Abstract
BackgroundUniversities undertake the majority of publicly funded research in Germany and hence bear a responsibility to contribute to global health efforts. So far, involvement and impact of German medical faculties in global health are unknown. Our aim was to systematically asses and evaluate German medical faculties’ contribution to global health related research and education, as well as their policies and practices concerning open access publishing and equitable licensing.MethodsWe assessed the involvement in global health of all 36 publicly funded medical faculties in Germany during 2010–2014 in three areas: innovation, access and education, using the following indicators: research funding and publications focused on global health or poverty-related and neglected diseases; open access publishing and policies promoting access to medical innovations worldwide; provision of global health education. Data were gathered from public databases, university websites and questionnaires sent to individual universities for validation and triangulation.ResultsThere was a high level of variability between institutions and indicators. The proportion of research funding for poverty-related and neglected diseases research ranged between 0.0–1.1%. The top five institutions received nearly 85% of the total poverty-related and neglected diseases research funding. 20 of 36 universities had an institutional open access publishing policy, 19 had an open access publishing fund, 16 had neither. Only one university reported having used an equitable licensing policy. 22 of 36 faculties provided some global health education, but only one of them included global health in their core undergraduate medical curriculum as a compulsory course with more than just single lectures.ConclusionObtained data indicate that global health and poverty-related and neglected diseases research at German medical faculties is highly concentrated in a few institutions, open-access publishing and equitable licensing policies are mostly absent, and only little global health education exists. Universities and government should address global health strategically in both research and education at medical faculties to reflect the country’s economic and political weight and human resource potential.
Highlights
An estimated half of the world’s population lacks access to medicines [1]
We assessed the involvement in global health of all 36 publicly funded medical faculties in Germany during 2010–2014 in three areas: innovation, access and education, using the following indicators: research funding and publications focused on global health or povertyrelated and neglected diseases; open access publishing and policies promoting access to medical innovations worldwide; provision of global health education
In terms of the share of health research funding compared to corresponding global burden of disease, research on poverty-related and neglected diseases is underfinanced by a factor of five at universities in the United Kingdom (UK) [5]
Summary
An estimated half of the world’s population lacks access to medicines [1]. Many of the most pressing health needs in low- and middle-income countries have been historically neglected in health research. Funded universities are in a position to address these issues, by including global health teaching in their curricula, increasing research efforts in historically neglected areas, and ensuring that medicines and other health products developed through their research are available affordably in the countries with the greatest health needs. No systematic assessment of global health related research at German universities has been conducted so far. Universities undertake the majority of publicly funded research in Germany and bear a responsibility to contribute to global health efforts. Our aim was to systematically asses and evaluate German medical faculties’ contribution to global health related research and education, as well as their policies and practices concerning open access publishing and equitable licensing
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