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Toward equity in health research.


 The independent Commission on Health Research for Development determines the role of research in improving the health and well-being of the poor and recommends how to achieve this improvement. It decided that persons affected by health problems must be actively involved in the process of finding solutions to those problems. This forms the basis for the Essential National Health Research (ENHR) strategy. Each country's researchers, decision makers, and communities work together to identify problems, to set priorities, and to find solutions through scientific inquiry. This strategy is a means to effect equity in health within a country and between countries. The Task Force on Health Research for Development, formed in late 1990, supports international networks helping with the ENHR process and champions the significance of health research for development. It also mobilizes resources for ENHR. By March 1993, 18 countries were in the process of implementing the ENHR strategy and another 18 were considering implementing it. Each country develops its own ENHR process and uses various national organizations as the institutional base for the strategy (the community, academia, nongovernmental organizations, or government organizations). In March 1993, representatives of the 18 countries which had implemented ENHR and other participants at an international conference agreed to the need for a more permanent international coordinating mechanism for implementing the ENHR strategy, leading to the creation of the Council on Health Research for Development (COHRED). It is situated within UNDP in Geneva. As of December 1993, COHRED had 34 constituent countries, agencies, and organizations. ENHR allows countries to make difficult choices and solve problems via research activities. It involves the people, the researchers, and the policymakers as equal partners in the process. Most countries already using ENHR are poor countries that need technical and financial assistance to conduct ENHR.
