Comments on: Fiona Godlee on research in the developing world – for whom and by whom? http://blogs.bmj.com/bmj/2008/11/20/fiona-godlee-on-research-in-the-developing-world-%e2%80%93-for-whom-and-by-whom/ Just another blogs.bmj.com weblog Sun, 08 Nov 2009 00:59:05 +0000 http://wordpress.org/?v=2.5.1 By: Matiram Pun http://blogs.bmj.com/bmj/2008/11/20/fiona-godlee-on-research-in-the-developing-world-%e2%80%93-for-whom-and-by-whom/#comment-3238 Matiram Pun Mon, 01 Dec 2008 11:39:20 +0000 http://blogs.bmj.com/bmj/?p=507#comment-3238 Dear Fiona, Thank you very much for bringing the issue into the floor! The research agenda, attitude and practice in the developing world is far way from its tram-track. First, the young medical doctors' role models from developing world are busy clinicians who see many patients in a day and practice in half a dozen of private hospitals. Those who are seeing patients with Steth - "Ok, take long breath!!! Lie down here!!! So............."!!! till they are pretty incapable of doing that. Those who are smart, talented and have enough money are going abroad like USA, UK and Australia! There is very less hope that they will return to their homeland though they just practice medicine there (would have been good excuse if they were involved in the academic works and researches!!!). So they will deliver quality health care there. Third, who will sponsor the researches in the third world? I s there any big pharmaceutical company from Europe and America to sponsor the researches on Enteric Fever/Typhoid in Developing world? This is a biblical disease in west but still has a significant morbidity and mortality in the far end!!! So are other many diseases who have been neglected. Many nongovernmental and governmental organizations are working with the agenda and issues in developing world but their work is to prepare glossy reports and neutralize the fund. More than that, their priority list swings as per the donors' interest and the donors are, of course, from abroad !!! They will set their own priority! Even funnier things come up with the misappropriation of the term RESEARCH !!! You can see the term "Research" in each Private Hospital, Nursing Home or Laboratory's sign board. Why is that tail? In many countries, the government has reduced the tax to such set ups as an incentive to promote the RESEARCH!!! Yes, the term has been very well utilized to avoid the tax though it is government's job to make sure they do research as well. Therefore with this scenario, will there be any address over the real need and necessity of research in developing countries? It will take many years to come to take a right shape for the real research to happen in the ground. Welcome Trust has done great job. It is much appreciated. I hope they will continue this. Research in the developing world should be - for themselves and by themselves !!! Best wishes, Matiram Pun Junior Doctor Nepal Dear Fiona,

Thank you very much for bringing the issue into the floor! The research agenda, attitude and practice in the developing world is far way from its tram-track.

First, the young medical doctors’ role models from developing world are busy clinicians who see many patients in a day and practice in half a dozen of private hospitals. Those who are seeing patients with Steth - “Ok, take long breath!!! Lie down here!!! So………….”!!! till they are pretty incapable of doing that.

Those who are smart, talented and have enough money are going abroad like USA, UK and Australia! There is very less hope that they will return to their homeland though they just practice medicine there (would have been good excuse if they were involved in the academic works and researches!!!). So they will deliver quality health care there.

Third, who will sponsor the researches in the third world? I s there any big pharmaceutical company from Europe and America to sponsor the researches on Enteric Fever/Typhoid in Developing world? This is a biblical disease in west but still has a significant morbidity and mortality in the far end!!! So are other many diseases who have been neglected.

Many nongovernmental and governmental organizations are working with the agenda and issues in developing world but their work is to prepare glossy reports and neutralize the fund. More than that, their priority list swings as per the donors’ interest and the donors are, of course, from abroad !!! They will set their own priority!

Even funnier things come up with the misappropriation of the term RESEARCH !!! You can see the term “Research” in each Private Hospital, Nursing Home or Laboratory’s sign board. Why is that tail? In many countries, the government has reduced the tax to such set ups as an incentive to promote the RESEARCH!!! Yes, the term has been very well utilized to avoid the tax though it is government’s job to make sure they do research as well.

Therefore with this scenario, will there be any address over the real need and necessity of research in developing countries? It will take many years to come to take a right shape for the real research to happen in the ground.

Welcome Trust has done great job. It is much appreciated. I hope they will continue this.

Research in the developing world should be - for themselves and by themselves !!!

Best wishes,
Matiram Pun
Junior Doctor
Nepal

]]> By: BasharD. Hassan http://blogs.bmj.com/bmj/2008/11/20/fiona-godlee-on-research-in-the-developing-world-%e2%80%93-for-whom-and-by-whom/#comment-3232 BasharD. Hassan Sun, 30 Nov 2008 10:07:05 +0000 http://blogs.bmj.com/bmj/?p=507#comment-3232 Thank Fiona Godlee for this article ,i wnder to ask whate is our situation in the middle of world and still iraq nt reaching in my opinion 20% f baseline researches in our health system ,i beleave that you are very helpful to our health system peoples to guide them. thank you. Thank Fiona Godlee for this article ,i wnder to ask whate is our situation in the middle of world and still iraq nt reaching in my opinion 20% f baseline researches in our health system ,i beleave that you are very helpful to our health system peoples to guide them. thank you.

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