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Introduction Introduction The President notified the creation of the Department of Health Research (DHR) under the Ministry of Health & Family Welfare through an amendment to the Government of India (Allocation of Business) Rules, 1961 on the 17th September, 2007. The Department of Health Research was formally launched on 5th October, 2007 by the Minister for Science & Technology and Earth Science in a function presided over by the Minister for Health & Family Welfare, in the presence of the Minister of State for Health & Family Welfare. The First Secretary of the Department, who is also the Director-General of the Indian Council of Medical Research, was appointed in November, 2008. The following work has been allocated to the Department of Health Research: 1. Promotion and co-ordination of basic, applied and clinical research including clinical trials and operational research in areas related to medical, health, biomedical and medical profession and education through development of infrastructure, manpower and skills in cutting edge areas and management of related information thereto. 2. Promote and provide guidance on research governance issues, including ethical issues in medical and health research. 3. Inter-sectoral coordination and promotion of public – private – partnership in medical, biomedical and health research related areas. 4. Advanced training in research areas concerning medicine and health, including grant of fellowships for such training in India and abroad. 5. International co-operation in medical and health research, including work related to international conferences in related areas in India and abroad. 6. Technical support for dealing with epidemics and natural calamities. 7. Investigation of outbreaks due to new and exotic agents and development of tools for prevention. 8. Matters relating to scientific societies and associations, charitable and religious endowments in medicine and health research areas. 9. Coordination between organizations and institutes under the Central and State Governments in areas related to the subjects entrusted to the Department and for the promotion of special studies in medicine and health. 10. Administering and monitoring of Indian Council of Medical Research. Besides Indian Council of Medical Research (ICMR), other nine functions are new to the Department. These nine new functions pertain to strengthening of infrastructure and human 1 Annual Report 2013-2014 DEPARTMENT OF HEALTH RESEARCH resource for health research; research governance; prevention and management of epidemics/ outbreaks and intersectoral coordination for translational and implementation research. ICMR concentrates on knowledge generation and affordable technology development, and serves as the fulcrum of the department. During the year, the five new schemes developed for the XIIth plan period focusing on infrastructure development in medical colleges and States; development of network of laboratories for management of epidemics/outbreaks due to viruses; human resource development and grant-in-aid to support research projects involving intersectoral coordination and translational/implementation research were approved and rolled out for implementation. The Department has taken up these new schemes in view of major gap in programmes and infrastructure that exits today with respect to health research. During the year under report, the Indian Council of Medical Research continued to serve as the fulcrum of the Department of Health Research and further intensified its research programmes and development of newer technologies for the benefit of the Indian public. It is pertinent to mention that, the proposed seamless integration between the ICMR (generation of new knowledge) and the DHR (Putting this new knowledge to public good) which began in recent past, has been progressing well in the right direction. Some of recent important achievements during 2013-14 are: development of indigenous affordable technologies for patient care and public health, strengthening the network for viral diagnosis and research, joint programmes on vector borne diseases and diseases affecting tribal and other marginalized communities. Some of these areas, where there has been tangible progress include the setting up of data repositories on medical and health research for wide public access as part of the national knowledge policy. Other areas like Mapping of Health Research Institutions, Knowledge Management Policy, Health Research Policy, and Accreditation of Health Research Institutes are in various stages of implementation. Since the creation of the Department, after wide scale consultations, five new schemes have been initiated in order to finalize and firm up the interventions and policies required in order to establish and facilitate a vibrant, well functioning and relevant Health Research System in the country. Annual Report 2013-2014 2 Organisation and Financial Performance After the creation of Department of Health Research as a separate Department in 2007- 08, the Department is functioning with a very small complement of staff. Six posts were transferred from the Department of Health & Family Welfare and 16 additional posts in different grades were created with the approval of Department of Expenditure. The latest status regarding sanctioned strength of the Department and the number of posts filled are as under: S.No. Name of post No. of posts No. of additional Total sanctioned No. of posts filled transferred from posts created strength MoH&FW 1. Joint Secretary 1 1 2 2 2. Director/DS 1 1 2 1 3. Scientist ‘E’ - 1 1 - 4. Under Secretary 1 1 2 2 5. Scientist ’C’ - 2 2 - 6. Section Officer 1 2 3 3 7. Assistant 1 4 5 2 8. Private Secretary - 2 2 1 9. Stenographer - 2 2 1 10. LDC 1 - 1 1 Total 6 16 22 13 The position of filling up of posts is as follows: 1. Scientists: For the post of Scientist ‘C’ and Scientist ‘E’, the posts can be filled only after the Recruitment Rules are approved by the DoPT and Union Public Service Commission. The proposal in this regard has been referred to the DoPT. 2. Secretariat Posts: While the Central Secretariat posts have been encadred by DoPT in July, 2012, postings against some posts are yet to be made. Moreover, the cadre controlling authority for the Department is the D/oH&FW and, therefore, actual posting of officers /staff is first made by DoPT to that Department and, thereafter, further postings are made by that Department to DHR. Meanwhile, consultants have been engaged from ICMR side to take up work related to DHR particularly requiring interphase with ICMR. They include one retired Director, a retired Deputy Secretary, a retired Under Secretary and a legal consultant. Steps have also been taken to establish the Project Management & Implementation Units (PMIUs) for effective implementation of all the five schemes rolled out during the year 2013-14. 3 Annual Report 2013-2014 DEPARTMENT OF HEALTH RESEARCH 3. Additional Posts: Steps have been initiated by the Department for augmentation of its existing strength by way of creation of additional posts. Financial Performance: The approved outlay for the 12th Plan for the Department is Rs.10029 Crores. Out of the approved allocation of Rs.10029 Crores, an allocation of Rs.5259 Crores has been earmarked for the schemes/programmes of Department of Health Research and Rs.4770 Crores for the various activities/programmes of ICMR. The scheme-wise allocations are as follows: Annual Report 2013-2014 4 DEPARTMENT OF HEALTH RESEARCH (Rs. in crores) S.No. Schemes Allocation Approved Project Cost as (2012-17) per EFC/CCEA 1. HRD scheme of DHR 812.00 597.00 2. MRU in State Medical Colleges 1118.00 503.83 3. MRHRU in the States 246.00 67.66 4. Establishment of a Network of Laboratories for 1084.00 646.00 Managing Epidemics and Natural Calamities 5. Grant-in-Aid scheme of DHR 1953.00 1242.00 6. Grant-in-Aid to ICMR 4770.00 4770.00 7. Governance and departmental expenses 46.00 46.00 Total 10029.00 7872.49 Expenditure (Rs. in crores) Particulars 2012-13 2013-14 BE RE Actual BE RE Actual (upto 31st March, 2014) DHR 142.00 24.00 0.17 195.00 95.00 89.42 ICMR 518.00 440.00 460.14 (including 531.00 480.00 480.20 supplementary grant of Rs.20.14 crores) Total 660.00 464.00 460.31 726.00 575.00 569.62 A statement indicating the BE/ RE (2013-14) and actual expenditure upto 31.03.2014 under Plan and Non-Plan and BE (2014-15) under Plan and Non-Plan is given at Annexure-I Audit Observations A statement indicating the audit observations pertaining to ICMR (Department of Health Research) is given at Annexure-II. Activities in the North-Eastern States A statement indicating Activities in the North East & Grievances Redressal at DHR is given as Annexure-III. 5 Annual Report 2013-2014 Establishment of Multi-Disciplinary Research Units (MRUs) in State Government Medical Colleges Globally, health research is predominantly carried out in the Medical Colleges/Institutions providing education in allied subjects and other research institutions. Medical Colleges are the back bone of both teaching and providing specialized services to patients in India. They are also expected to set the trends in the thinking process and innovations to improve our understanding of the diseases and their management. However, over the years it has been noticed that majority of medical colleges have confined themselves to routine patient care and teaching based on conventional methods. Presently, quality Medical Research is largely confined to a handful of institutions and medical colleges in the country that too in few States only. The standard of papers published/ research projects undertaken by the students of post-graduate courses/PhD in most of the Medical Colleges are not inspiring. This can be attributed both to the lack of appropriate facilities for conducting research and a lack of motivation and knowledge on the part of faculty and students in Medical Colleges for conducting research. Consequently, the Medical Colleges are not pursuing newer methods of investigation for understanding the pathological diagnosis, treatment and management practices.
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