenmärkt trycksak) tilpasses i størrelse til mærket og skrives horisontalt eller følger mærkets runding (Helvetica, lige). Et mindre miljømærke kan også tillades, hvis teksten NORDISK MILJØMÆRKNING, licensnummer og tillægstekst skrives i læsbar størrelse ved siden af miljømærket. Det er tilladt, dog uden at bruge logoet, at referere til Svanemærket i forbindelse med Narayanas navn, hvis licensnummeret angives, eksempelvis: Svanemærket trykkeri, 541 562 Det er også tilladt for tryksager lavet af miljømærket papir at gøre opmærksom på, at tryksagen er lavet af Svane- eller blomstenmærket papir, hvis papirets licensnummer angives, dog uden at bruge logoet, eksempelvis: Svanemærket papir, xxx xxx M:\Produktion\administration\miljoe\iso_14001\Håndbog\Bilag 2.doc Side 2 af 2 A succes story in Danish Development Aid DBL (1964-2012) Contents A succes story .............................................................................................. 3 Preface ......................................................................................................... 7 By Annette Olsen, Niels Ørnbjerg, Klaus Winkel 1. Introduction .............................................................................................. 9 By Niels Ørnbjerg 2. Danida’s support for health research for development ................................. 12 By Klaus Winkel, cand.polit., former head of department for evaluation and research, Danida 3. The early history of the Danish Bilharziasis Laboratory ................................ 16 By Flemming Frandsen, professor, Dr. scient., former director of DBL 4. An overview of DBL .................................................................................... 24 By Niels Ørnbjerg 5. Capacity development for health and health research ................................. 39 By Niels Ørnbjerg and Peter Furu 6. No impact without good governance and efficient administrative support .... 47 By Christian Gregart and Kirsten Grønlund Andersen 7. Research on schistosomiasis – providing the evidence and tools for disease control ................................. 51 By Birgitte J. Vennervald and Pascal Magnussen 8. The role of snails in schistosomiasis research – from taxonomy to forecasting disease outbreaks ................................................................... 61 By Thomas K. Kristensen, Henry Madsen and Anna-Sofie Stensgaard 9. The laboratory facility at DBL ..................................................................... 66 By Birgitte J. Vennervald, Susanne Kronborg and Thomas K. Kristensen 10. Treatment against schistosomiasis now includes toddlers, but … .............. 73 By Maria Vang Johansen and Annette Olsen 11. Research and capacity-building for lymphatic filariasis control .................. 78 By Paul E. Simonsen and Erling M. Pedersen 12. Research on intestinal worms – providing the evidence for optimising control ................................................................................................... 87 By Annette Olsen and Pascal Magnussen 13. Malaria research and control capacity building ........................................ 92 By Pascal Magnussen 14. Anthropology and cross-disciplinarity at DBL ............................................ 99 By Jens Aagaard-Hansen, Head of health promotion, Steno Diabetes Center; Erick Nyambedha, lecturer, Maseno University; Simiyu Wandibba, professor, University of Nairobi and Isaac Nyamongo, professor, University of Nairobi 15. Including plant health in the ‘one health’ concept – in theory and in Uganda ................................................................................................ 107 By Solveig Danielsen, Plantwise Programme Co-ordinator, Monitoring and Evaluation at CABI 16. From 180,000 to zero cases in 23 years – eradication of Guinea worm disease from Ghana? ............................................................................... 114 By Annette Olsen and Pascal Magnussen 17. The Cysticercosis Working Group of Eastern and Southern Africa (CWGESA) ............................................................................................... 121 By Maria Vang Johansen and Samson Mukaratirwa, professor, University of KwaZulu- Natal, Durban, Republic of South Africa 18. Health impact assessments in the Mekong Basin for promoting health as a cross-cutting issue ........................................................................... 126 By Peter Furu and Robert Bos, World Health Organization 19. Strengthening knowledge-management systems in The Gambia................. 134 By Paul Bloch, senior researcher, Steno Diabetes Center and Ayo Palmer, Senior Techni- cal Co-ordinator, CIAM 20. Priority-setting in health systems ............................................................. 141 By Jens Byskov 21. Value for money has been high ................................................................. 147 By Niels Ørnbjerg Appendix 1-4 ................................................................................................ 155 Appendix 1: DBL staff list from 2004 to 2012 Appendix 2: Research publications from 2004 to 2012 Appendix 3: Selected knowledge management publications from 2004 to 2012 Appendix 4: 4a: South PhD study completions from 2004 to 2012 4b: South Master study completions from 2004 to 2012 4c: North PhD study completion from 2004 to 20012 4d: North Master study completions from 2004 to 2012 Preface 7 Preface This book describes aspects of the history, performance and lessons learned of an institution that was established in 1964 under the name Danish Bilharziasis Labora- tory (DBL). The name was later changed to DBL – Institute for Health Research and Development to embrace its broader public health profile. When DBL merged into the University of Copenhagen in 2007, the name changed again to DBL – Centre for Health Research and Development. In an earlier book published in 2004, DBL’s first 40 years of existence were thor- oughly described to mark this anniversary. When quantifying the results, we have therefore, in this book, paid particular attention to achievements since 2004, while the historic and scientific chapters sometimes go back to the beginning. Obviously, it is not possible