The Fogarty International Center (FIC) of the National
Institutes of
Health (NIH) announces its intention to fund 10 research
grant awards under the new International Studies on Health
and Economic Development (ISHED) Program. FIC spearheaded
the development of the ISHED, working closely with four co-
sponsors at the NIH: the National Institute on Aging, the
National Institute of Child Health and Human Development,
the National Institute of Mental Health, and the Office of
Behavioral and Social Sciences Research, in collaboration
with The World Bank's Global Development Network (GDN).
The combined commitment from FIC and the ISHED partners is
approximately $2.2 million for the first year of these
five-year awards. Total support for this program will be
approximately $10 million over the next five years.
This innovative new program will support studies in an
effort to understand the complex relationship between
health and economic growth in low- and middle-income
nations. Although it is widely accepted that better
education can lead to improved economic performance, the
relationship between better health and the alleviation of
poverty has not been fully explored in low- and middle-
income countries. The first grants awarded through the
ISHED competition are designed to determine the extent to
which population health status and mental health status
serve as predictive indicators of economic performance
using a wide range of research methodologies and testable
hypotheses.
"The NIH has a major interest in ensuring that research
contributes to improved health and well-being. The ISHED
will significantly stimulate research activity in this
area," said FIC Director Gerald T. Keusch, M.D." on behalf
of the co-sponsoring agencies. "By bridging disciplinary
interests and bringing together development and health
economists with medical epidemiologists, behavioral
scientists, demographers, and other health professionals,
we expect to promote the exploration of new concepts,
develop new methodologies, and analyze new experimental
data." Noting in particular the partnership with the GDN,
Keusch emphasized that "alliances between the NIH and other
national and international agencies addressing global
health are an essential strategy for creating the needed
research environment and human capacity to address these
complex issues. Partnerships such as the ones that underpin
the ISHED are vital to advancing long-term global health
goals." He added, "We anticipate a subsequent re-
competition of the ISHED in FY 2003."
Five of the ISHED awards are full five-year grants, and
five are at a reduced level for two years and are intended
to support further development of the research approach and
methods for potential future funding.
The following researchers are intended recipients of ISHED
awards:
--DR. LINDA ADAIR of the University of North Carolina,
Chapel Hill will work with colleagues at the University of
San Carlos, the Philippines on a project measuring the
effect of health on education and work in Filipino youth.
The research is expected to demonstrate how multiple
aspects of health care and nutrition at an early age
influence school performance and future earnings both
through impacts on physical and intellectual abilities.
--DR. JERE BEHRMAN of the University of Pennsylvania and
colleagues at the University of San Carlos, the Philippines
will perform a longitudinal study of Filipino early
childhood development. The research will pinpoint how
early childhood interventions may improve children's
performance in school and identify how conditions in the
family and community affect that connection.
--DR. ANGUS DEATON of Princeton University will collaborate
with faculty at the University of Witwatersrand in
Johannesburg, South Africa to investigate the
interrelationships between poverty, inequality, and health
in economic development. The researchers will use survey
data to investigate how social status and income inequality
affect health and well-being of people of all ages in South
Africa.
--DR. REYNALDO MARTORELL of Emory University and colleagues
at the Instituto de Nutricion de Centro America y Panama in
Guatemala City, Guatemala will collaborate on a study
examining links between early nutrition, human capital, and
economic productivity. The researchers will explore how
better nutrition during early childhood can improve a
person's health and mental health status and ability to be
productive as an adult in the workplace.
--DR. DUNCAN THOMAS of the Rand Corporation and colleagues
at Gadjah Mada University in Yogyakarta, Indonesia will
examine how the health of individuals over a long period of
time affects the work they do, how much they work, their
purchasing and savings behavior, and other important
economic measures. This research will improve our
understanding of the relationship between health and
development at the individual level.
The following researchers are intended recipients of two-
year ISHED awards to further develop their proposals for
research in Africa and Latin America:
--DR. ANA HURTADO of the University of New Mexico will work
with the Centro de Salud in Igatimi, Paraguay to study how
ethnicity affects the connections between health and
economic outcomes among indigenous populations. The
researchers will examine the efficacy and cost-
effectiveness of community-based health improvements.
--DR. EDWARD MIGUEL of the University of California,
Berkeley will develop a project with the Ministry of Health
in Nairobi, Kenya to examine how a specific improvement in
child health can affect educational and employment
prospects in western Kenya. The researchers will also
explore what factors most affect a family's decision to
adopt a new health care tool for their children.
--DR. MARK PAULY of the University of Pennsylvania will
collaborate with colleagues at the University of Natal in
Durban, South Africa to assess the impact of poor health
and HIV/AIDS on small businesses and the local economies
where they are located in South Africa.
--DR. JEFFREY SACHS of Harvard University will work with
colleagues at the Regional Malaria Control Commission in
Durban, South Africa, to measure the economic impact of
malaria in southern Africa.
--DR. JONATHAN SIMON of Boston University will work with
the U.S. Army Medical Research Unit in Kericho, Kenya and
the Kenya Medical Research Institute in Nairobi, Kenya to
study the impact of diseases such as tuberculosis, malaria,
and HIV/AIDS on agricultural labor productivity and
economic development in western Kenya.