ICMR Strategic Plan
ICMR Strategic Plan
&
AGENDA 2030
Technical Support
Dr. Enna Dogra Gupta, Scientist B, Div. of RMPPC, ICMR Hqrs
Dr. Joyita Chowdhury, Consultant, Div. of RMPPC, ICMR Hqrs
The world is changing at a faster pace than ever before. Large scale development, rapid urbanization,
increased travel, changing climatic conditions, inequities in access to health care etc. have seriously
impacted various disease conditions. The re-appearance of diseases which were considered to
be controlled and emergence of new infections like H1N1, Ebola and Zika virus in addition to the
increasing burden of non-communicable diseases is a cause for concern.
The Indian Council of Medical Research (ICMR) has been on the forefront of medical research in
the country and has supported national health programmes. We are at a crucial juncture when the
world has moved from Millennium Development Goals (MDGs) to Sustainable Development Goals
(SDGs). The Government of India has recently released a new National Health Policy 2017 aiming
for universal health coverage. ‘Vision for a Healthy India’, a document prepared by NITI Aayog
provides guidance to health planners and implementers on future strategies and action plan to
improve health indicators in the country. The Government of India has also strengthened efforts
towards elimination of diseases like leprosy, filariasis, leishmaniasis, tuberculosis and malaria.
ICMR plans to re-align its research to become truly complementary to national policies. There will
be a focus on translating the leads emerging from research to action for the benefit of society and
introduction of affordable indigenously developed technologies for disease diagnosis, prevention,
treatment and control. The ICMR Strategic Plan-2017 is based on 5 major pillars. ICMR will aim at
overall strengthening of research capacity and infrastructure in the country with a special emphasis
on creating platforms for data sharing and exploration for generation of new ideas. Through a network
of centres, ICMR will develop research collaborations with AYUSH agencies with a focus on scientific
validation of traditional remedies. In addition, ICMR will focus on Evidence to Policy translation and
strengthening of ongoing national health programs. This document provides a roadmap in terms of
strategies planned and timelines mentioning the short, medium and long-term goals to be achieved
by 2030. I hope that in the years to come, India will emerge as a global leader in health research.
Foreword
Executive Summary 1
- Pillar 2: Rationalizing Data Systems and Providing Easy Access Research Platforms 19
Aligning ICMR’s Vision with National Health Policy and India’s Commitment to SDG 2030 38
Abbreviations 40
Providing affordable healthcare for all in a populous country like India is a challenging task.
Indian Council of Medical Research (ICMR) is one of the oldest medical research councils of the
world, set up in 1911 as Indian Research Fund Association (IRFA) with a mandate of formulation,
coordination and promotion of biomedical research in the country. After Independence, IRFA
was renamed as ICMR and has contributed immensely in formulating policies and programmatic
interventions for health problems of the country like tuberculosis, viral diseases, leprosy, malaria,
cholera and nutritional disorders. The DOTS strategy for tuberculosis, research on multi-drug
therapy for leprosy and eco-friendly community based approaches for malaria control are
ICMR’s landmark research contributions to the society. ICMR has had a major role in developing
diagnostics, during epidemics of H1N1 influenza, dengue fever, chikungunya, Japanese
encephalitis and Kyasanur forest disease (KFD). Recently ICMR has played a significant role
in Polio elimination from India and has now focused efforts on elimination of leprosy, kala-azar,
filariasis, malaria and tuberculosis.
India spends only about 1% of its gross domestic product on public health, compared with
5.55% in China and 17.14 % in the United States in 2014. India's per-capita expenditure on
health research is less than $1. A nation is prosperous when the health system of the country
is strong which is backed up by significant and strong health research feeds. ICMR has drafted
a new Strategic Research Plan for the next seven years to contribute towards improvement
in health outcomes in India. The ICMR Strategic Plan-2017-24 is based on 5 major pillars of
capacity building, data management, leveraging traditional medicine, evidence to policy and
strengthening program implementation through research.
The recommendations of various committees that have reviewed ICMR’s work, recent WHO
guidance on elimination of diseases and sustainable development goals and a plan to leverage
the strength of ICMR institutional network in India form the foundation on which pillars of ISP-
2017-24 have been built. Its core aim is to deal with health challenges faced by the country
such as non-communicable diseases, anti-microbial resistance, emerging infections, maternal
With implementation of ISP 2017-24, ICMR intends to play a greater role in improving the health
of the people of India. As a knowledge generating body, it will position itself to provide critical
feeds for policy making and program strengthening and improvement. The renewed focus on
innovation and translation of research into products and schemes of mass benefit is expected to
touch the lives of the people of India.
ICMR MISSION
GENERATE, manage and disseminate new knowledge.
INCREASE focus on research on the health problems of the vulnerable, the
disadvantaged and marginalized sections of the society.
HARNESS and encourage the use of modern biology tools in addressing health
concerns of the country.
ENCOURAGE innovations and translation related to diagnostics, treatment, methods/
vaccines for prevention.
INCULCATE a culture of research in academia especially medical colleges and other
health research institutions by strengthening infrastructure and human resource.
ICMR MANDATE
1 2 3
Formulate, spearhead Conduct, coordinate Translate medical
and promote and implement innovations to products/
biomedical research medical research processes and introducing
in India as a National for the benefit of them into the public
Apex Body the Society health system
ICMR STRATEGIC PLAN 2017-24 3
ICMR Institutional Network Across the Country
Intramrual Research
People Research
ICMR institutions
Collaboration Dissemination
Extramural Research
1. Task force projects
2. Ad-hoc funded projects
3. Centres for Advanced • MoUs with different • Journals
Research institutes/countries • Bulletins
• Books
• Monographs
ICMR has shown a strong commitment to encourage and strengthen professional development
through its training and capacity building initiatives such as thematic training programs,
workshops, and short-term research studentships for those preparing for a career in medicine
and medical research. It also provides research fellowships and short-term visiting fellowships
for upcoming researchers to expand their skills and knowledge base early in their career.
ICMR also offers Emeritus Scientist positions to retired medical scientists and teachers to
enable them to carry out research on specific topics. The international research collaborations
of ICMR have spanned across all the continents with signed agreements with leading research
agencies from the lead countries in contemporary areas such as cancer, diabetes, infectious
diseases and vaccines.
Establishment •
Bioenvironmental approaches for malaria control (eg. Larvivorus fishes, bio-
of Innovative larvicides, Health Impact Assessment of Developmental Projects, etc.)
Intervention •
Demonstration of a successful community based integrated vector management
Models programme Cherthala, Kerala against filariasis
Nutrition •
Nutritive value of Indian Foods and Food Fortification are landmark achievements
of ICMR
•
Double fortification of cooking salt with iron and iodine
•
RLEP-PCR technology for early diagnosis of leprosy recently introduced under
NLEP
•
Micro-nutrient mix
•
Balamruthum – Fighting malnutrition in children
Environmental •
ICMR studies led to shifting of all silver foundries from residential zone to forestall
& Occupational community exposure
Hazards •
Registration of Methomyl was cancelled by the Pesticide Registration Committee
•
Byssinosis like health conditions following jute dust exposure became
compensable based on ICMR study results
•
Nickel controversy in chocolates/hydrogenated oil
•
Integrated Environment Programme on Heavy Metals Pollution (Phase-I & Phase-II)
•
Conducted integrated environmental epidemiology study in identified critically
polluted areas of the country
•
Monitoring of pesticide residue in fruits and vegetables
•
Generated data base on pesticide residues in soft drink
•
Quantitative detection of heavy metals and phthalates in Toys
•
Landmark epidemiological, clinical and environmental research studies following
Bhopal Gas Tragedy
National •
Clinical Trial Registry – India (CTRI)
Registries/ •
National Cancer Registry Programme
Network Projects/ •
MACE Registry
Monitoring •
National Nutritional Monitoring Bureau (NNMB)- now discontinued
Surveillance • National Rotavirus Surveillance Network (NRSN)
Networks • Bacterial Meningitis
• Virus research and diagnostic laboratory network
•
Demonstration of HIV infection in India and initiated country wide sero-
surveillance
•
Polio surveillance and research support for Polio elimination
•
Antimicrobial Resistance Surveillance Network (AMRSN)
•
Support NACO in diagnosis, monitoring, training of HIV/AIDS
•
Support IDSP by providing diagnosis for influenza, measles etc.
•
INDIAB study to monitor prevalence of diabetes in the country
Support in •
Assessing Health Impact due to Indian Ocean Tsunami in 2004 (NIE, NIRT,
Outbreaks/ NICED, CRME, VCRC, RMRC-PB)
Epidemics/ •
Environment and health impact assessment for Bhopal Gas Tragedy, 1984 (NIOH,
Pandemics/ NIMS, BMHRC,NIP, NICPR)
National •
Health impact due to Earthquake in Gujarat, 2001 (NIMR, DMRC),
Emergencies •
Super cyclone in Odisha, 1999 (NIMR)
•
Epidemic investigations during SARS/H1N1, and preparedness for ZIKA and
Ebola viruses, etc.
Success of any program depends on availability of adequate number of well-trained human resources.
To be able to undertake cutting edge high quality bio-medical and health research, ICMR will initiate
several courses on contemporary topics, expand its reach through online courses and regional hubs
and introduce mentoring and supervision. The emphasis will be on strengthening the research
capacity in medical colleges, universities, research institutes and young researchers.
Rationale
World Health Organization, the Council on Health Research for Development (COHRED), the
Global Forum on Health Research and other agencies have consistently emphasized that a primary
function of sustainable knowledge systems is to create and continuously improve the human
and physical resources for health research. Many ICMR institutes are
currently contributing to strengthening health research capacity in the
country by offering short term programs as well as Masters or Doctoral Strengths of ICMR
level programs and fellowships.
Infrastructure
ICMR plans to strengthen the national capacity to carry out multidisciplinary • ICMR HQ. and ICMR
institutes
research by training and mentoring researchers in research institutions,
universities and govt. medical colleges in the next seven years. In addition • Multidisciplinary research
units
to strengthening the current capacity building initiatives at ICMR, it is
aimed to build up the national capacity to carry out multidisciplinary, • Model rural health research
units
high end research focusing on skill building. ICMR would work not only
on empowering the young and middle level faculty in medical colleges Capacity Building
and other research institutions by engaging, mentoring and supporting • Masters and post-doctoral
research programs in nationally relevant areas, but also promote talented programs
researchers working abroad to come back to India. The overall focus • Fellowship programs
will be on developing capacity to undertake research which will result in • Certificate courses
either prevention and control of diseases or improvement of health of the
• Research methodology and
people and health systems. For this, ICMR plans to adopt a three-pronged scientific writing workshops
approach of customized courses for undertaking advanced high end and
• Short-term Studentship
basic start-up health research; strengthening the available infrastructure
program
in elite research institutions, medical colleges, research institutions; and
establishment of centers of excellence and regional mentorship hubs. Others
• MD Ph.D
Additionally, ICMR plans to acquire an independent university or • PDF
equivalent status to strongly position itself as a teaching agency and • RA
provide an opportunity to students to obtain a postgraduate or doctoral
• International Fellowships
degree under the ICMR Brand.
Stakeholders
• Junior and middle level scientists of ICMR and its institutes and other national research and
academic institutions.
• Junior, middle, senior faculty and super specialists, medical students, post graduates of
medical colleges and research/academic institutions, non-government organizations
• Programme managers of sub-district, district, state and national levels
• Community representatives and community gatekeepers
• Specialized skilled researchers
• Ethics committee members
Strategies
• Short and long term programs oriented to creating top class young scientists
• Prepare or modify existing customized courses focusing on training for skill-building
• Short-term customized 5-10 days general and thematic research methodology and scientific
writing workshops at regular intervals in colleges and institutes
• Customized Masters/Doctorate level courses/Post-doctoral fellowship (PDF) on the ICMR
institutional platform/at other academic or research organizations
• Program to attract young investigators from overseas
• Pursue creation of ICMR University
• Novel high end research schemes combining training in research and large scale funding
opportunities
• Online courses like, induction training courses for young researchers, certificate courses and
other specialized courses: try university affiliation
• Introduce rewards and incentives for outstanding research performance and output at
institute as well as at individual level
• Inter-sectoral, national and international collaboration for training and capacity building
initiatives in specific/ identified areas
Deliverables
At end of 3 years At end of 5 years At end of 7 years
Two yearly induction
• •
Continue two yearly induction •
Continue two yearly induction
trainings for ICMR scientists, training for ICMR scientists, training for ICMR scientists,
faculty, program managers, faculty, program managers, faculty, program managers,
postgraduates postgraduates postgraduates
•
50 ICMR scientists and 500 •
Another 50 ICMR scientists •
Almost all ICMR scientists
junior and middle level faculty and 500 junior and middle and most of junior and middle
from academic institutions level faculty from academic level faculty members are
trained for high end, skilled institutions trained for high trained for high end, skilled
and basic research methods end, skilled and basic and basic research methods
research methods
•
Five online courses on basic •
Another five online courses on
and cross cutting areas •
Another five online courses on basic and cross cutting areas
prepared and launched basic and cross cutting areas prepared and launched and
prepared and launched the process goes on
Strategies
• Needs assessment, identification and selection of appropriate institutions, organizations for
undertaking theme-based action oriented research.
• Identification and providing necessary logistics infrastructure support to select institutions for
providing mentoring support
• Provide infrastructure (logistics and equipment) support to the identified elite institutions
acting as regional hubs to initiate capacity building in identified areas
• Engage junior and middle level faculty by undertaking actionable research in medical colleges
• Infrastructure strengthening at partner institutes including elite institutions
Deliverables
At end of 3 years At end of 5 years At end of 7 years
Algorithms for providing the
• •
Ten more centres of •
Identify need based more
infrastructure support and excellence for mentoring centers of excellence for
mechanisms for support skilled high end research mentoring skilled high end
prepared and 3 more regional centres research and more regional
to mentor basic research centres to mentor basic research
methods identified methods
Strategies
• Finalize objective criteria for selecting institutions or organizations as regional hubs for
mentorships
• Creating centres of excellence and mentorships for capacity building at state, regional,
national levels
• Prepare guidelines to provide infrastructure support to select institutions or organizations for
imparting capacity building
• Orient and re-orient the faculty/resource persons for providing courses/training
Deliverables
At end of 3 years At end of 5 years At end of 7 years
Guidelines for identifying the
• •
Identification of 5 additional •
Identification of 5 additional
regional hubs are in place regional academic/ research regional academic/ research
institutions to act as regional institutions to act as regional
•
Identification of 5 regional
hubs in years 4/5 hubs in years 6/7
academic/ research
institutions to act as regional •
Training of Trainers at •
Training of Trainers at the 5
hubs completed the 5 identified regional additional identified regional
• hubs - academic/research hubs - academic/research
Training of Trainers at
institutions) in years 4/5 institutions) in years 6/7
the 5 identified regional
hubs -academic/research
institutions) identified
ICMR generates huge volumes of data through intramural and extramural research programs. Making
these datasets as well as the data generated through publicly funded research available to different
stakeholders through efficient data systems to create a research platform would help in accelerating
research and improving public health. It will open avenues for estimating/ comparing disease burden,
hypothesis generation, evidence for policy formulation and evaluation of interventions. In order to
enhance wider utilization of ICMR research data by stakeholders, ICMR will develop and implement
ICMR’s policy on data sharing and access. Further, ICMR will transform individual data sources
into thematic data repositories and assimilate the repositories to a comprehensive data warehouse.
The data warehouse will be made available to stakeholders for use through advance data analytics
platform. Focus will be given on wider utilization of ICMR research and enhancement of national and
international collaborations.
Rationale
Publicly funded research data is a public property and should be made
available for public consumption. ICMR as a public funded premier
national medical research agency, generates huge amount of data
through its intramural and extramural research programs. The data Strengths of ICMR
ranges from simple text based patient profiles, to complex molecular
• Extensive expertise in
structures and images. Availability of research data generated by epidemiology
ICMR in a timely and responsible manner to different stakeholders
• Large scale data sources of
will be extremely useful in accelerating research and improving public population based National
health. It will contribute to estimating and comparing disease burden, registries, surveys
hypothesis generation, evidence for policy formulation and evaluation • Surveillance systems on diseases
of interventions. of national and international
priorities
ICMR has developed data management portals for several of its research • Structured disease specific/
programs and provides access to the data in the form of documents and thematic digital databases
reports which have been used by different stakeholders for research. available
However, exponentially increasing requirement of quality data and • Examples of collaborative data
developments in informatics and data analytics have necessitated access and sharing initiatives
need for improvements in current data management practices at with national and international
agencies exist
ICMR. Few areas that need improvement include development and
implementation of ICMR policy on data sharing and access which will • Infrastructure and expertise in
streamline the procedural bottlenecks in data sharing by researchers, data analytics available
reducing diversity in data formats and platforms through development • Work on big data analytics has
of guidelines and SOPs which will bring uniform standards in data been initiated
collection and improvement in quality of data, improving access to
Strategies
• Review national and international policies on data access and sharing with reference to health/
biomedical research data
• Establish a multidisciplinary/multi-stakeholder committee for developing, guiding and monitoring
implementation of ICMR policy on sharing and access of health/biomedical research data
• Operationalize the ICMR policy on data sharing and access across ICMR institutes and ICMR
funded research
Deliverables
At end of 3 years At end of 5 years At end of 7 years
• ICMR policy on sharing and • ICMR policy on sharing and • Updating ICMR policy based
access of health/ biomedical access of health/biomedical on the experience, review and
research data developed research data reviewed then national and international
needs
• Operational guidelines for policy • Policy implemented for
implementation developed extramural projects • Dissemination of the policy
and key findings to relevant
• ICMR policy on sharing and
stakeholders
access of health /biomedical
data implemented for
intramural programs of ICMR
through ICMR institutes
• Implementation of policy for
extramural programs of ICMR
initiated
Strategies
• Develop infrastructure for data digitization and electronic data capture through establishing
data management cells in ICMR institutes
• Establish local data-repositories at ICMR institutes and centralized data repository at ICMR HQ,
by incremental mirroring of data from local data repositories
• Develop comprehensive data warehouse at ICMR and establish research platform for mining of
data from multiple sources
Strategies
• Encourage use of ICMR research data platform for estimating disease burden, research
prioritization and fund allocation
• Brainstorming among the stakeholders to identify research questions to be answered based on
additional data analysis
• Generate evidence based on secondary data analysis for program evaluation and policy
formulation
Deliverables
At end of 3 years At end of 5 years At end of 7 years
• Modules and SOPs for data • ICMR health/ biomedical • Review the ICMR health/
integration, data warehouse research data warehouse biomedical research platform
finalized operationalized for identification of gaps and
improvements
• Research platform developed • 2-3 big data analytics
research projects using ICMR • Generate evidence for relevant
• 2-3 big data analytics
research platform completed stakeholders for formulation of
research projects planned
policies on thematic areas
• 7-10 big data analytics
research projects using ICMR
research platform completed
India’s policies and programmes support research related to traditional medicines and emphasize
on maximizing benefits of this important resource of the country. Building on the strengths of the
infrastructure, experience and expertise in traditional medicine, ICMR plans to extend its research
support to traditional medicine researchers and academicians to take the benefits of Indian traditional
medicines to the national and global level. Realizing that conducting traditional medicine research
on modern platforms has formidable challenges, ICMR proposes to build capacity among AYUSH
researchers, develop clinical research guidelines, establish inter-disciplinary network and conduct
collaborative research with AYUSH partners.
Rationale
Based on a recommendation from ICMR’s Scientific Advisory Board to
focus on time-honoured traditional therapies as valuable additions to the
existing therapeutic options of modern medicine for selected conditions;
Strengths of ICMR ICMR, over the subsequent years, developed procedures, protocols and
systems to support traditional medicine research. In the recent times,
Infrastructure
several reforms concerning ethical and regulatory reviews have taken
• National Institute of Traditional
Medicine has been established
place in the country as applicable to clinical trials. Further, the Govt.
in Belagavi. of India’s current programs and policies are supportive of research on
traditional medicines in India. Recently, Parliamentary Standing Committee
• Medicinal plants division is
functional at ICMR. recommended ICMR to develop a framework for validation of classical
and high priority AYUSH formulations and facilitate inter-disciplinary
• There is ongoing collaboration
with AYUSH research Councils. AYUSH research. In this context, ICMR acknowledges the existence of
formidable challenges in bringing traditional medicine research on the
• Division of basic medical
science is supporting extramural modern medicine platforms and considers that ICMR institutions have
research in traditional medicine necessary skills and competencies to overcome these challenges to make
area. the collaborative research with traditional medicine more meaningful.
ICMR believes that with proper strategic backing traditional medicine can
Expertise be positioned to contribute in improving the health of Indian people. ICMR
• Inter-disciplinary research
proposes partnership development involving the Ministries of Health and
network exists.
Family Welfare and AYUSH, Department of Science and Technology,
Experience ICMR institutions, AYUSH research councils and institutions and health
• Multi-centric trials of AYUSH researchers from all sectors. In view of the above, the revised ICMR
products have been done. strategy wishes to pursue the key objectives of identifying key researchable
• Compendium of pharmacopeia areas in traditional medicine, providing training for traditional medicine
standards and monographs on researchers in pharmacological and clinical research and frame guidelines;
Indian medicinal plants have establishing national level inter-disciplinary research facility and a network
been published. for traditional medicine research and conducting collaborative research
on identified researchable areas in traditional medicine.
Strategies
• Brainstorming within ICMR
• Meetings and discussions with stakeholders
• Development of modules in collaboration with stakeholders including industry
Strategies
• Strengthen and position NITM-Belagavi as National facility for traditional medicine research
• Brain-storming with stakeholders to develop framework for research and practice of traditional
medicine including application of technologies
Deliverables
At end of 3 years At end of 5 years At end of 7 years
Mechanism for functional
• National network with core
• Unified, compressive digital
•
research based infrastructure strengths and experience resource on scientifically
appropriate for undertaking established by ICMR validated Indian traditional
basic, applied and clinical medicinal plants developed
•
Development work on
research in traditional
monographs, quality •
Development work on
medicine established
standards, phytochemical monographs, quality
• ‘Centre of excellence in reference standards and standards, phytochemical
ethno-medicine / non- safety review monographs reference standards and
codified traditional medicine’ continued safety review monographs
established with the support continued
of AYUSH at NITM-Belagavi
•
Development of monographs,
quality standards, Phyto-
chemical Reference standards
and safety review monographs
continued
Strategies
• Brain-storming within ICMR and with stakeholders
• Involve ICMR institutions/centers to undertake basic, clinical and applied research on traditional
knowledge based products including proven products of AYUSH systems
• Identify, develop and promote core strengths of ICMR institutions to contribute to research in
traditional medicine
Expected Outcomes
• Establishment of research collaboration with key AYUSH stakeholders
• Skills developed for research in AYUSH/ Traditional medicine
• Generate mechanism for establishment of clinical trials unit for traditional medicine research to
meet the demands of specific clinical trial needs of multi-centric studies
• Guidelines for clinical research in traditional medicine framed
• AYUSH/ traditional medicine researchers trained in skills related to research
Many ICMR research outcomes have benefitted the national disease control programs and helped
in reducing the disease burden in the past. ICMR aims to strengthen evidence based approach for
policy making in the country. Major plans include establishment of a Evidence to Policy (E2P) Unit
as well as Medical Technology Assessment Board (MTAB) in the next 7 years to facilitate introduction
of indigenously developed affordable technologies, devices and products for the use of a common
man. It is important to maximize knowledge translation activities and create enabling environment for
bridging the research and policy gap.
Rationale
ICMR has been working on generation of evidence or knowledge related to diseases of public health
importance in India since its inception. Translational component of the research output of ICMR
institutions has helped policy development on several occasions, however, much more can be done.
Very often, a gap between research, decision making and clinical practice remains. The shared
conceptual clarity among researchers and policy makers about the scope and nature of health
research to be conducted that could have policy implications is insufficient. In past, in absence
of evidence from systematic reviews, the national health programs have
benefited by the operational research carried out in the country. The
scope for knowledge brokering, a strategy to close the ’know-do gap’ is
Strengths of ICMR
expanding. Thoughtfully conducted systematic reviews can fill this gap
efficiently. The science of evidence-based medicine (EBM) is still in its Expertise
infancy in the country. ICMR has supported the EBM initiative in India by • 8 Technologies already
developed & many are in
funding an Advanced Center for EBM (2007-2011) that hosted the South
pipeline
Asian Cochrane Network & Centre (SACNC) at the Christian Medical
College, Vellore. In 2007, ICMR procured a national subscription to The Experience
Cochrane Library making it accessible to all Indian scientists. This was a • Network of institutes &
centres have lot of capability
major achievement that opened the doors of EBM in India. It is experienced
and trained manpower
that there is lag between the knowledge becoming available and that being
actually used by policy makers. ICMR is proposing to address the issue • National subscription of the
Cochrane library
of gap described above. The overarching aim is to strengthen evidence
for policy making in the country. ICMR institutes across the country work • Experience of hosting SACNC
very closely with the State health governments. Civil servants, politicians Infrastructure
and academicians continue to express concerns about the way policy is • Division of ITR has been
made, and whether it is ready to meet future challenges. The costs of established and expertise in
policy failures can be significantly high. Therefore, ICMR intends to re- IPR available
strategize how it can make research more credible and accountable to • Established CAR on EBCH
people’s needs through appropriate policy making.
Strategies
• Capacity building for conducting systematic reviews and policy briefs
• Creation of “Evidence to Policy Training Centre” for skill building of health professionals,
scientists and policy makers
• Evidence-to-policy capacity enhancement workshop, to improve policy-makers’ capacity for
evidence-informed policy-making (EIP)
Strategies
• Create a Health Technology Assessment framework to evaluate technologies (drugs, devices,
procedures other clinical, public health and organizational interventions and organizational
systems used in health care) for assessing their safety, effectiveness, cost effectiveness,
social, ethical and legal aspects
• Evaluate identified priority technologies/ processes, through HTA
• Recommend cost effective technologies for the policy uptake/ programmatic introduction
Deliverables
At end of 3 years At end of 5 years At end of 7 years
Priority setting/topic selection
• •
3-5 technologies/processes •
Up to 10 innovations from
for HTA using India state-level evaluated through the ICMR and 5 indigenously
disease burden estimates for proposed HTA framework developed diagnostic products
prioritization and planning processed through HTA
•
A special purpose agency
completed
(section 25 company)/ •
Impact evaluation of at least
•
HTA framework for PPP model to handle 10 indigenously developed
technology/process entrepreneurial competitive products (diagnostics,
assessment established awards for medical technology vaccines), processes and
development established Guidelines intended for basic,
•
Training of core group of ICMR
clinical and public health use
scientists in HTA completed
initiated/completed
Strategies
• Produce evidence syntheses mechanisms and platforms: rapid reviews/policy briefs
• Disseminate evidence through media briefings/national consultation etc.
• Establish e-portals for evidence generated to influence policies, sensitize affected and vulnerable
communities
• Develop a formal mechanism for linking research findings with local health policies and
treatment practices by engaging with key NGOs and journalists
Deliverables
At end of 3 years At end of 5 years At end of 7 years
Guidance documents for
• •
Yearly 2 Media briefings/ •
An online database of policy
synthesis and analysis created 2 National consultation/2 briefs for uptake by the policy
Dissemination meetings of makers created
•
5 Fact sheets for
research findings for policy
dissemination of evidence •
Uptake of evidence-based
makers and media conducted
created knowledge products into
•
At least 5 e-portals for state health care system
dissemination to community established
developed
Expected Outcomes
• Mechanisms established to enable knowledge translation for health policy. Health policy
decision–making may become more cohesive, evidence based and rational
• Use of evidence in decision-making for health policies will help to bridge the ‘Evidence to
Policy Gap’
• Medical Technology Assessment Board will perform cost-effectiveness evaluations for
interventions such as new drugs, diagnostics, vaccines and programs. This might help in cost
savings
• The decision-making landscape in the country will be much improved
ICMR supports the Ministry of Health and Family welfare, Govt. of India and State Govts. in tackling
public health problems by providing key inputs, evidence and guidance in the areas of epidemiology,
monitoring and evaluation, introduction of newer tools like – diagnostics, drugs, devices and vaccines.
ICMR also develops and assists National programmes in developing guidelines for various health
conditions; advices regarding scale up of programme and undertakes capacity building of the
programme staff for surveillance and outbreak investigations etc. It is planned to significantly improve
the existing programmatic engagement at the national and state levels to improve benefits to the
community by providing critical research inputs.
Rationale
Strengths of ICMR
Government sponsored health programmes are designed to
comprehensively and equitably provide preventive, curative and Expertise
rehabilitative health care services for priority public health concerns. Since • Outbreaks/epidemic
investigation
health is a State subject, States adopt the national programmes in addition
to their own initiatives. ICMR institutions spread out across the country • Disease burden studies
and mandated with specific focused areas of research have traditionally • Epidemiological surveys
provided several useful inputs by working closely with State health systems
• Clinical Trials
and National programmes. ICMR has worked extensively in the areas of
Tuberculosis, HIV/AIDS, vector borne diseases, polio, rotavirus, nutrition, Experience
maternal and child health, immunization, bacterial meningitis surveillance, • Drug trials, vaccine
cancer, non-communicable diseases and health system research. ICMR trials, community based
will strongly focus on supporting and strengthening health programmes intervention trials, insecticide
through relevant and focused research. In addition, new models, tools and trials
techniques shall be researched for policy and programme purposes. There • Validating intervention tools
is a felt need to further strengthen bilateral linkages between programme
and researchers and improve timely uptake of research results. ICMR will Infrastructure
work with programme implementers to align research more meaningfully • Institutional network
to health systems with a view to understand barriers and improve health • Collaboration with states
care delivery, access and identify timely solutions. & other national and
international agencies
• Trained/skilled human
resources
Strategies
• Set up and strengthen existing monitoring, evaluation and surveillance systems to identify gaps
for equitable health care delivery through appropriate research
• Proactive participation in State and National level programme planning, monitoring and review
missions and meetings/HSRC Committees in drafting/ revising health polices/ programmes
• Engage with health and non-health sectors for addressing the research needs of the health
programmes
• Develop guidelines for management of diseases and improving quality of care
Strategies
• Cataloguing innovations
• Creating network for development and evaluation of innovation for programme strengthening
• Conducting economic evaluation of existing programmes
Deliverables
At end of 3 years At end of 5 years At end of 7 years
Networks established
• •
At least 5 innovative research •
Yearly at least 2 newer
leads for undertaking interventions suggested
•
Mapping innovations through
implementation research made •
stakeholder meetings and Innovations in at least 2
available
conferences to identify national and 5 State level
promising leads completed •
At least 10 best practice programme implemented and
• models for participation of evaluated
At least 10 protocols for
private sector in mainstream
implementation of identified
public health developed
innovations as collaborative
research developed
•
Operating Procedures/
manuals developed for
implementing the innovations
Strategies
• Organize regular interactive policy briefings between research teams and programme
implementers
• Organize platforms for stakeholder convergence
• Communicate information on research results through electronic, print technology, Information,
Education and Communication (IEC) to all stakeholders of research: more effective means of
dissemination of research results
Deliverables
At end of 3 years At end of 5 years At end of 7 years
Plan for dissemination and
• •
SOP for training and updating •
Impact of research in
advocacy of at least 5 model the implementers of the newer strengthening national and
projects developed innovations and strategies State level programmes
developed demonstrated through well-
•
Relevant research questions
defined objectives
to address barriers/ •
Platforms for stakeholder
challenges in scaling up at engagement for at least 5 •
At least five successful
least 5 successful models in programmes created intervention models
health programmes through disseminated to other parts of
analyses identified periodically the country
•
IEC/advocacy material for use •
3-5 model interventions in the
by the state/programme for country developed
at least 5 national and 5 state
level programmes developed
Expected Outcome
• Enhanced and timely uptake of research findings in programme planning, implementation,
monitoring and evaluation
• Allocation of adequate funds for research in every programme at national and state levels
• More reliable information obtained on health systems research and outcomes in terms of new
cases, morbidity patterns, mortality, complications, recurrences, disease endemicity, clinical
management and preventive measures
Relevant methods from those listed below will be selected to carry out monitoring and evaluation at
the end of 3, 5 and 7 years respectively:
There will be ongoing internal evaluation and mid-term as well as end-line evaluation by an external
agency. For each of the 5 pillars, measurable indicators will be identified and used to evaluate the
output, outcome and impact.
India has witnessed tremendous improvements in various health indicators over the past few
decades, but there is a long way to go. Department of Health Research (DHR) and ICMR have
made substantial contributions in policy making and program implementation space in the health
sector. Several innovations of ICMR are at the door step of commercialization and emphasis will be
continued to be given in this area. There is a growing realization that national, regional and global
partnerships might expedite the whole process of finding comprehensive solutions for better health.
There are several examples of success following an approach based on partnerships, collaboration
and integration and ICMR would use those as cardinal principles. ICMR has identified the need to
establish mission-mode projects in key areas of communicable and non-communicable diseases,
maternal and child health and nutrition. ICMR’s research focus will be in the direction of attainment
of Sustainable Development Goals, pursuance of National Health Policy 2017 and alignment with
the national flagship programs like Swachch Bharat, Skill India, Digital India and Make in India with
an ultimate goal of making our citizens healthy and the Indian Society strong.
Since inception, ICMR’s goal has been to promote health research for betterment of health of
Indians. The approach has been to keep pace with emerging challenges, leverage on technological
advances and be responsive to changing health needs of the society. By initiating specific enquiries,
conducting surveys and surveillance platforms and setting up domain specific institutes; ICMR
has generated crucial evidence in biomedical and health areas and provided sustained support to
national health programs in the years that followed. The ICMR strategic plan (2017-24) is meant to
steer forward this mandate and fulfill the vision of ICMR which is aligned with the National Health
Policy-2017 that is committed to providing universal health coverage. The Sustainable Development
Goals (SDG) of UN for health are meant to ensure healthy lives and promote wellbeing for people at all
ages and also to end hunger and achieve food security. Emphasis will be given on providing improved
user-friendly platforms for mining, exploration, generating hypotheses and solutions as well. While
keeping a focus on these areas, ICMR also plans to leverage the unexplored dimensions of Indian
nutrition. Accordingly, the areas of emphasis described under the five pillars of the strategic plan
are clearly aligned with them. Understanding the critical importance of capacity building in health
research in the whole country; providing appropriate platforms for evidence to policy translation and
strengthening program implementation for overall improvement of health and prevention and control
of diseases; the strategic plan describes key objectives, strategies, deliverables and outcomes in
these areas in the next 5-7 years. Additionally, ICMR’s strategic plan also focuses on rationalizing
and creating ICMR repositories that will be linked to various national health related databases and
making them available traditional medicine. Although traditional medicine has very rich legacy and
experience in India, taking the leads from Indian traditional medicine to the global market would
require evaluation of the products using modern methods. ICMR will establish strategic partnerships
with traditional medicine research councils and researchers in the coming years.
•
At least one new drug lead from traditional medicine
successfully evaluated
Validation and
P-3
•
Establishment of research collaboration with key AYUSH global acceptance
stakeholders of at least 10
•
Development of policy, guidelines, compendium, AYUSH products
monographs, quality standards, partnerships in the area of
traditional medicine
•
ICMR Evidence to Policy Unit submitting at least 5 policy
briefs per year for policy uptake Health programs
P-4
• All ICMR Institutes and approximately 500 professionals and policies in
trained in conducting of systematic reviews and economic India are based on
analyses. evidence/technology
• MTAB- Validating and recommending 10-20 new health assessment.
technologies per year
P-5
medical colleges for collaborative research
by implementing
•
At least five successful innovations/intervention models
evidenced based
disseminated to other parts of the country
policies.
•
Five Mission Mode Mega Projects guiding national
program for diseases identified for elimination