Minutes of the Board of Trustees - The INCLEN Trust
Minutes of the Board of Trustees - The INCLEN Trust
Minutes of the Board of Trustees - The INCLEN Trust
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<strong>Minutes</strong> <strong>of</strong> <strong>the</strong> <strong>Board</strong> <strong>of</strong> <strong><strong>Trust</strong>ees</strong> Meeting<br />
Of <strong>INCLEN</strong> <strong>Trust</strong><br />
Heritage Village, Manesar, Haryana, India<br />
(April 7-8, 2006)<br />
Members Present:<br />
Ranjit Roy Chaudhury (RRC), Chair, Presiding Officer<br />
Demissie Habte (DH)<br />
Marcel Tanner (MT)<br />
Osman Sanipar (OS) (Coordinator, <strong>INCLEN</strong> SEA)<br />
Amr Hassan (AH) (Secretary General, <strong>INCLEN</strong> Africa)<br />
Antonio Jose Cunha (AC) (President, LatinCLEN)<br />
MKC Nair (MKC) (President, IndiaCLEN)<br />
Narendra. K. Arora (NKA) (Executive Director)<br />
Secretariat:<br />
Rodolfo Dennis (SPC)<br />
M. Lakshman (SPC)<br />
Manoja. K. Das (PC)<br />
Nitish Dogra (PC)<br />
Stephanie Combs (CFO)<br />
AK Patwari<br />
Madhusmita Mohanty<br />
Avitoli G Zhimo<br />
Sachin Ailawadi<br />
Chandan Singh<br />
Unable to attend:<br />
Palitha Abeykoon<br />
Francois Chapuis<br />
Peter Tugwell<br />
Jiyao Wang<br />
Summary <strong>of</strong> Significant and Action items resulting from <strong>the</strong> meeting:<br />
Agenda Item Decisions Action to be Taken<br />
Reports from <strong>the</strong><br />
Chair, Executive<br />
Director<br />
A) LAMP, VC,<br />
KP<br />
1) IEO to send LAMP modules for evaluation<br />
by long standing Universities to be contacted<br />
by DH in Bangladesh, MKC Nair in India,<br />
and AC in Latin America<br />
B) IEO Agenda<br />
Items for BOT<br />
Meeting <strong>of</strong><br />
Next Year<br />
1) Next presentation to include table <strong>of</strong> funds<br />
received vs. promised vs. applied<br />
for/pending<br />
2) Next year BOT to consider a new strategic<br />
planning session which would also include a<br />
review <strong>of</strong> <strong>the</strong> <strong>INCLEN</strong> name and its current<br />
appropriateness.<br />
3) CERTC evaluations and how can <strong>INCLEN</strong><br />
establish:<br />
a)Criteria<br />
b) Motivation<br />
c) Incentives for development <strong>of</strong><br />
uniform curriculum with quality assurance.<br />
Ultimate goal: <strong>INCLEN</strong> initiated<br />
international accreditation standards for such<br />
research capacity building programs<br />
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C) Rockefeller<br />
Report<br />
1) Executive Summary to be prepared<br />
based upon <strong>the</strong> RF report and circulated<br />
to CLENs. IEO to pursue <strong>the</strong><br />
possibility <strong>of</strong> preparing and submitting<br />
a suitable write-up for publication on<br />
“<strong>The</strong> History <strong>of</strong> an Organization” or<br />
some related topic.<br />
CLEN Reports<br />
D) Workplan<br />
06-07<br />
1) ED to prepare a short write upon <strong>the</strong><br />
workplan and circulate to all network<br />
members<br />
1) CanUSA CLEN and IEO to discuss <strong>the</strong><br />
possibility <strong>of</strong> <strong>INCLEN</strong> wide involvement in <strong>the</strong><br />
Brain Disorders project.<br />
2) Next year CLEN reports to include a section<br />
for CLEN-CLEN and CLEN-IEO<br />
communications and projects.<br />
3) IEO to do background research on EDCTP<br />
and European Partners with LatinCLEN and<br />
EuroMed CLEN as well as <strong>INCLEN</strong> Africa<br />
and <strong>the</strong>n follow-up with contacting <strong>the</strong><br />
appropriate CLEN and CEUs. IEO to consider<br />
possible MoUs.<br />
4) IEO to facilitate SKYPE for all CLENs,<br />
CEUs, CERTCs, and o<strong>the</strong>r <strong>INCLEN</strong> friends<br />
possibly via website.<br />
5) All CLEN heads to prepare a report by 30<br />
Jun 2006 on <strong>the</strong> true financial needs for<br />
operating <strong>the</strong>ir <strong>of</strong>fices, MUST be done<br />
independent <strong>of</strong> any CLEN – CLEN<br />
conversations to ensure non-bias, IEO to<br />
prepare a table <strong>of</strong> <strong>the</strong> combined needs and<br />
present during next BOT<br />
6) CLEN heads to prepare <strong>the</strong>ir own workplans<br />
and streng<strong>the</strong>n communications with CEUs.<br />
Progress to be included in next year report<br />
7) Spanish LAMP modules to be up loaded to<br />
<strong>INCLEN</strong> web site<br />
8) <strong>INCLEN</strong>-SEA and IEO to work toge<strong>the</strong>r<br />
towards renaming <strong>INCLEN</strong>-SEA to PAN-<br />
ASIA CLEN after <strong>the</strong> consultations and<br />
approval <strong>of</strong> CLEN board<br />
9) IndiaCLEN to circulate <strong>the</strong> external<br />
evaluation report to BOT members and all<br />
CLENs, and to publish executive summary in<br />
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<strong>INCLEN</strong> newsletter<br />
Administration SOPs 1) IEO to provide hardcopy to all CLEN heads<br />
SOPs to be uploaded to website. <strong>The</strong> SOPs to<br />
be annually reviewed by <strong>the</strong> BOT.<br />
2) Resolution passed to authorize <strong>the</strong> ED to<br />
dissolve <strong>the</strong> <strong>INCLEN</strong> <strong>Trust</strong> International, Inc.<br />
Manila, Philippines<br />
3) ED authorized to enter into retainer<br />
agreement with legal and audit companies M/S<br />
RK Bakshi & Co, Advocates and M/s<br />
Chandrayan and associates, Chartered<br />
Accountant respectively.<br />
Financial Matters<br />
1) Audit results <strong>of</strong> <strong>the</strong> FY04-05 year accepted<br />
2) Asher and Co. to be retained for FY05-06<br />
annual audit at <strong>the</strong> IEO Philadelphia<br />
BOT Nomination<br />
Jon Simon, Boston University accepted as new<br />
<strong>of</strong> <strong><strong>Trust</strong>ees</strong><br />
Expanding<br />
<strong>INCLEN</strong><br />
Network<br />
Work Plan for<br />
06-07<br />
AOB<br />
I. Meeting proceedings<br />
<strong>Trust</strong>ee<br />
Wits School <strong>of</strong> Public Health accepted as new<br />
CEU for <strong>INCLEN</strong> Africa<br />
1) FY06-07 Workplan approved as presented<br />
2) SOPs to be expanded to include <strong>the</strong><br />
reporting process for multsite/multicountry<br />
reporting<br />
1) <strong>Board</strong> to send comments to NKA on draft<br />
MoUs by 30 April, 2006<br />
<strong>The</strong> meeting was opened by <strong>the</strong> Chair at 9.00 a.m. on 7 th April 2006. Pr<strong>of</strong>. Ranjit Roy<br />
Chaudhury, Chairman <strong>of</strong> <strong>the</strong> <strong>Board</strong> <strong>of</strong> <strong><strong>Trust</strong>ees</strong> welcomed all travelers from around<br />
<strong>the</strong> world. A special welcome was made to <strong>the</strong> new <strong><strong>Trust</strong>ees</strong>, Antonio da Cunha,<br />
LatinCLEN President; Osman Sanipar, <strong>INCLEN</strong> Sea; MKC Nair, IndiaCLEN<br />
President. He thanked all those attending and expressed his regrets to those who were<br />
unable to attend. He hinted about <strong>the</strong> crowded agenda, which must be dealt without<br />
loosing <strong>the</strong> perspective. He emphasized on <strong>the</strong> highest quality <strong>of</strong> work so that <strong>the</strong><br />
<strong>INCLEN</strong> Program is built strong scientifically and creates impact not only on a<br />
national level but on international level too.<br />
<strong>The</strong> Chair reminded all attendees <strong>of</strong> <strong>the</strong> purpose <strong>of</strong> this two day meeting. He noted<br />
that it was most important to keep four major points at hand as <strong>the</strong> meeting<br />
progressed.<br />
1. Quality <strong>of</strong> content- All discussions, questions, presentations, and comments<br />
must be useful on <strong>the</strong> local, national, and international level.<br />
2. Strength <strong>of</strong> organization – Is <strong>the</strong> Network being used to <strong>the</strong> maximum <strong>of</strong> its<br />
capability? Globally <strong>the</strong>re is high respect for <strong>INCLEN</strong> but when any<br />
opportunities arise, it is marginalized. Mobilizing <strong>the</strong> resources effectively<br />
would help <strong>the</strong> network rise up to challenge, for instance: SARS, Tsunami,<br />
and Bird Flu.<br />
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3. Structure <strong>of</strong> CLENs – Can we increase effectiveness and use <strong>the</strong> most<br />
appropriate relationship from CLEN to CLEN, from CLEN to IEO and can we<br />
enhance, embrace, and invite new organizations and partners to achieve our<br />
goals. He urged <strong>the</strong> CLENS to coordinate with each o<strong>the</strong>r to make <strong>the</strong><br />
network stronger.<br />
4. Resource Mobilization – <strong>The</strong>re are no more core grants as <strong>the</strong> funder<br />
directives have changed since <strong>the</strong> early days <strong>of</strong> <strong>INCLEN</strong> and Rockefeller. Can<br />
we find and deliver on sufficient and meaningful grants to ensure <strong>the</strong> long<br />
term success <strong>of</strong> <strong>INCLEN</strong> and <strong>of</strong> <strong>the</strong> network?<br />
He talked about <strong>the</strong> need to identify 6-8 clinical trial groups / centres that have good<br />
track records. He also talked about resource mobilization like working through<br />
projects and surviving with <strong>the</strong> overheads e.g. Gates Foundation, Rockefeller<br />
Foundation etc, considering <strong>the</strong> fact that core funding is no longer available.<br />
He concluded by saying that he look forward to a fruitful meeting and handed over<br />
<strong>the</strong> fur<strong>the</strong>r proceedings to <strong>the</strong> Executive Director, <strong>INCLEN</strong>, Narendra Arora (NKA).<br />
II. Introduction <strong>of</strong> <strong>INCLEN</strong> Staff<br />
NKA heartily welcomed <strong>the</strong> participants and before proceeding with <strong>the</strong> agenda, he<br />
asked <strong>the</strong> IEO staff to introduce <strong>the</strong>mselves. All <strong>the</strong> staff present introduced<br />
<strong>the</strong>mselves. He also welcomed Mrs. Ranjit Roy Chaudhury who was a welcome guest<br />
at <strong>the</strong> meeting.<br />
III. Review <strong>of</strong> <strong>the</strong> <strong>Minutes</strong> and Action Taken Report<br />
<strong>The</strong> Chair presented <strong>the</strong> minutes from <strong>the</strong> prior meetings for discussion and approval.<br />
<strong>The</strong> minutes for all meetings held in 2005 were included in <strong>the</strong> package for <strong>the</strong><br />
information <strong>of</strong> <strong>the</strong> members. <strong>The</strong> action requested applied only to <strong>the</strong> most current<br />
unapproved minutes from <strong>the</strong> 22 nd December, 2005 teleconference. Since <strong>the</strong><br />
minutes had been prepared and circulated previously, <strong>the</strong>re were no correction noted<br />
and a motion was made by D. Habte to accept <strong>the</strong> minutes from <strong>the</strong> BOT<br />
Teleconference <strong>of</strong> 22 nd December 2005 without fur<strong>the</strong>r notation. <strong>The</strong> motion passed<br />
by consensus.<br />
IIIa. Action Taken Report<br />
A summary <strong>of</strong> <strong>the</strong> action taken as a result <strong>of</strong> <strong>the</strong> 22 December, 2005 teleconference<br />
was presented by Narendra Arora (NKA). <strong>The</strong> following items were noted:<br />
Virtual Campus (VC) – LAMP – K+ <strong>The</strong> discussion started with NKA‟s<br />
statement that LAMP, K+, VC are currently included with ICOHRTA and also<br />
in every new proposal that is being submitted. Demisse Habte (DH) asked<br />
whe<strong>the</strong>r we receive any mileage or not from past efforts. Ranjit Roy<br />
Chaudhury (RRC) and Marcel Tanner (MT) said that internally it moved in <strong>the</strong><br />
right direction and we made significant gains. <strong>INCLEN</strong> made significant<br />
investment in <strong>the</strong>se programs totaling $722K over <strong>the</strong> life <strong>of</strong> <strong>the</strong> projects.<br />
<strong>The</strong>re is a good base but very little in tangibles. All three programs will<br />
benefit by joining toge<strong>the</strong>r. <strong>The</strong> current LAMP program and values will be<br />
combined into every future <strong>INCLEN</strong> project. In conjunction with ICOHRTA,<br />
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VC at <strong>the</strong> global level has <strong>the</strong> potential to be a huge advantage for <strong>INCLEN</strong><br />
and e-based learning is desired by many funders.<br />
In contrast, MT said that VC in <strong>the</strong> traditional format would not be very<br />
attractive and narrow distant learning courses would not create any impact.<br />
To make progress, <strong>the</strong> VC must be focused and specialized. A successful VCprogram<br />
will require partnerships with universities that currently run such<br />
programs. We cannot generalize but regionalization can really pay <strong>of</strong>f. For<br />
example, China CLEN could do something in Traditional Medicine with<br />
IndiaCLEN. New initiatives are becoming VERY attractive to donors who are<br />
looking for fresh faces and ideas that have a strong regional context. Existing<br />
programs in LatinCLEN and <strong>the</strong> potential for distance learning in areas like<br />
<strong>INCLEN</strong> SEA will be evaluated. In order to be successful, we must find<br />
appropriate partners and we must convince potential partners, funders, and<br />
institutions that we can be successful.<br />
Regarding Virtual Campus, Osman Sanipar (OS) commented that <strong>the</strong> self<br />
instructional manuals being developed by <strong>INCLEN</strong>-SEA can be used for VC.<br />
Antonio Cunha (AC) said that <strong>the</strong>re is no evidence as to whe<strong>the</strong>r <strong>the</strong> idea <strong>of</strong><br />
VC will work or not keeping in mind <strong>the</strong> differences in language and structure.<br />
He suggested joining <strong>the</strong> VC with an existing campus for example US-based<br />
university or o<strong>the</strong>r university. RRC appreciated <strong>the</strong> suggestion and said that<br />
through this, more partnerships can be established and network expanded. He<br />
asked NKA to explore <strong>the</strong> organizations that have money but no man power<br />
resources e.g. SAARC, and will be interested in <strong>the</strong> idea..<br />
DH talked about marketing LAMP modules ei<strong>the</strong>r as online courses or<br />
distance learning in order to get something in return. He suggested identifying<br />
some public health institutes in <strong>the</strong> developing countries and requesting <strong>the</strong>m<br />
to try <strong>the</strong>se modules. However, RRC shared his negative experience <strong>of</strong><br />
marketing <strong>the</strong> modules while he was at WHO and suggested that <strong>the</strong> modules<br />
should be sent to at least three persons outside <strong>INCLEN</strong> so that a good quality<br />
product worth studying is sent to <strong>the</strong> concerned institutes. Amr Hassan (AH)<br />
said that before sending <strong>the</strong> modules for external review, <strong>the</strong>re should be an<br />
internal review also. He suggested that LAMP, KPP and VC should be<br />
integrated to reap lots <strong>of</strong> benefits and should focus on some specific areas to<br />
train people in those areas <strong>of</strong> health. He also said that we should use those<br />
mentors who worked in this program for initiation; <strong>the</strong> important point is to<br />
get toge<strong>the</strong>r people from diverse background and work in a constant and<br />
steady manner. AC commented that besides quality, <strong>the</strong> targeted population in<br />
need <strong>of</strong> <strong>the</strong> modules should be identified. MT suggested that <strong>the</strong> modules<br />
should be sent to <strong>the</strong> concerned Institutes asking <strong>the</strong>m to send feedback on<br />
quality and appropriateness. <strong>INCLEN</strong> seems poorly associated with Global<br />
Health issues and we need to engage <strong>the</strong> current <strong>INCLEN</strong> crowd. Can we use<br />
<strong>the</strong> VC to build up capacity in Africa? AC commented about <strong>the</strong> constant and<br />
ongoing conflict with members and activities especially <strong>the</strong> clinical work. <strong>The</strong><br />
group identified <strong>the</strong> following Public Health Institutes: BRAC Dhaka, IGNOU<br />
Delhi, Tropical Institute, Switzerland, Bogotá (Latin CLEN). Rodolfo Dennis<br />
(RD) said that <strong>the</strong> Course should be linked to one ano<strong>the</strong>r and although <strong>the</strong><br />
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Spanish version modules have been updated recently, <strong>the</strong> English version<br />
modules <strong>of</strong> 2002 need updating and adoption into a single coherent form.<br />
Response to RSC&CB call for proposals were disappointing. <strong>INCLEN</strong><br />
approved four projects for expansion and streng<strong>the</strong>ning after <strong>the</strong> April 2005<br />
<strong>Board</strong> meeting. Of <strong>the</strong>se four projects, only two are currently in progress.<br />
<strong>INCLEN</strong> SEA, Pr<strong>of</strong> Cynthia Cordero and LatinCLEN, Pr<strong>of</strong> Andres Pinchon-<br />
Riviere‟s projects have been launched and are currently on budget and on<br />
schedule. <strong>The</strong> o<strong>the</strong>r two projects were never launched due to non response<br />
from <strong>the</strong> PIs, IndiaCLEN, Dr. Shally Awasthi, and <strong>INCLEN</strong> Africa, Dr.<br />
Lovemore Gwanzura.<br />
Development activities from <strong>the</strong> focus areas will be reported in detail later in<br />
<strong>the</strong> day but all projects have been launched at some level with funders starting<br />
to comment on various LOIs, responses and proposals have been submitted.<br />
Financial and Legal matters have progressed during <strong>the</strong> past year with <strong>the</strong><br />
<strong>Trust</strong> formally and legally chartered in India as <strong>of</strong> October 27, 2005 and<br />
FCRA clearance applied for is well under way. Approval for FCRA is<br />
expected later in <strong>the</strong> current year.<br />
<strong>The</strong> Chair reported that <strong>the</strong> letter <strong>of</strong> appreciation had been sent to Mary Ann<br />
Lansang for her years <strong>of</strong> service.<br />
All <strong>Board</strong> members were thanked for <strong>the</strong>ir comments on <strong>the</strong> SOPs and<br />
reminded that this is a dynamic process and periodic review and update <strong>of</strong> <strong>the</strong><br />
documents is appropriate. <strong>The</strong> SOPs are to be uploaded to <strong>the</strong> website and<br />
CDs would be available to all <strong>Board</strong> members to take with <strong>the</strong>m. CLEN heads<br />
were especially encouraged to review and circulate <strong>the</strong> SOPs within <strong>the</strong>ir<br />
membership.<br />
<strong>The</strong>re were two nominations for <strong>Board</strong> member to fill current vacancies.<br />
Pr<strong>of</strong>essor Alfred Sommer expressed an interest but requested ano<strong>the</strong>r<br />
invitation in two years after his current commitments had been completed. Dr.<br />
Jon Simon was also suggested and would be discussed fur<strong>the</strong>r in <strong>the</strong> agenda.<br />
<strong>The</strong> IndiaCLEN evaluation field work has been completed and a very early<br />
draft <strong>of</strong> <strong>the</strong> results will be presented by MKC Nair for <strong>the</strong> information <strong>of</strong> <strong>the</strong><br />
<strong>Board</strong> during this meeting.<br />
IV. Executive Director’s Report <strong>of</strong> Activities<br />
NKA presented <strong>the</strong> developmental activities since last BOT (April 2005). Previously<br />
approved action by <strong>the</strong> BOT were projects that would focus on Multicountry/multisite<br />
collaborative studies with <strong>the</strong> following pr<strong>of</strong>ile:<br />
1. High visibility<br />
2. High impact<br />
3. Short gestation periods<br />
4. Potential to create niche area for <strong>INCLEN</strong><br />
6
A. Program Development: <strong>The</strong> following activities were presented in brief.<br />
i.) Neuro-Developmental Disabilities among children in India: This project was<br />
initiated in India. It has received funding from Autism Speaks ($100,000) and<br />
National <strong>Trust</strong>, GOI ($50,000). Letter <strong>of</strong> Intent has been resubmitted to NIH for<br />
additional funding. <strong>The</strong> study has been designed in a manner that is applicable to all<br />
Low and Middle Income Countries (LMIC). <strong>The</strong> project is expected to be rolled out<br />
in <strong>the</strong> next 8-12 weeks in India. NIH-USA reapplication submission May 2006.<br />
ii) Measurement and Determinants <strong>of</strong> Childhood Obesity: In collaboration with<br />
McMaster University, Canada, <strong>INCLEN</strong> has submitted <strong>the</strong> Letter <strong>of</strong> Intent to CIHR-<br />
IDRC and <strong>the</strong> result is expected in <strong>the</strong> next 2-3 weeks. <strong>The</strong> Letter <strong>of</strong> Intent has also<br />
been prepared for submission to Nestle and Wellcome <strong>Trust</strong>. <strong>The</strong> overall budget has<br />
been estimated to be approximately $4.3 million. <strong>INCLEN</strong> has requested a grant <strong>of</strong><br />
$1.5 million from CIHR-IDRC.<br />
iii) Achieving MDG5: <strong>INCLEN</strong> Study into Governance <strong>of</strong> Health Systems: <strong>The</strong><br />
Letter <strong>of</strong> Intent has been submitted to IDRC, Canada and <strong>the</strong> response is awaited in<br />
<strong>the</strong> month <strong>of</strong> May. <strong>The</strong> same will be submitted to <strong>the</strong> McAr<strong>the</strong>r Foundation too.<br />
iv) Applied Research Program for HIV / AIDS in Africa: PEPFAR/USAID has<br />
granted $300,000. NKA and Jon Simon (JS) from Boston University made a visit to<br />
Kenya (Nairobi) and Zambia (Lusaka) to explore possibilities <strong>of</strong> developing an<br />
applied research agenda for HIV-AIDS in sub-Saharan countries. NKA and JS met<br />
<strong>the</strong> CEU members in Nairobi, faculty at <strong>the</strong> School <strong>of</strong> Medicine in Lusaka, and state<br />
program managers and donor agencies (USAID,etc.). A field visit was also made in<br />
Kericho (Kenya) which is in <strong>the</strong> tea estate region and has ongoing research programs<br />
for HIV-AIDS patients by Boston University and a field site <strong>of</strong> Walter Reid Center.<br />
Several ideas <strong>of</strong> policy and program relevance emerged. BU and <strong>INCLEN</strong>, in<br />
consultation with <strong>INCLEN</strong> Africa, will develop a research program that involves <strong>the</strong><br />
maximum number <strong>of</strong> <strong>INCLEN</strong> sites in sub-Saharan countries that will be leveraged<br />
later to major financial programs. This program has been made a full fledge program<br />
in <strong>the</strong> Sub-Saharan countries.<br />
v) Multicentre Observational Study to Assess Safety <strong>of</strong> Outpatient Treatment <strong>of</strong><br />
Severe Pneumonia with Oral Amoxicillin in Children Aged 3-59 Months: A pilot<br />
study- (APPIS II): This project is spearheaded by JHU-GRA / WHO and $150,000<br />
has been granted. This is a 6 country study: <strong>INCLEN</strong> sites – Brazil/Egypt. <strong>The</strong> study<br />
is underway at <strong>the</strong> Egyptian site.<br />
vi) Global Model Injection Centre (MIC): Letter <strong>of</strong> Intent has been developed for<br />
23 <strong>INCLEN</strong> countries and will be submitted to Bill and Melinda Gates Foundation,<br />
USA for <strong>the</strong> grant <strong>of</strong> $10 million for a period <strong>of</strong> 5 years.<br />
vii) Dengue Surveillance Study: <strong>The</strong> project is initiated in partnership with one <strong>of</strong><br />
<strong>the</strong> founders <strong>of</strong> <strong>INCLEN</strong>, Dr. Scott Halstead. An amount <strong>of</strong> $58,650 has been granted<br />
and agreement signed with Pediatric Dengue Vaccine Initiative supported by GAVI.<br />
viii) Gastrointestinal Integrity and Childhood Diarrheas: IndiaCLEN & SEA<br />
CLEN Study. <strong>The</strong> Study covers India, Pakistan, Nepal and possibly Bangladesh.<br />
Letter <strong>of</strong> Intent will be submitted to FIC-NIH latest by May 2006.<br />
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ix) One Dollar Cost Oximetry Project (ODCOP): Talks have been going on for <strong>the</strong><br />
initiation <strong>of</strong> this project with University <strong>of</strong> Manchester. It will also involve <strong>the</strong><br />
University <strong>of</strong> Auckland, NZ and <strong>INCLEN</strong>. Funding is expected by <strong>the</strong> GE<br />
Corporation. A series <strong>of</strong> meetings are expected. <strong>The</strong> first meeting is proposed for<br />
April 25, 2006 in Manchester.<br />
x) Research to Policy to Action for Prevention <strong>of</strong> Control <strong>of</strong> Chronic Diseases in<br />
LMIC. Letter <strong>of</strong> Intent submitted to CIHR-IDRC by Simon Fraser University,<br />
Canada, Sri Chitra Tirunal University, TVM and <strong>INCLEN</strong>. <strong>The</strong> result is expected by<br />
April 2006.<br />
xi) Capacity Building:<br />
International Clinical, Operational and Health Services Research<br />
Trainings Award for AIDS and Tuberculosis (India - ICOHRTA) NIH, USA.<br />
Administrative Grant awarded for $125,000. <strong>The</strong> main grant proposal will be<br />
submitted in May 2006 requesting $1.25M over <strong>the</strong> 5 year life <strong>of</strong> <strong>the</strong> project.<br />
Apart from <strong>the</strong> above program development activities, NKA presented <strong>the</strong><br />
engagement <strong>of</strong> <strong>INCLEN</strong> with Research Partners from April 2005- March 2006 along<br />
with few slides on Global Health Forum 9. In spite <strong>of</strong> a somewhat limited travel<br />
schedule, <strong>the</strong> number <strong>of</strong> development and research partner contacts over <strong>the</strong> past six<br />
months was considerable. It was noted that many <strong>of</strong> <strong>the</strong> funders that are interested in<br />
various global health issues are frequently coming to New Delhi for a variety <strong>of</strong><br />
reasons. Having <strong>the</strong> <strong>INCLEN</strong> <strong>of</strong>fice in New Delhi has served to facilitate contact<br />
with donors as <strong>the</strong>y travel. Sometimes donors are available in New Delhi that could<br />
not be available in <strong>the</strong>ir own countries <strong>of</strong> <strong>of</strong>fice. A considerable list was presented<br />
including 26 potential partners, 27 funding and donor agencies, and three o<strong>the</strong>r useful<br />
contacts. <strong>The</strong> list is attached as Appendix A.<br />
Global Forum 9, September 12-16, 2005<br />
<strong>The</strong> attendance at <strong>the</strong> Global Forum 9 was impressive as <strong>the</strong> annual IndiaCLEN<br />
meeting was jux supposed to <strong>the</strong> Global Forum meet. <strong>The</strong>re were more than 100<br />
<strong>INCLEN</strong> members present including 6 <strong>Board</strong> <strong>of</strong> <strong><strong>Trust</strong>ees</strong>. Eight countries were<br />
represented by <strong>INCLEN</strong> and <strong>the</strong>re were four major projects showcased at a parallel<br />
session titled ”Transnational, Multicentric Studies as a Pathway to Health Equity”<br />
This session was widely attended by <strong>INCLEN</strong> and non-<strong>INCLEN</strong> participants.<br />
<strong>The</strong> Global Forum 9 meeting served <strong>INCLEN</strong> as an opportunity for BOT, members,<br />
and staff to meet with numerous funds and discuss a wide range <strong>of</strong> projects.<br />
Newsletter<br />
<strong>The</strong> <strong>INCLEN</strong> newsletter is now being published by CLENs in an effort to give <strong>the</strong>m<br />
an opportunity to become involved and connected with <strong>the</strong> issues <strong>of</strong> <strong>the</strong> day and also<br />
to allow <strong>the</strong>m to have an opportunity to receive some funds for staff support in order<br />
to produce <strong>the</strong> issues. To that end, <strong>the</strong> September edition <strong>of</strong> <strong>the</strong> <strong>INCLEN</strong> newsletter,<br />
Volume 26 no.2 was prepared by <strong>INCLEN</strong> Africa and was presented at <strong>the</strong> Global<br />
Forum 9 meeting noted above. <strong>The</strong> success <strong>of</strong> this publication was fur<strong>the</strong>r evidenced<br />
by <strong>the</strong> request <strong>of</strong> <strong>INCLEN</strong> Africa to publish <strong>the</strong> next newsletter so that <strong>the</strong>y could<br />
capitalize on lessons learnt. So, <strong>the</strong> May edition <strong>of</strong> <strong>the</strong> <strong>INCLEN</strong> newsletter will be<br />
8
prepared by <strong>INCLEN</strong> Africa. In order to continue this rotation <strong>of</strong> newsletter<br />
publication LatinCLEN to be invited next. Future issues to continue to rotate<br />
throughout <strong>the</strong> CLENs.<br />
Website<br />
<strong>The</strong> <strong>INCLEN</strong> <strong>Trust</strong> website has been updated and is now being maintained on a daily<br />
basis. <strong>The</strong> membership information has been updated and uploaded to <strong>the</strong> site and is<br />
available with a sort function that will give all necessary contact information. Current<br />
projects and publications are also listed and are being updated as new information<br />
becomes available. A counter has been added to <strong>the</strong> site and since <strong>the</strong> site has been<br />
updated, <strong>the</strong> average daily hits has increased from 18-20 a day to nearly 100 hits per<br />
day. <strong>The</strong> next and very immediate project will be to update <strong>the</strong> <strong>INCLEN</strong>. Inc website.<br />
It will continue to hold all <strong>the</strong> historical data, 2000 and prior, and will become a<br />
“mirror image” <strong>of</strong> <strong>the</strong> <strong>Trust</strong> website for events and listings after <strong>the</strong> 2000<br />
incorporation <strong>of</strong> <strong>the</strong> <strong>Trust</strong>. <strong>The</strong>se changes are expected to occur by <strong>the</strong> end <strong>of</strong> April at<br />
which time all <strong>the</strong> <strong>INCLEN</strong> websites will be updated and current. <strong>The</strong>y will <strong>the</strong>n be<br />
maintained simultaneously.<br />
B. <strong>INCLEN</strong> program for Traditional Medicine:<br />
RRC presented <strong>the</strong> <strong>INCLEN</strong> Indo-China program on Traditional Medicine. <strong>The</strong><br />
program is being developed in partnership with ICMR and PGIMER, Chandigarh,<br />
India.<br />
Out <strong>of</strong> 157 plants looked at for diabetes, four plants were selected viz, Memordica<br />
Charantia, Gymnema Sylvestre, Pterecarpus Marsupium, and Trigonella Foenumgsaecum,<br />
<strong>of</strong> which, Gymnema Sylvestre was considered <strong>the</strong> most promising. <strong>The</strong><br />
centre for clinical trial would be PGIMER. <strong>The</strong> protocol development will be done by<br />
<strong>the</strong> joint working group. <strong>The</strong> collection, standardization and stability work will be<br />
entrusted to a firm, Dabur Pharmaceuticals. <strong>The</strong> terms and conditions <strong>of</strong> <strong>the</strong> contract<br />
are still to be negotiated. He stated that <strong>the</strong> protocol would be comprehensive and<br />
would include double blind, randomized, controlled trial.<br />
<strong>The</strong> proposal will be submitted to ICMR for funding. O<strong>the</strong>r potential donors are<br />
Samueli Foundation, CSIR, Central Clinical Facility for Research in Ayurveda and<br />
Siddha (CCRAS) and WHO. <strong>The</strong> political and scientific climate is created for <strong>the</strong><br />
study.<br />
<strong>The</strong> future plan is that in India <strong>the</strong> project is likely to be rolled out in <strong>the</strong> next three<br />
months after ethics approval by PGI/ICMR. <strong>The</strong>re after <strong>the</strong> project proposal and<br />
capsules will be sent to Jiyao Wang, China for fur<strong>the</strong>r work. In China, eight plants<br />
have been selected to target diabetes control. Possible expansions could be considered<br />
in Brazil, Mexico, Thailand, and Pakistan.<br />
RD asked about <strong>the</strong> cost <strong>of</strong> toxicity study on plants. RRC replied that <strong>the</strong> cost is much<br />
less in traditional medicine. He fur<strong>the</strong>r added that „Dabur‟ is <strong>the</strong> partner in this<br />
program whereby <strong>the</strong>y are responsible for standardization and <strong>INCLEN</strong> gets <strong>the</strong><br />
royalty. MT said that development <strong>of</strong> traditional medicine may take time but <strong>INCLEN</strong><br />
should go ahead and involve <strong>INCLEN</strong> SEA in this project. Some <strong>of</strong> <strong>the</strong> institutions<br />
are interested in traditional medicine such as Novartis Institute in Singapore. Alex<br />
9
Mater, Director <strong>of</strong> Esparansa Foundation (non-pr<strong>of</strong>it organization) could be a useful<br />
contact in traditional medicine study since he is looking for anti-HIV products.<br />
C. Rockefeller Foundation Final Report<br />
<strong>The</strong> Rockefeller report was submitted in February 2006 and was nearly 5 years in <strong>the</strong><br />
making. <strong>The</strong> report covered <strong>INCLEN</strong>‟s programs and progress spanning a grant<br />
period that ended December 31, 2005. It also focused on <strong>the</strong> $2,000,000 award that<br />
was given as <strong>the</strong> final seed money for <strong>the</strong> independence <strong>of</strong> <strong>INCLEN</strong>. <strong>The</strong> report<br />
outlined progress <strong>of</strong>: Knowledge Plus, LAMP, Regional Networks, Publications and<br />
Research Programs, Global Meeting/Global Forum, Strategic Plan, Organizational<br />
Matters, and Development Activities.<br />
Knowledge Management Plus (K+)<br />
<strong>The</strong> objective <strong>of</strong> <strong>the</strong> K+ Program was to: improve access to quality information on<br />
evidence-based, equity oriented practices; contribute to <strong>the</strong> reduction <strong>of</strong> <strong>the</strong><br />
“information gap”; and enhance <strong>the</strong> “knowledge transition” process in low-income<br />
countries. <strong>The</strong>se objectives were accomplished through <strong>the</strong> development,<br />
dissemination, and implementation <strong>of</strong> research driven health clinical practice<br />
guidelines (CPGs).<br />
<strong>INCLEN</strong> envisioned seven steps for <strong>the</strong> program, out <strong>of</strong> which Phase I focused on <strong>the</strong><br />
first five:<br />
Step 1: Identification <strong>of</strong> priority health problems and potential clients;<br />
Step 2: Identification <strong>of</strong> available relevant knowledge;<br />
Step 3: Appraisal <strong>of</strong> efficacy, effectiveness, and efficiency;<br />
Step 4: Filters for local appropriateness and equity;<br />
Step 5: Preparation <strong>of</strong> Knowledge Plus Packages;<br />
Step 6: Dissemination and implementation; and<br />
Step 7: Development <strong>of</strong> tools to monitor and evaluate outcomes.<br />
LAMP<br />
<strong>The</strong> objective <strong>of</strong> <strong>the</strong> Leadership and Management Program (LAMP) was for <strong>INCLEN</strong><br />
to take a leadership role in developing course training materials and workshops<br />
specifically designed for health care pr<strong>of</strong>essionals because outstanding preparation in<br />
research design and methodology do not necessarily translate to leadership and<br />
management competence. <strong>The</strong> program utilized <strong>the</strong> “learn by doing” methodology<br />
and it resulted in workshops and initiatives in various regions. LAMP also resulted in<br />
<strong>the</strong> production <strong>of</strong> 9 modules and a 5 day basic workshop schedule.<br />
Regional Networks<br />
Each <strong>of</strong> <strong>the</strong> 7 regional networks submitted a summary <strong>of</strong> activities which was<br />
included in <strong>the</strong> final Rockefeller Report. <strong>The</strong>se summaries included: governing<br />
committee members; a brief description; research; partnerships; regional and o<strong>the</strong>r<br />
meetings; education and training; and contributions to regional policy.<br />
Publications<br />
<strong>The</strong> Rockefeller Report contained a list <strong>of</strong> more than 1500 Publications in more than<br />
150 journals. Every CLEN was represented in <strong>the</strong> list <strong>of</strong> work, and <strong>the</strong>re were more<br />
than 5,000 non-<strong>INCLEN</strong> collaborators. <strong>The</strong> <strong>INCLEN</strong> Delhi staff lead by Vaishali,<br />
Priyanka and Madhu was noted for <strong>the</strong>ir efforts to ga<strong>the</strong>r and update <strong>the</strong> massive<br />
publication listing.<br />
10
Global Meeting/Global Forum<br />
<strong>The</strong> report described <strong>the</strong> network regional, global meetings, and o<strong>the</strong>r international<br />
fora. <strong>The</strong> last Global Forum for Health Research (Forum 9) was held in Mumbai,<br />
India in September 2005. Progress reported from that meeting includes: <strong>INCLEN</strong><br />
leveraged its attendance with a variety <strong>of</strong> satellite meetings; <strong>INCLEN</strong> hosted a well<br />
attended session in “Transnational, Multicentric Studies as a Pathway to Health<br />
Equity”; and <strong>the</strong> IndiaCLEN meeting was conducted as a satellite activity.<br />
Organizational Matters<br />
<strong>The</strong> report outlined <strong>the</strong> current BOT members and <strong>of</strong>fice bearers, <strong>the</strong> rotation <strong>of</strong><br />
CLEN heads, and <strong>the</strong> recruitment <strong>of</strong> new BOT members. It introduced Dr. Arora and<br />
described <strong>the</strong> relationship <strong>of</strong> <strong>the</strong> newly constituted Delhi <strong>of</strong>fice with <strong>the</strong> Philadelphia<br />
<strong>of</strong>fice; described <strong>the</strong> legal process <strong>of</strong> opening <strong>the</strong> new <strong>of</strong>fice; and <strong>the</strong> development <strong>of</strong><br />
standard operating procedures. It also gave details <strong>of</strong> new membership interest since<br />
<strong>the</strong> last report.<br />
Development Activities<br />
This section <strong>of</strong> <strong>the</strong> report concentrated on presenting <strong>the</strong> various partners that<br />
supported <strong>INCLEN</strong> network activities over <strong>the</strong> life <strong>of</strong> <strong>the</strong> grant. It detailed <strong>the</strong><br />
network development activities year by year; highlights <strong>of</strong> <strong>the</strong> development activities<br />
including, but not limited to, various contacts with <strong>the</strong> Gates Foundation, Fogarty<br />
International Center, International Development Research Center and UBS Optimus<br />
Foundation; fourteen agencies, including <strong>the</strong> Rockefeller Foundation, that provided<br />
varying levels <strong>of</strong> support over <strong>the</strong> five year reporting period; and <strong>the</strong> major alliances<br />
that have developed.<br />
Summary<br />
<strong>The</strong> final Rockefeller report that was submitted in February 2006 provides both a<br />
view <strong>of</strong> where <strong>INCLEN</strong> has been for <strong>the</strong> past 5 years, and a road map <strong>of</strong> where<br />
<strong>INCLEN</strong> will be going in <strong>the</strong> future. <strong>The</strong> body <strong>of</strong> <strong>the</strong> report and most <strong>of</strong> <strong>the</strong><br />
annexures are available in electronic format and can be emailed to all interested<br />
members.<br />
IPHIDE (Rodolfo Dennis)<br />
IPHIDE is <strong>the</strong> result <strong>of</strong> an RFA that was posted in April 2003 by <strong>the</strong> USAID Global<br />
Health Bureau. It yielded a cooperative agreement. <strong>The</strong> 5 strategic objectives <strong>of</strong> <strong>the</strong><br />
Office <strong>of</strong> Global Health are: <strong>the</strong> reduction <strong>of</strong> unintended and mistimed pregnancies;<br />
improvement <strong>of</strong> infant and child nutrition and reduction in infant child mortality;<br />
reduction in deaths and adverse health outcomes to women as a result <strong>of</strong> childbirth;<br />
reduction <strong>of</strong> HIV transmission and <strong>the</strong> impact <strong>of</strong> <strong>the</strong> pandemic in developing<br />
countries; and reduction <strong>of</strong> threat <strong>of</strong> infection diseases <strong>of</strong> major public health<br />
importance.<br />
<strong>The</strong> new initiatives, <strong>the</strong> Global Research Activities (GRA) and <strong>the</strong> Country Research<br />
Activities (CRA), conduct health research for development <strong>of</strong> new and better<br />
technologies and tools, approaches and policies, and interventions. GRA and CRA<br />
also aim to improve <strong>the</strong> health status <strong>of</strong> infants, children, mo<strong>the</strong>rs, and families in<br />
developing countries, as well as coincide with <strong>the</strong> closure <strong>of</strong> CHR project.<br />
11
CRA conducts specific research to address local health priorities, including a broad<br />
range <strong>of</strong> country-specific locally relevant public health studies in country. CRA is<br />
also directly responsible for streng<strong>the</strong>ning national research capacity and engaging<br />
new partners in country. One program under CRA is “<strong>The</strong> Child and Family Applied<br />
Research (CFAR) Consortium: Management and Governance,” which is directed by<br />
Jon Simon <strong>of</strong> Boston University. Partner and Subcontractor Institutions include:<br />
Harvard University, New England Medical Center and TUSM, Johns Hopkins SPH,<br />
University <strong>of</strong> Oxford/Kenya Medical Research Institute, <strong>INCLEN</strong>, CORE, ICDDR,B,<br />
and an extensive network <strong>of</strong> local partners.<br />
Lead implementers for activities were: requests by USAID under priority stetting <strong>of</strong><br />
component 1 <strong>of</strong> <strong>the</strong> GH/HIDN research framework; requests as a result <strong>of</strong> CFAR<br />
institutions‟ interactions with USAID Missions; requests through proposals to USAID<br />
Missions by local partner organizations involving one core institution; and requests by<br />
Missions without prior interactions with core institutions or local partners.<br />
<strong>The</strong> IndiaCLEN Program for Health Intervention Development and Evaluation<br />
(IPHIDE)<br />
IPHIDE formally started in 2004 when <strong>the</strong> USAID Mission in New Delhi approved<br />
an initial (phase I) package <strong>of</strong> research and program evaluation activities in India. It<br />
was developed, prioritized, and conducted by IndiaCLEN. <strong>The</strong> three phase format,<br />
which would be extended to 2008, was worth over 7 million dollars. <strong>The</strong> Initial<br />
package, which was conducted between 2004 and 2005, approved funding for up to<br />
US $2,193,800 and was made available through <strong>the</strong> Country Research Activity (CRA)<br />
mechanism.<br />
Infectious Diseases & Disease Surveillance Initiative<br />
<strong>The</strong> Integrated Disease Surveillance Program (IDSP)- Participation in “phase II”<br />
states (14) is completed and <strong>the</strong> IndiaCLEN consultants and support staff facilitated<br />
various state PIP writing regional workshops. Participation in workshops to develop<br />
PIP for Phase III states in ongoing. Workshops began in August 2005 and have<br />
continued onwards. <strong>The</strong> start was delayed because <strong>of</strong> administrative reasons beyond<br />
<strong>the</strong> control <strong>of</strong> IndiaCLEN. IndiaCLEN consultants prepared and pre-tested <strong>the</strong><br />
instruments for <strong>the</strong> external evaluation <strong>of</strong> IDSP training evaluation and will perform<br />
<strong>the</strong> evaluation in Tamil Nadu & Kerala beginning in April 2006.<br />
HIV/AIDS<br />
<strong>The</strong> study documents <strong>the</strong> success <strong>of</strong> HIV Intervention programs in Tamil Nadu, in<br />
collaboration with o<strong>the</strong>r stakeholders. <strong>The</strong> documentation will be ready by <strong>the</strong> end <strong>of</strong><br />
May 2006. <strong>The</strong> Model <strong>of</strong> HIV scenario in <strong>the</strong> setting <strong>of</strong> <strong>the</strong> 3 by 5 Initiative has been<br />
dropped. <strong>The</strong> Program Implementation Plan for <strong>the</strong> National AIDS Control Program<br />
(NACP) - Phase III (2006-2011): Participation in three months <strong>of</strong> intense activity <strong>of</strong><br />
state and regional workshops and writing <strong>of</strong> district based Program Implementation<br />
Plan (PIP) by several states was completed in December 2005. Analysis <strong>of</strong> NACO<br />
data set to make proposed interventions in NACP III is proposed for November 2006.<br />
Tuberculosis<br />
Many <strong>of</strong> <strong>the</strong> initial TB projects have been canceled due to relevance or are being<br />
reprogrammed at this time. Currently <strong>the</strong> TB group is preparing a protocol to be<br />
12
submitted to <strong>the</strong> IRB for consideration and approval. Specifically two projects are in<br />
<strong>the</strong> works: Documentation <strong>of</strong> <strong>the</strong> natural history and current management practices for<br />
patients with MDR TB and Current Practices <strong>of</strong> diagnosis & treatment <strong>of</strong> Childhood<br />
TB in <strong>the</strong> country. Project status should be known in <strong>the</strong> next 60-90 days.<br />
Child Health:<br />
ISCAP II Trial on amoxicillin for pneumonia with wheeze is in <strong>the</strong> final stages <strong>of</strong> data<br />
collection and analysis. This project will be concluded by June 2006. A new study,<br />
Effectiveness <strong>of</strong> community treatment with oral antibiotics <strong>of</strong> severe pneumonia is<br />
currently pending IRB approval<br />
Program Evaluation<br />
Program evaluation projects continue with a strong presence. <strong>The</strong> Model Injection<br />
Corners (MICs): A Program to Improve Injection Practices in <strong>the</strong> Country is ongoing<br />
and promised great expansion abilities. Ano<strong>the</strong>r ongoing and promising study is <strong>the</strong><br />
Evaluation <strong>of</strong> Safe Water System. Reproductive and Child Health, Nutrition and<br />
HIV/AIDS Program (RACHNA). External Evaluation is in progress in cooperation<br />
with Johns Hopkins University and KGMU. <strong>The</strong>re are several possible studies in <strong>the</strong><br />
works at <strong>the</strong> current time including Concurrent Evaluation <strong>of</strong> National Programme <strong>of</strong><br />
Phased Scale up <strong>of</strong> Access to Antiretroviral <strong>The</strong>rapy for People Living with<br />
HIV/AIDS which is proposed for take-up after NACP III launching (see above under<br />
HIV).<br />
Neonatal Health Research Initiative (NHRI)<br />
Recent progress has been seen in <strong>the</strong> formally stalled NHRI area which did not start in<br />
view <strong>of</strong> <strong>the</strong> suggestions by Officers at USAID, New Delhi to combine <strong>the</strong> two<br />
identified activities into one and to launch at a single site. It was suggested that this<br />
site should be developed on <strong>the</strong> pattern <strong>of</strong> similar ongoing activity at Shivgarh, UP<br />
near Lucknow as part <strong>of</strong> JHU-KGMU collaboration. Drs. AK Niswade and NK Arora<br />
with inputs from Vishwajeet who is <strong>the</strong> current Project Director at Shivgarh, are<br />
working to start this activity at Nagpur site as soon as possible.<br />
Micronutrient Health Initiative<br />
Community Randomized Trial for Assessing Effectiveness <strong>of</strong> a Strategy for Delivery<br />
<strong>of</strong> Vitamin A did not launch and has now been canceled. A new project is currently<br />
under development for <strong>the</strong> Control Of Iron Deficiency Anaemia In Adolescent Girls.<br />
Urban Health Initiative<br />
Dropped as an IPHIDE initiative at present as per advise <strong>of</strong> Dr Massee Bateman (Feb<br />
2005). Subsequent requests as late as November 2005 for restarting this initiative<br />
have not yielded results.<br />
D. Specific Program Development<br />
M.Lakshman (ML) presented <strong>the</strong> specific program development on NDDP, Obesity,<br />
Governance, AfricaCLEN –HIV / AIDS, Global MIC, and Dengue Surveillance<br />
Study.<br />
Discussion:<br />
13
MT while appreciating <strong>the</strong> development <strong>of</strong> Obesity project, enquired about <strong>the</strong><br />
availability <strong>of</strong> funds for phase I. NKA said that funds can be derived for phase I. <strong>The</strong><br />
BOT suggested to keep on working for more funding for phase II and Phase III. AC<br />
recommended using <strong>the</strong> instruments <strong>of</strong> <strong>the</strong> International Study <strong>of</strong> Asthma and<br />
Allergies in childhood (ISAAC) model for NDDP and Obesity projects to get high<br />
visibility. IEO will follow up with this organization. MT again enquired about <strong>the</strong><br />
funds for <strong>the</strong> Governance project. NKA replied that <strong>the</strong> Letter <strong>of</strong> Intent has been<br />
submitted for funding.<br />
MT suggested that <strong>INCLEN</strong> explore <strong>the</strong> possibility <strong>of</strong> taking benefit <strong>of</strong> IDRC‟s Reach<br />
Program in Tanzania for INSIGHT- MDG- 5 Study.<br />
<strong>The</strong> board appreciated <strong>the</strong> linkage <strong>of</strong> Global MIC with GAVI. In this regard MT<br />
suggested that <strong>INCLEN</strong> can play a major role in this project. MT commented that<br />
PEPFAR is a complicated funding mechanism because <strong>the</strong>y are working at both<br />
Washington and local national / regional <strong>of</strong>fices. He fur<strong>the</strong>r added that it should not<br />
conflict with national agenda which is part <strong>of</strong> <strong>INCLEN</strong> philosophy. DH appreciated<br />
<strong>the</strong> efforts <strong>of</strong> <strong>the</strong> IEO to “resuscitate <strong>the</strong> dying infant” (<strong>INCLEN</strong>) and strongly<br />
endorsed <strong>the</strong> current direction adopted by <strong>the</strong> organization.<br />
AC suggested studying prevention <strong>of</strong> Dengue ra<strong>the</strong>r than Surveillance and link up<br />
with WHO. He wants Brazil to get involved with PDVI. NKA said that Scott Holstead<br />
is <strong>the</strong> prime mover <strong>of</strong> PDVI which has a grant <strong>of</strong> 53 million USD. <strong>The</strong>y have been in<br />
touch with Osman and <strong>INCLEN</strong> will get in touch with Brazil as <strong>the</strong> opportunity<br />
arises.<br />
MKC Nair (MKC) while discussing IPHIDE related issues said that <strong>the</strong> major funding<br />
problem faced by IndiaCLEN with USAID is ei<strong>the</strong>r due to <strong>the</strong> inability to reach<br />
USAID‟s expectation or USAID has changed its expectations. <strong>The</strong> slight confusion<br />
that exists will be taken care <strong>of</strong>. He fur<strong>the</strong>r pointed out that <strong>the</strong>re is a difference<br />
between national priority and national policy and scientific priority and scientific<br />
policy, for which a balance has to be maintained by looking back at <strong>the</strong> objectives <strong>of</strong><br />
<strong>INCLEN</strong> that emphasized on quality research that bring changes in health system to<br />
make it equitable.<br />
MT was <strong>of</strong> <strong>the</strong> view that national policies do matter as well as <strong>INCLEN</strong>‟s priorities<br />
and affiliations. OS enquired about <strong>the</strong> dissemination and implementation <strong>of</strong> K+<br />
management. RD said that <strong>the</strong>re are challenges that are to be taken care <strong>of</strong> such as<br />
leadership, funding issues, and technical component. He fur<strong>the</strong>r said that <strong>the</strong> tools and<br />
instruments are already developed and can be used initially for <strong>the</strong> program. Nitish<br />
Dogra (ND) suggested <strong>the</strong> development <strong>of</strong> GVC in partnership with French and<br />
Spanish Universities. He also named UN- University located in Japan with whom<br />
linkages can be explored. JHU also has a distance learning program and we can<br />
explore partnerships. AH said that <strong>the</strong> K+ modules are not only to be published but<br />
also can be uploaded on to <strong>the</strong> website as LAMP modules which might be used by<br />
o<strong>the</strong>rs for academic and research purposes but RRC suggested to write a brief<br />
summary and publish.<br />
14
V. Regional CLEN Reports<br />
<strong>The</strong> afternoon session was chaired by MT. (RRC had to leave to attend to urgent<br />
work.) In <strong>the</strong> absence <strong>of</strong> CanUSACLEN, ChinaCLEN and EuroMedCLEN, <strong>the</strong>ir<br />
respective reports were discussed among <strong>the</strong> members present.<br />
a) CanUSACLEN: In <strong>the</strong> page 3 <strong>of</strong> <strong>the</strong> report, it was mentioned that Dr.<br />
Hossein Mohammad Rahbar is in <strong>the</strong> process <strong>of</strong> responding to a program<br />
announcement <strong>of</strong> FIC-NIH regarding Brain Disorders in <strong>the</strong> developing world.<br />
As <strong>INCLEN</strong> is also intending to resubmit LOI to NIH, it was decided that<br />
<strong>INCLEN</strong> and CanUSACLEN should come toge<strong>the</strong>r as one in working for this<br />
particular project. <strong>The</strong> CLENs in <strong>the</strong> developed world were asked to work<br />
towards streng<strong>the</strong>ning <strong>of</strong> <strong>the</strong> LMICs. <strong>The</strong> major problem faced by<br />
CanUSACLEN was its members overridden by o<strong>the</strong>r priorities. Finally <strong>the</strong><br />
board advised all CLEN heads to make efforts to link with o<strong>the</strong>r CLENs. MT<br />
said that few sentences regarding CLENs‟ collaborative efforts should be<br />
mentioned in <strong>the</strong> next report.<br />
b) ChinaCLEN: <strong>The</strong> members appreciated <strong>the</strong> book published by ChinaCLEN<br />
„Exercise <strong>of</strong> EBM‟. NKA while summarizing his visit to Shanghai June 2005<br />
said that ChinaCLEN is strong in Evidence Based medicine. ChinaCLEN has<br />
started a journal and has expressed desire and willingness to participate in <strong>the</strong><br />
studies <strong>of</strong> NDDP and Obesity. MT appreciated <strong>the</strong> linkage <strong>of</strong> Traditional<br />
Chinese Medicine Academy and IndiaCLEN.<br />
c) Euro-MedCLEN: EDCTP is likely to study conditions <strong>of</strong> LMICs regarding<br />
health issues. Euro-MedCLEN should play a pivotal role in negotiating <strong>the</strong><br />
relationship with EDCTP in order to find European partners. To address this<br />
issue, a teleconference will be organized between Marcel Tanner, Francois<br />
Chapuis (FC), Amr Hassan and NKA. Fur<strong>the</strong>r <strong>the</strong> agenda <strong>of</strong> <strong>the</strong><br />
teleconference would also include <strong>the</strong> use <strong>of</strong> Francophony funds by <strong>INCLEN</strong><br />
CEUs for Network activities. <strong>The</strong> relationship between CEUs and CLENs<br />
remain a challenge and needed to be addressed. This issue requires a constant<br />
monitoring as <strong>INCLEN</strong> moves from current phase to next phase for e.g.<br />
accreditation <strong>of</strong> CEUs, reaccreditations etc. MT said that <strong>the</strong> restructuring is<br />
very important and advised NKA and his team to prepare a proposal on how to<br />
engage partners. In order to achieve active participation from all CEUs, <strong>the</strong>re<br />
is a need to identify <strong>the</strong> determinants <strong>of</strong> active CEUs and streng<strong>the</strong>n <strong>the</strong> same.<br />
Fur<strong>the</strong>rmore, <strong>the</strong> CEUs from LMICs and non-LMICs should be handled<br />
differently and <strong>the</strong> spirit <strong>of</strong> partnership should be high.<br />
d) <strong>INCLEN</strong> Africa: AH presented <strong>the</strong> report and stated that <strong>the</strong>re is one<br />
CERTC, 7 CEUs and 145 members. MT appreciated <strong>the</strong> involvement <strong>of</strong><br />
African sites in inter CLEN proposed studies. AH thanked NKA and his team<br />
for initiating <strong>the</strong> collaboration between IEO and <strong>INCLEN</strong>-Africa for <strong>the</strong> first<br />
time. <strong>INCLEN</strong>-Africa is organizing annual meeting in <strong>the</strong> month <strong>of</strong> May 2006<br />
at Johannesburg in conjunction with Public Health Association <strong>of</strong> South<br />
Africa (PHASA), which could be a good platform for <strong>INCLEN</strong>Africa. He also<br />
invited NKA to attend <strong>the</strong> meeting and speak on <strong>the</strong> <strong>INCLEN</strong> activities. <strong>The</strong>re<br />
is possibility <strong>of</strong> a meeting between EDCTP, FC, AH and NKA. <strong>INCLEN</strong>-<br />
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Africa is planning to partner with Africa Health Forum to develop training<br />
centres most probably at Wits or Pretoria. AC said that since Brazil is a<br />
Portuguese speaking country, AfricaCLEN should take advantage <strong>of</strong> this to<br />
expand network and initiate studies in Portuguese speaking African countries.<br />
e) IndiaCLEN: MKC stated that IndiaCLEN is registered as „not for pr<strong>of</strong>it‟<br />
organization whose members are pr<strong>of</strong>essional clinical researchers (part time)<br />
and are handicapped in responding to RFAs. <strong>The</strong> membership has increased<br />
from 143 (2002) to 202 (2005). <strong>The</strong>ir major success is leadership in making<br />
PIPs. IPEN network is a model for all activities. He also stated that a training<br />
centre has come up in University <strong>of</strong> Kerala and funded by State Government.<br />
It was decided that for <strong>the</strong> next BOT, an agenda item is to be brought up for<br />
setting up a conglomerate <strong>of</strong> <strong>INCLEN</strong> CERTCs which develops uniform<br />
program curriculum & quality assurance can be incorporated. This can be a<br />
model <strong>of</strong> <strong>INCLEN</strong> initiated international accreditation standards. <strong>The</strong><br />
activities are to be undertaken according to <strong>the</strong> work load.<br />
f) LatinCLEN: AC presented <strong>the</strong> report and discussed <strong>the</strong> up scaling <strong>of</strong><br />
IntraCLEN studies. Regarding InterCLEN study, he stated that <strong>the</strong>re are some<br />
projects coming up between organizations/CEUs. He also suggested uploading<br />
<strong>the</strong> Spanish version <strong>of</strong> <strong>the</strong> LAMP modules on <strong>INCLEN</strong> <strong>Trust</strong> website. He said<br />
that LatinCLEN should prepare a MoU with PAHO, so that partnership is<br />
expanded and technical assistance provided. In this regard, MT suggested AC<br />
to meet PAHO regional advisor representative in April 2006. Unless <strong>the</strong><br />
CLEN is supported by some agency, <strong>the</strong> lack <strong>of</strong> funds issue will come up and<br />
<strong>the</strong>re is a risk <strong>of</strong> CLEN slumping into nonsustaining mode. OS said that since<br />
one <strong>of</strong> his colleagues is working on a tobacco project, he would like AC to be<br />
partner with his colleague for <strong>the</strong> project to which AC agreed. Regarding<br />
maintaining and updating LatinCLEN website, NKA said that all <strong>the</strong> CLENs<br />
are welcome to send <strong>the</strong> information to IEO and it can be updated &<br />
maintained at IEO.<br />
g) <strong>INCLEN</strong>-SEA: OS while presenting <strong>the</strong> report said that <strong>INCLEN</strong>-SEA<br />
consist <strong>of</strong> 7 countries, 11 CEUs and 6 CERTCs. <strong>The</strong> board suggested taking<br />
<strong>the</strong> EBM book developed by <strong>the</strong>ir CEU for use <strong>of</strong> GVC module development<br />
and making <strong>the</strong> self-instructional modules. Regarding <strong>the</strong> coordination <strong>of</strong><br />
many countries under one CLEN, he said that it is possible through emails,<br />
which <strong>of</strong> course is less expensive than telephone calls but <strong>the</strong> response is low.<br />
<strong>INCLEN</strong>-SEA was encouraged to have teleconferences. DH commented on<br />
<strong>the</strong> use <strong>of</strong> „health economics‟ instead <strong>of</strong> „clinical economics‟. OS presented<br />
<strong>the</strong> books published by <strong>INCLEN</strong>-SEA and said that <strong>the</strong> books contains<br />
volume <strong>of</strong> useful and relevant information extracted from public domains and<br />
is freely available on website. AC said to publish findings in local journal after<br />
main article is published elsewhere. Publication & dissemination <strong>of</strong><br />
information is very important to bring visibility for <strong>INCLEN</strong>. <strong>INCLEN</strong> should<br />
have an institutional mechanism for disseminating information. So, DH<br />
suggested having one journal <strong>of</strong> <strong>INCLEN</strong> where all global CEUs can<br />
contribute. <strong>The</strong> board decided to upload on <strong>the</strong> website <strong>the</strong> complete project<br />
proposals and reports. MT concluded by saying that all <strong>the</strong> CLENs should<br />
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think <strong>of</strong> InterCLEN activities so that <strong>INCLEN</strong> can capture important issues,<br />
areas and will have better platform.<br />
VI. Restructuring <strong>of</strong> Regional CLENs<br />
NKA presented <strong>the</strong> restructuring <strong>of</strong> CLENs and stated that <strong>INCLEN</strong> has a huge and<br />
potential network which covers 33 countries comprising <strong>of</strong> 81 CEUs and over 1400<br />
members. <strong>INCLEN</strong> has <strong>the</strong> potential to become a powerful body having impact on<br />
policy. <strong>The</strong>re are some medical schools which have expressed <strong>the</strong>ir interest <strong>of</strong> joining<br />
<strong>INCLEN</strong> from Pakistan, Nepal, Srilanka, Iran etc. Similarly existing CEUs in Japan<br />
are not keen to be called as part <strong>of</strong> Sou<strong>the</strong>ast Asia. He fur<strong>the</strong>r said that earlier <strong>the</strong><br />
basic idea <strong>of</strong> regionalization was geographical which was later extended to include<br />
CEUs with language affinity. MT indicated that while carving out regional CLENs,<br />
both geographic factors and strategic reasons were considered. This took into account<br />
language and cultural values as well. Henceforth, Francophone Europe and parts <strong>of</strong><br />
North Africa will be included toge<strong>the</strong>r.<br />
Regarding constitutional strategy, everybody said that it is possible but it should be<br />
discussed with individual constituents <strong>of</strong> current CLENs. AC said that strategic<br />
thinking process has to be an important component. People may like to work toge<strong>the</strong>r<br />
in same kind <strong>of</strong> grouping. It is not restructuring but reorganizing <strong>the</strong> whole thing. DH<br />
said that what is working should not be disturbed. He was <strong>of</strong> <strong>the</strong> view that language<br />
and customs can cut across geographic barriers. <strong>The</strong> working realities are that <strong>the</strong><br />
socio-cultural / language should be focused and it should be a dynamic process.<br />
MKC said it is geographical and administrative basis which matters in <strong>the</strong> IndiaCLEN<br />
bylaws. So, including Nepal and Sri Lanka would be a difficult task for IndiaCLEN.<br />
MT responded positively and said that <strong>the</strong> board should find out <strong>the</strong> loopholes and not<br />
violate <strong>the</strong> bylaws/rules.<br />
RD commented that operational working is most important. <strong>The</strong>re is a need to focus /<br />
clarify according to CLEN specific ra<strong>the</strong>r than looking at a global level. AH agreed to<br />
RD and stated that geographical basis is <strong>the</strong> most appropriate. But, <strong>the</strong>re is a problem<br />
<strong>of</strong> defining boundaries <strong>of</strong> Euro-Mediterranean. So, <strong>the</strong> CLENs should be approached<br />
individually and resolve on <strong>the</strong>ir own to build up working / feasible affiliations. He<br />
fur<strong>the</strong>r said that whatever is <strong>the</strong> grouping <strong>of</strong> CLENs, <strong>the</strong>re is a need for proactive<br />
participation. MT also agreed with RD and AC.<br />
Finally it was agreed that initially <strong>the</strong> new CEU would be temporarily affiliated and<br />
after initiating activities within <strong>the</strong> CLEN, <strong>the</strong>n <strong>the</strong>y can be given permanent<br />
affiliation as a CEU to a region so that socially and geographically <strong>the</strong>y should be<br />
close to <strong>the</strong>ir CLEN.<br />
Regarding <strong>the</strong> changing <strong>of</strong> name <strong>of</strong> <strong>INCLEN</strong>-SEA, MT suggested taking <strong>the</strong> opinion<br />
<strong>of</strong> its CLEN president and o<strong>the</strong>r members. He entrusted <strong>the</strong> responsibility <strong>of</strong> changing<br />
<strong>the</strong> name to PanAsiaCLEN to NKA and OS.<br />
VII. IndiaCLEN - External Evaluation<br />
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MKC presented <strong>the</strong> draft report <strong>of</strong> IndiaCLEN External Evaluation report carried out<br />
during Feb-March 2006. <strong>The</strong> report had been originally requested by <strong>the</strong> BOT in<br />
order to formalize <strong>the</strong> lesson learnt that could possibly apply to <strong>the</strong> o<strong>the</strong>r CLENs and<br />
be useful in streng<strong>the</strong>ning <strong>the</strong> network. <strong>The</strong> terms <strong>of</strong> reference for <strong>the</strong> external<br />
evaluation <strong>of</strong> IndiaCLEN were presented. Specifically <strong>the</strong> evaluation was to evaluate<br />
<strong>the</strong> performance <strong>of</strong> IndiaCLEN research programs and o<strong>the</strong>r research activities in<br />
relation with it vision/mission/mandate and examine how this has contributed to<br />
knowledge generation and policy formulations and implementations. <strong>The</strong> need to<br />
evaluate and assess <strong>the</strong> success <strong>of</strong> IndiaCLEN to adapt to <strong>the</strong> changing health<br />
problems, bridging <strong>the</strong> clinical and public health gap, interaction with policy makers<br />
and program managers and fostering partnerships was also identified as important<br />
objectives <strong>of</strong> <strong>the</strong> evaluation. Finally <strong>the</strong> evaluation <strong>of</strong> capacity building and<br />
organization structure relating to <strong>the</strong> function <strong>of</strong> India CLEN with a view to suggest<br />
changes was considered.<br />
<strong>The</strong> team consisted <strong>of</strong><br />
o Dr. Dilip Mahalanabis, Health Research Scientist – Kolkota, India<br />
o Dr. Jonathon Simon, Health Research Scientist – Boston University, USA<br />
o Dr. Davidson Hamer, Health Research Scientist - Boston University, USA<br />
o Dr. Hari Singh, Health Management Expert – Bangalore, India<br />
<strong>The</strong> findings were presented including <strong>the</strong> strengths and weaknesses. IndiaCLEN has<br />
a strong team <strong>of</strong> highly committed trained pr<strong>of</strong>essional researchers who are willing to<br />
work extra besides <strong>the</strong>ir routine assignments. <strong>The</strong> model <strong>of</strong> its operations through<br />
capacity building <strong>of</strong> medical colleges and not creating a parallel organization is very<br />
successful and exemplary. Most <strong>of</strong> <strong>the</strong> host institutions have very well adopted <strong>the</strong><br />
CEUs and have provided good infrastructure and facilities. <strong>The</strong> organization has<br />
established its credibility in <strong>the</strong> market by conducting high quality research. <strong>The</strong><br />
funding organizations hold a very high opinion about <strong>the</strong> IndiaCLEN and have shown<br />
interest in working with it in future.<br />
<strong>The</strong> evaluation team found may areas for improvement. <strong>The</strong> Governing Body has<br />
more IndiaCLEN members and very few external experts / funding agencies. <strong>The</strong><br />
central command <strong>of</strong> <strong>the</strong> organization is weak in terms <strong>of</strong> technical and managerial<br />
capabilities. <strong>The</strong> sub committees have a large number <strong>of</strong> members from CEUs over a<br />
large geographical area – leading to poor effectiveness / efficiency? Some <strong>of</strong> <strong>the</strong> CEU<br />
lack young and dynamic leadership. Keeping in view <strong>the</strong> attrition <strong>of</strong> core members <strong>of</strong><br />
IndiaCLEN, <strong>the</strong> pace <strong>of</strong> cultivation <strong>of</strong> second line <strong>of</strong> researchers is slow. <strong>The</strong><br />
expansion <strong>of</strong> CEU network is not sufficient. Performance <strong>of</strong> a few CEUs and some<br />
members is not satisfactory.<br />
<strong>The</strong>re is a gap between core members and adjunct members. Quality <strong>of</strong> research is<br />
variable among <strong>the</strong> individual CEUs and specific studies. Dissemination <strong>of</strong> study<br />
findings and advocacy for policy change are relatively week. <strong>The</strong> proportion <strong>of</strong><br />
overheads is high and some <strong>of</strong> <strong>the</strong> funding agencies are seriously concerned about it.<br />
Although <strong>the</strong> demand driven/ competitive research projects are increasing <strong>the</strong>re is a<br />
need to accelerate <strong>the</strong> process. Networking with stakeholders is not adequate.<br />
<strong>The</strong>re were some suggestions for corrective action but <strong>the</strong> draft report was lacking in<br />
specific details. <strong>The</strong> board showed <strong>the</strong>ir interest in going through <strong>the</strong> report. So, it<br />
18
was decided to send copies <strong>of</strong> <strong>the</strong> report to <strong>the</strong> CLEN presidents and <strong>the</strong> non CLEN<br />
BOT members. MT commented on <strong>the</strong> lack <strong>of</strong> a SWOT analysis. His experiences<br />
had lead him to expect something more structured in <strong>the</strong> way <strong>of</strong> presentation. He<br />
acknowledged that <strong>the</strong> report was an early draft and expressed <strong>the</strong> expectation that <strong>the</strong><br />
final report be something that would not just focus upon <strong>the</strong> future <strong>of</strong> IndiaCLEN but<br />
also give some perspective to <strong>the</strong> decisions that have lead to <strong>the</strong> obvious success <strong>of</strong><br />
<strong>the</strong> IndiaCLEN network.<br />
MKC Nair commented that <strong>the</strong> final version would be available to everyone in <strong>the</strong><br />
Network and would be routed to all <strong>the</strong> BOT members. He specifically noted <strong>the</strong><br />
need to identify <strong>the</strong> methodologies that had been successful and <strong>the</strong> need to apply<br />
<strong>the</strong>m in some form to <strong>the</strong> o<strong>the</strong>r CLENs.<br />
AC noted that <strong>the</strong> o<strong>the</strong>r CLENs might also benefit from a self evaluation along <strong>the</strong><br />
same format. A serious and targeted evaluation would certainly show up <strong>the</strong> strengths<br />
and point out <strong>the</strong> weakness <strong>of</strong> <strong>the</strong> regions. It was discussed that each CLEN would be<br />
encouraged to do a self evaluation once <strong>the</strong> final IndiaCLEN version was released.<br />
DH fur<strong>the</strong>r commented on <strong>the</strong> need to apply a wide review and to come up with a<br />
“real learning experience.”<br />
MKC Nair committed to routing <strong>the</strong> final version and seeing that <strong>the</strong> concerns <strong>of</strong> <strong>the</strong><br />
BOT members would be considered in <strong>the</strong> final write up.<br />
VIII. Administration<br />
Legal setup <strong>of</strong> IEO in Delhi: ML, while talking about <strong>the</strong> registration <strong>of</strong> <strong>INCLEN</strong><br />
TRUST stated that <strong>INCLEN</strong> has already been registered in India on Oct 27, 2005 and<br />
now it‟s fully functional. <strong>The</strong> government required fiscal year end will be every<br />
March 31 starting with <strong>the</strong> just ended March 31, 2006. He fur<strong>the</strong>r stated that<br />
<strong>INCLEN</strong> is one <strong>of</strong> <strong>the</strong> multinational organizations in India who will soon have <strong>the</strong><br />
permission to accept foreign contributions. <strong>INCLEN</strong> is awaiting <strong>the</strong> FCRA clearance.<br />
NKA added that <strong>the</strong> legal formalities took long time since all <strong>the</strong> CLEN President<br />
<strong>of</strong>fices had Intelligence Bureau verifications. <strong>The</strong>re are some additional copies <strong>of</strong> <strong>the</strong><br />
<strong>Trust</strong> Deed to be signed and all BOT members were requested to make a point <strong>of</strong><br />
signing to minimize <strong>the</strong> amount <strong>of</strong> traveling that will be needed for <strong>the</strong> documents.<br />
SOP’s: ML said that <strong>the</strong> SOPs have already been circulated twice to all <strong>the</strong> members<br />
and inputs are incorporated. This is a dynamic process and will be updated / modified<br />
as <strong>the</strong> situations demand. <strong>The</strong> board decided to upload <strong>the</strong> SOP on to <strong>the</strong> website and<br />
send hard copies & CD to all CLENs. It was also decided that <strong>the</strong> SOPs can be<br />
discussed in <strong>the</strong> Regional CLEN meetings and Governing body meetings and <strong>the</strong><br />
CLEN presidents can give a feedback during <strong>the</strong> next BOT meeting.<br />
Resolution for dissolving <strong>the</strong> Manila <strong>Trust</strong>: Stephanie Combs (SC) presented that<br />
now that <strong>the</strong> Delhi <strong>Trust</strong> is a formal and legal entity, it is time to dissolve <strong>the</strong> <strong>Trust</strong> in,<br />
Manila. Mary Ann Lansang has been contacted regarding this matter and has <strong>of</strong>fered<br />
to assist. Her bro<strong>the</strong>r, James Lansang, was instrumental in setting up <strong>the</strong> original<br />
company and has <strong>of</strong>fered to supervise <strong>the</strong> dissolution. In addition to <strong>the</strong> dissolution,<br />
<strong>the</strong> BOT must authorize <strong>the</strong> closing <strong>of</strong> <strong>the</strong> Bank accounts that are still in existence in<br />
<strong>the</strong> Philippines. <strong>The</strong>re is approximately $3,000 available which is sufficient to pay all<br />
19
fees and to compensate James Lansang for his efforts. Mary Ann will close <strong>the</strong><br />
account at <strong>the</strong> end <strong>of</strong> <strong>the</strong> process and forward all remaining funds to <strong>the</strong> Philadelphia<br />
<strong>of</strong>fice. <strong>The</strong>re was a motion to approve <strong>the</strong> resolution as presented in <strong>the</strong> background<br />
documents, authorizing Dr. Narendra Arora to execute all necessary actions to fully<br />
dissolve <strong>the</strong> Philippine <strong>Trust</strong> including but not limited to all bank accounts and legal<br />
entities related to <strong>the</strong> operation in both <strong>the</strong> Philippines and <strong>the</strong> US. <strong>The</strong> motion was<br />
passed by consensus.<br />
Appointment <strong>of</strong> Legal & Auditing Firms: Over <strong>the</strong> course <strong>of</strong> <strong>the</strong> past year, <strong>the</strong>re<br />
has been a legal firm M/s RK Baxi & co, Advocates, Delhi that has assisted with <strong>the</strong><br />
chartering. It would be in <strong>the</strong> best interest <strong>of</strong> <strong>the</strong> newly formed <strong>INCLEN</strong> <strong>Trust</strong> to<br />
retain this firm on a modest retainer. In addition, Mr. Ashotosh Chandrayan has left<br />
Bansal and Co. <strong>the</strong> IndiaCLEN auditors and has started his own firm. It would be in<br />
<strong>the</strong> best interest <strong>of</strong> <strong>INCLEN</strong> <strong>Trust</strong> to retain Mr. Ashotosh Chandrayan at his new firm<br />
to conduct <strong>the</strong> upcoming audit. <strong>The</strong> year end for this audit should coincide with <strong>the</strong><br />
government required year end <strong>of</strong> 31 March, 2006. <strong>The</strong>re was motion to accept both<br />
<strong>the</strong> retainer for <strong>the</strong> legal firm and <strong>the</strong> appointment <strong>of</strong> IndiaCLEN auditor for <strong>the</strong> new<br />
audit year. <strong>The</strong> motion passed by consensus.<br />
IX. Financial Matters<br />
Audit Report: SC presented <strong>the</strong> three auditing reports i.e. <strong>INCLEN</strong> Inc., <strong>INCLEN</strong><br />
<strong>Trust</strong> and <strong>the</strong> consolidated report. From <strong>the</strong> presentations, it was clear that <strong>INCLEN</strong>‟s<br />
expenditure is lessening every year. <strong>The</strong> restricted money is <strong>the</strong> Rockefeller money<br />
which is transferred to <strong>INCLEN</strong> <strong>Trust</strong>. At present, <strong>INCLEN</strong> is still left with combined<br />
assets <strong>of</strong> $1,172,702 (unrestricted) and $767,258 (restricted).<br />
SC presented to <strong>the</strong> BOT members in <strong>the</strong> same manner as with previous years. Each<br />
BOT member was given a bound copy <strong>of</strong> each <strong>of</strong> three audits, <strong>INCLEN</strong>, Inc.,<br />
<strong>INCLEN</strong> <strong>Trust</strong> International, Inc. and <strong>the</strong> Consolidated audits. <strong>The</strong> results <strong>of</strong> each<br />
company audit were presented separately and <strong>the</strong> consolidated results were presented<br />
as a conclusion. <strong>The</strong> statement <strong>of</strong> financial position again shows that <strong>the</strong> only asset<br />
<strong>of</strong> significance is cash. <strong>The</strong> bulk <strong>of</strong> <strong>the</strong> cash from <strong>INCLEN</strong>, Inc. was transferred to<br />
<strong>INCLEN</strong> <strong>Trust</strong> and now has only sufficient cash for <strong>the</strong> necessary cash flow for <strong>the</strong><br />
IPHIDE funding. Boston University has been remitting funds approximately 30 days<br />
after receipt <strong>of</strong> invoice. <strong>The</strong> <strong>Trust</strong> now has <strong>the</strong> bulk <strong>of</strong> <strong>the</strong> cash assets <strong>of</strong> <strong>the</strong><br />
consolidated corporations. Expenses from previous years were compared to <strong>the</strong><br />
current year with special note being made <strong>of</strong> <strong>the</strong> general and continuing trend in a<br />
reduction <strong>of</strong> funds spent on research and capacity building.<br />
<strong>The</strong> balance <strong>of</strong> restricted and unrestricted assets was discussed. <strong>The</strong> BOT was<br />
reminded that <strong>the</strong> restricted assets were <strong>the</strong> balance <strong>of</strong> <strong>the</strong> Rockefeller grant which<br />
expired 31 December, 2005 and has been reported to <strong>the</strong> BOT by Rodolfo Dennis<br />
earlier in <strong>the</strong> meeting. <strong>The</strong> remaining funds are unrestricted accumulations from<br />
interest earnings and unused overheads from previous years. A question was raised<br />
from <strong>the</strong> floor about <strong>the</strong> current interest rate for <strong>the</strong> funds in <strong>the</strong> Philadelphia bank<br />
accounts. <strong>The</strong>se minutes are to reflect <strong>the</strong> current rate which is 3.85% and currently<br />
rising.<br />
20
Stephanie Combs requested that <strong>the</strong> current auditors, Asher and Co. be again retained<br />
on a one year contract given <strong>the</strong> transition status <strong>of</strong> <strong>the</strong> organization. She reminded<br />
<strong>the</strong> BOT members that ultimately, it would be in <strong>the</strong> best interest <strong>of</strong> <strong>the</strong> organization<br />
to consider new auditors, a fresh set <strong>of</strong> eyes, after <strong>the</strong> transition phase was complete.<br />
<strong>The</strong>re was a motion to retain Asher and Co. for an additional year. <strong>The</strong> motion was<br />
passed by consensus.<br />
Financial Status: <strong>The</strong> company for <strong>the</strong> last year has been very stable in regard to<br />
financial matters in spite <strong>of</strong> shifting <strong>of</strong> IEO <strong>of</strong>fice from AIIMS. NKA pointed out that<br />
<strong>INCLEN</strong> <strong>Trust</strong> has co-funded all IEO-Delhi <strong>of</strong>fice expenses for <strong>the</strong> remaining 3<br />
months in this year on <strong>the</strong> basis <strong>of</strong> project activities going on.<br />
MT stressed <strong>the</strong> need to look at <strong>the</strong> issue <strong>of</strong> minimum core resources required to<br />
smoothly operate CLEN <strong>of</strong>fices and asked <strong>the</strong> CLEN presidents to calculate and<br />
report to <strong>the</strong> board in <strong>the</strong> next meeting regarding <strong>the</strong>ir core resources. This is<br />
homework for each CLEN. NKA will compile <strong>the</strong> data received from each CLEN in a<br />
table format and include it in <strong>the</strong> agenda <strong>of</strong> <strong>the</strong> next meeting.<br />
<strong>The</strong> board discussed <strong>the</strong> importance <strong>of</strong> decentralization <strong>of</strong> <strong>the</strong> CLENs. <strong>The</strong>re should<br />
be a balance between centralization and decentralization. NKA talked about achieving<br />
<strong>the</strong> three modes i.e. survival, sustaining and thriving. For this, <strong>INCLEN</strong> should create<br />
a viable network and collaboration between CLENs. All <strong>the</strong> CLENs should have<br />
some degree <strong>of</strong> accountability and responsibility to fulfill it.<br />
<strong>The</strong> current financial report was presented via graphs that were included in <strong>the</strong><br />
background materials. <strong>The</strong> projected expenses were compared to <strong>the</strong> BOT approved<br />
budget and it was apparent that <strong>the</strong> budget would be under spent in all but two<br />
categories, <strong>the</strong> BOT travel/Office <strong>of</strong> <strong>the</strong> Chair and <strong>the</strong> CLEN regional meetings. It<br />
was explained that <strong>the</strong> 2005-2006 budget had been very aggressive and <strong>the</strong>re were<br />
several explanations as to <strong>the</strong> slow uptake <strong>of</strong> <strong>the</strong> projects. First was <strong>the</strong> learning curve<br />
for <strong>the</strong> new Executive Director and second was <strong>the</strong> realization that <strong>the</strong> projects could<br />
be submitted to funding agencies for consideration without significant outlay <strong>of</strong><br />
<strong>INCLEN</strong> resources. Finally, a significant proportion <strong>of</strong> administrative expenses at<br />
IEO New Delhi and Philadelphia were being cross subsidized from ongoing projects.<br />
<strong>The</strong>re was a lengthy discussion about <strong>the</strong> method <strong>of</strong> projecting <strong>the</strong> year end balances.<br />
It was explained that <strong>the</strong> Executive Director and <strong>the</strong> Chief Financial Officer had<br />
evaluated each project and each significant budget item and toge<strong>the</strong>r had come to <strong>the</strong><br />
projections. Since <strong>the</strong> remaining year required only three months <strong>of</strong> projection and<br />
many <strong>of</strong> <strong>the</strong> projects are ei<strong>the</strong>r in process or well documented as to <strong>the</strong> start dates, a<br />
high level <strong>of</strong> confidence was given to <strong>the</strong> projections.<br />
<strong>The</strong> result <strong>of</strong> <strong>the</strong> year <strong>of</strong> learning along with grants already received will allow <strong>the</strong><br />
programs to be initiated and or completed while stretching <strong>the</strong> remaining funds<br />
beyond FY07-08 fiscal year. Additional information will be available to clarify <strong>the</strong>se<br />
projections during <strong>the</strong> Executive Directors Workplan which will be presented later in<br />
<strong>the</strong> agenda.<br />
X. BOT - Nomination <strong>of</strong> New <strong><strong>Trust</strong>ees</strong><br />
21
<strong>The</strong> name <strong>of</strong> Alfred Sommer-Pr<strong>of</strong>essor Epidemiology, International Health and<br />
Ophthalmology at <strong>the</strong> School <strong>of</strong> Medicine, Baltimore was submitted for<br />
consideration. Pr<strong>of</strong>essor Sommer was contacted and although he expressed an<br />
interest, he requested that <strong>INCLEN</strong> approach him again in two years after he was<br />
relieved <strong>of</strong> some <strong>of</strong> his current commitments.<br />
<strong>The</strong> name <strong>of</strong> Jon Simon, Director, Center <strong>of</strong> International Health and Development<br />
Chairman, Department <strong>of</strong> International Health, Associate Pr<strong>of</strong>essor <strong>of</strong> International<br />
Health Boston University School <strong>of</strong> Public Health was submitted for consideration.<br />
Dr Simon was contact and agreed to being considered for a <strong>Board</strong> position.<br />
<strong>The</strong>re was a motion to accept <strong>the</strong> nomination <strong>of</strong> Dr. Simon for a position on <strong>the</strong> <strong>Board</strong><br />
<strong>of</strong> <strong><strong>Trust</strong>ees</strong>. <strong>The</strong> motion was passed by consensus.<br />
XI. New CEU membership<br />
A new CEU membership was submitted by <strong>INCLEN</strong> Africa Secretariat Office for<br />
Wits School <strong>of</strong> Public Health, University <strong>of</strong> <strong>the</strong> Witwatersrand, Johannesburg, RSA<br />
as a member CEU <strong>of</strong> <strong>the</strong> network. <strong>INCLEN</strong> Africa found that <strong>the</strong> Wits School<br />
satisfied <strong>the</strong> criteria <strong>of</strong> membership and 11 <strong>of</strong> 14 council members voted<br />
electronically to accept <strong>the</strong> school as a CEU. <strong>The</strong> Secretariat spoke highly <strong>of</strong> <strong>the</strong><br />
school and <strong>the</strong> application; o<strong>the</strong>r pertinent documents were included in <strong>the</strong><br />
background papers for <strong>the</strong> information <strong>of</strong> <strong>the</strong> BOT members. <strong>The</strong>re was a motion to<br />
accept Wits School as a new CEU within <strong>the</strong> <strong>INCLEN</strong> Africa CLEN. <strong>The</strong> motion<br />
passed by consensus.<br />
XII. Work Plan for 06-07<br />
<strong>The</strong> work plan for 06-07 was presented by NKA. <strong>The</strong> presentation began with a look<br />
at <strong>the</strong> prior year priorities and <strong>the</strong> lessons learnt during <strong>the</strong> first year <strong>of</strong> Directorship<br />
and <strong>the</strong> New Delhi <strong>of</strong>fice. Last year a very aggressive workplan was presented that<br />
focused upon <strong>the</strong> initiation <strong>of</strong> multi-country collaborative studies with high visibility<br />
and impact which would have a short gestation period. All <strong>the</strong>se projects were<br />
referenced back to <strong>the</strong> <strong>INCLEN</strong> mission statement.<br />
During <strong>the</strong> course <strong>of</strong> <strong>the</strong> year several lessons were learnt and observed. First, <strong>the</strong>re<br />
came a better understanding <strong>of</strong> <strong>the</strong> network. <strong>The</strong> disinterest and disillusionment<br />
seems to be pervasive as evidenced by <strong>the</strong> lack <strong>of</strong> applications for fellowships,<br />
scholarships and training opportunities that had been put toge<strong>the</strong>r by <strong>the</strong> IEO staff.<br />
Fur<strong>the</strong>r evidence <strong>of</strong> <strong>the</strong> state <strong>of</strong> <strong>the</strong> network was seen in <strong>the</strong> lack <strong>of</strong> response for<br />
circulated RFAs and RSC/CBS projects that dragged on long after deadlines. Upon<br />
traveling to one unit for possible project exploration, <strong>the</strong> team was greeted with<br />
suspicion and skepticism.<br />
However, at <strong>the</strong> same time it became evident that on a CEU level, almost every unit<br />
was active, productive, and involved at <strong>the</strong> local and national level. <strong>The</strong> Rockefeller<br />
report consolidation revealed that significant research and publications are being done<br />
throughout <strong>the</strong> network involving almost every CEU. Members at <strong>the</strong> individual level<br />
were involved with several research projects and many participated in non-<strong>INCLEN</strong><br />
network activities as well. <strong>The</strong> call <strong>of</strong> <strong>the</strong> IEO for participants in obesity, Neuro<br />
22
development disabilities, TASC III, and governance has been overwhelming and<br />
heartening and indicative <strong>of</strong> a thriving and engaged network.<br />
Armed with <strong>the</strong>se lessons a strategy was developed to operationalize <strong>INCLEN</strong><br />
priority projects. <strong>The</strong> projects <strong>the</strong>mselves became an integral part <strong>of</strong> repairing <strong>the</strong><br />
confidence <strong>of</strong> Network members, developing persistent and consistent engagement<br />
with funding agencies all <strong>the</strong> while looking for alternative funding sources. <strong>The</strong><br />
priority projects established during <strong>the</strong> FY 05-06 workplan consisted <strong>of</strong> several<br />
multicountry, multicentric projects specifically Obesity, Neuro Development<br />
disabilities, virtual campus, and governance. <strong>The</strong>se projects have been developed<br />
each to some level and presented to interested and appropriate funders. New priority<br />
projects have also been developed as interest picks up from funders such as Global<br />
MIC potentially with Gates Foundation, Africa HIV/AIDS from <strong>the</strong> USAID new<br />
partner initiative, and rational use <strong>of</strong> drugs with INRUD. Recent global events and<br />
priorities also point to a need for surveillance programs related to avian flu in <strong>the</strong><br />
Asian CLEN areas and <strong>the</strong> possibility <strong>of</strong> programs that will establish new partnerships<br />
with funding agencies, national governments, and renowned university programs.<br />
In order to establish <strong>the</strong>se new partnerships several issues required clarification<br />
What is in it for <strong>INCLEN</strong>?<br />
What is in it for <strong>the</strong> Partner Organization?<br />
What is in it for both?<br />
Such questions were lead to <strong>the</strong> guiding principles to define <strong>the</strong> scope <strong>of</strong> work, <strong>the</strong><br />
impact to stakeholders, working relationships and evaluation <strong>of</strong> <strong>the</strong> success or<br />
strengths <strong>of</strong> various collaborations. It became evident that strategic alliances required<br />
a more formal structure. Country and Global Universities, governments and<br />
organizations along with corporate for-pr<strong>of</strong>it organizations are approached and many<br />
MoUs have been developed and circulated. Such formal agreements will pave <strong>the</strong><br />
way to a closer relationship and a better understanding <strong>of</strong> common areas <strong>of</strong> interest.<br />
<strong>The</strong> lessons learnt from <strong>the</strong> past year indicate that <strong>the</strong> IEO must maintain a greater<br />
technical presence in its staff. <strong>The</strong> network members require both leadership and<br />
technical expertise in order to fully engage with <strong>the</strong> priority projects that have been<br />
presented in <strong>the</strong> previous workplan. To that end, <strong>the</strong>re is a distinct restructuring that<br />
has occurred during <strong>the</strong> past six months with full implementation expected by <strong>the</strong> end<br />
<strong>of</strong> <strong>the</strong> fiscal year 30 June, 2006. It has become apparent that <strong>INCLEN</strong> has a need for<br />
full time dedicated program consultants who can assist with <strong>the</strong> ongoing development<br />
efforts. In order to accommodate that need a variable number <strong>of</strong> full time program<br />
consultants will reside in <strong>the</strong> IEO Delhi <strong>of</strong>fice as projects are identified and mature as<br />
well as <strong>the</strong> placement <strong>of</strong> a full time program consultant to be located in <strong>the</strong><br />
Philadelphia <strong>of</strong>fice.<br />
Next, <strong>the</strong>re was a need to evaluate <strong>the</strong> opportunities lost and found over <strong>the</strong> course <strong>of</strong><br />
<strong>the</strong> past year. Quickly <strong>the</strong> needs <strong>of</strong> <strong>the</strong> PI came into focus. We can continue to<br />
engage <strong>the</strong> PI by maintaining a established network <strong>of</strong> trained researchers with<br />
credibility and visibility. High possibility <strong>of</strong> funding and <strong>the</strong> implementation <strong>of</strong> an<br />
award system should not only engage <strong>the</strong> PI but streng<strong>the</strong>n <strong>the</strong> affiliated CEU. To<br />
fur<strong>the</strong>r <strong>the</strong>se needs <strong>the</strong> IEO with its full time program consultants is establishing<br />
systems designed to “handhold” new/young investigators. Activities will include<br />
assistance with protocol development, donor introductions and partner identification<br />
23
and follow-up to proposals. <strong>The</strong> IEO will continue to provide complete and<br />
appropriate administrative and financial management especially for multicentric<br />
collaborative studies and will continue to maintain <strong>the</strong> mechanism for routing funds to<br />
multiple sites/countries.<br />
Internships have been established with <strong>the</strong> first phase starting March 2006. <strong>The</strong><br />
response was overwhelming with 27 qualified applicants clearly stating <strong>the</strong> desire to<br />
live and work in Delhi to receive <strong>the</strong> experience that <strong>INCLEN</strong> can provide along with<br />
a very modest stipend. Such programs will attract new talent and provide <strong>INCLEN</strong><br />
with future partners, capacity streng<strong>the</strong>ning, expanded good will and visibility.<br />
<strong>The</strong> network is under a revitalization program. <strong>The</strong> newsletter is currently being<br />
rotated annually to each CLEN in order to engage local members and encourage<br />
CLEN to CLEN interaction and exchange <strong>of</strong> information. CLEN heads will play an<br />
increasing leadership role as <strong>the</strong>y continue to be engaged by <strong>the</strong> new programs and<br />
<strong>the</strong> need for local participation. Meeting funds which are still available will continue<br />
to require co-funding in order to encourage <strong>the</strong> development <strong>of</strong> local, national, and<br />
regional alliances within <strong>the</strong> CLEN structure. <strong>The</strong> next Global Forum meeting will be<br />
in Cairo, 29 October to 2 November and a large <strong>INCLEN</strong> presence will again be<br />
encouraged.<br />
<strong>INCLEN</strong> must continue its vigilance toward fiscal responsibility and sound financial<br />
management. Core actives must be supported by <strong>the</strong> overheads <strong>of</strong> priority projects<br />
and <strong>the</strong> IEO <strong>of</strong>fices continue to be cross subsidized. Financial discipline and suitable<br />
staffing levels must lead to a balance suitable to sustain <strong>the</strong> basic function <strong>of</strong> <strong>the</strong> IEO<br />
while enabling it to move quickly and appropriately to <strong>the</strong> needs <strong>of</strong> Global Health and<br />
<strong>the</strong> network members. A budget was prepared and presented that will allow <strong>the</strong><br />
current level <strong>of</strong> activities to continue for <strong>the</strong> next two years. <strong>The</strong> budget clearly<br />
shows <strong>the</strong> significant cross subsidies <strong>of</strong> <strong>the</strong> IEO staff and <strong>of</strong>fice expenses while<br />
preserving significant funds for <strong>the</strong> continuing development <strong>of</strong> <strong>the</strong> priority projects.<br />
<strong>The</strong> program started in FY05-06 will continue with <strong>the</strong> emphasis on <strong>the</strong> development<br />
<strong>of</strong> multi-country collaborative studies with high visibility, impact and short gestations<br />
periods. <strong>The</strong> budget is appended here for <strong>the</strong> reference <strong>of</strong> <strong>the</strong> reader and for formal<br />
records. <strong>The</strong> current budget projects that <strong>the</strong> current activities <strong>of</strong> Obesity,<br />
Governance, Neuro Disability development, and o<strong>the</strong>r priority programs can be<br />
sustained along with <strong>the</strong> core activities <strong>of</strong> <strong>the</strong> IEO <strong>of</strong>fices for <strong>the</strong> next two years.<br />
Discussion started with <strong>the</strong> issue <strong>of</strong> core funding / core resources. DH said that now<br />
<strong>the</strong>re is an urgent need to start thinking <strong>of</strong> long term strategy for <strong>INCLEN</strong>/Regional<br />
CLENs. He noted a high level <strong>of</strong> satisfaction with <strong>the</strong> progress and <strong>the</strong> comprehensive<br />
plan presented today. He noted that it did appear as though <strong>the</strong>re was “light at <strong>the</strong> end<br />
<strong>of</strong> <strong>the</strong> tunnel.” MT said that it is <strong>the</strong> responsibility <strong>of</strong> <strong>the</strong> IEO to plan out <strong>the</strong><br />
mechanism <strong>of</strong> long term and mid term strategies and circulate this to all CEUs. He<br />
especially noted <strong>the</strong> need to continue to focus on fewer but larger projects in order to<br />
push <strong>the</strong> agenda and not to overload <strong>the</strong> IEO with too many activities. AC<br />
appreciated <strong>the</strong> comprehensive presentation and <strong>the</strong> obvious opportunities for <strong>the</strong><br />
CLEN to take a more active and engaging role. He requested <strong>the</strong> NKA circulate<br />
portions <strong>of</strong> <strong>the</strong> plan and suggested an article in <strong>the</strong> next newsletter.<br />
24
MT fur<strong>the</strong>r said that <strong>the</strong> Agra statement mentioned in <strong>the</strong> presentation was very<br />
powerful. <strong>The</strong> donors and partners were waiting for some action to happen before<br />
<strong>the</strong>y begin to support. He appreciated <strong>the</strong> progress made in signing MoUs with o<strong>the</strong>r<br />
universities and organizations and suggested to involve some European partners as<br />
well as <strong>the</strong> American partners.<br />
MT appreciated <strong>the</strong> enthusiasm and vision <strong>of</strong> NKA and supported <strong>the</strong> activity <strong>of</strong><br />
encouraging new talents in <strong>the</strong> program. DH commented on <strong>the</strong> active involvement <strong>of</strong><br />
<strong>the</strong> CLEN presidents / CEUs and suggested to try and restore <strong>the</strong> confidence <strong>of</strong> <strong>the</strong><br />
CEUs / CLEN members and bridge <strong>the</strong> communication gap between <strong>the</strong> members.<br />
MT added that <strong>the</strong> CLEN presidents should be more forceful and <strong>the</strong> enthusiasm <strong>of</strong><br />
<strong>the</strong> BOT should be transmitted to individual members in every CEU. NKA was given<br />
<strong>the</strong> responsibility <strong>of</strong> writing a specific covering letter to all <strong>the</strong> CLEN presidents<br />
about <strong>the</strong> key points <strong>of</strong> BOT meeting.<br />
MKC stated that some <strong>of</strong> <strong>the</strong>se issues have already been taken up by IndiaCLEN. <strong>The</strong><br />
most important hindrances are:<br />
- lack <strong>of</strong> functioning <strong>of</strong> <strong>the</strong> CEUs due to director‟s lack <strong>of</strong> interest and lack <strong>of</strong><br />
minimal funds<br />
- at IndiaCLEN level, structural management is not effective due to lack <strong>of</strong><br />
prime movers to initiate and sustain a project and lack <strong>of</strong> USAID support.<br />
DH said that <strong>the</strong> CLEN presidents have to take a much more active role. <strong>The</strong>y should<br />
make <strong>the</strong>ir own work plan, communicate better with <strong>the</strong>ir CEUs & support <strong>the</strong> IEO.<br />
CLENs may build up <strong>the</strong>ir workplan based on <strong>the</strong> 06-07 workplan <strong>of</strong> BOT and <strong>the</strong><br />
guiding principle <strong>of</strong> <strong>INCLEN</strong>. AH pointed out that <strong>the</strong> CLEN faces difficulties in<br />
functioning when <strong>the</strong>re are many countries involved.<br />
AC was <strong>of</strong> <strong>the</strong> opinion that instead <strong>of</strong> being afraid <strong>of</strong> <strong>the</strong> difficulties, <strong>the</strong>re is need to<br />
identify <strong>the</strong>m. Communication between CLEN heads and sharing <strong>the</strong> difficulties may<br />
help to improve <strong>the</strong> condition. <strong>The</strong> board suggested having a progress report in this<br />
matter in <strong>the</strong> next BOT meeting.<br />
Finally, MT concluded by saying that CLEN‟s can improve communication within<br />
and between regions through SKYPE‟. AC will be <strong>the</strong> engine <strong>of</strong> <strong>the</strong> vehicle. He will<br />
pull all <strong>the</strong>se issues & think for improvement and report to <strong>the</strong> board next year.<br />
Regarding <strong>the</strong> MoUs, all <strong>the</strong> board members should review and give comments to<br />
NKA within 2 weeks time. NKA to look up for prospects <strong>of</strong> collaboration with<br />
European Universities. Include EDTCP in <strong>the</strong> strategic plan and review it after a year.<br />
After discussion, <strong>the</strong> BOT members moved to accept <strong>the</strong> FY06-07 workplan as<br />
presented with <strong>the</strong> thanks and appreciation <strong>of</strong> <strong>the</strong> <strong>Board</strong>. <strong>The</strong> motion passed by<br />
consensus.<br />
XIII. Any o<strong>the</strong>r business<br />
AH discussed <strong>the</strong> issue <strong>of</strong> identifying <strong>the</strong> source <strong>of</strong> funds for <strong>INCLEN</strong> Africa meeting<br />
in May 2006. MT said that <strong>the</strong> board will definitely explore <strong>the</strong> possibilities and<br />
inform him.<br />
Vote <strong>of</strong> Thanks<br />
25
<strong>The</strong> Chair thanked <strong>the</strong> IEO staff for <strong>the</strong>ir excellent work in organizing <strong>the</strong> meeting so<br />
well and thanked <strong>the</strong> members for <strong>the</strong>ir efforts to make <strong>the</strong> meeting a success. <strong>The</strong><br />
meeting was adjourned.<br />
Appendix 1<br />
Engagement with <strong>INCLEN</strong> Development & Research Partners<br />
April 2005 to March 2006<br />
Sl. Donor/Partner Met with Date<br />
No.<br />
1 Tufts University Davidson Hamer, Associate April 11, 2005<br />
Pr<strong>of</strong>essor <strong>of</strong> Medicine<br />
2 World Bank David Gisselquist, Consultant April 22, 2005<br />
3 Rockefeller Foundation Charles Gardner, Associate<br />
Director, Health Equity<br />
May 31, 2005<br />
4 32nd Annual Conference<br />
Global Health Council,<br />
Washington, DC<br />
Nils Daulaurie June 1, 2005<br />
Afaf Meleis, Pr<strong>of</strong>essor <strong>of</strong> Nursing<br />
and Sociology, Margaret Bond<br />
Simon Dean <strong>of</strong> Nursing at <strong>the</strong><br />
University <strong>of</strong> Pennsylvania School<br />
<strong>of</strong> Nursing, Director <strong>of</strong> <strong>the</strong> School’s<br />
WHO Collaborating Center for<br />
Nursing and Midwifery Leadership<br />
Chris Murray, Associate Pr<strong>of</strong>essor,<br />
Department <strong>of</strong> Economics,<br />
University <strong>of</strong> Houston<br />
Jack Killer, Director, NIH NCCAM<br />
(complementary Medicine)<br />
Robert Black, Pr<strong>of</strong>essor and<br />
Chairman, International Health,<br />
JHU<br />
Jolvey Bouffores<br />
5 Johns Hopkins University Robert Black, Pr<strong>of</strong>essor and<br />
Chairman, International Health<br />
6 NIH/National Center <strong>of</strong><br />
Complementary and<br />
Alternative Medicine<br />
Jack Killen, Director <strong>of</strong><br />
International Health Research;<br />
Craig Carlson, International Health<br />
Program Specialist<br />
June 1, 2005<br />
June 1, 2005<br />
7 Boston University Jon Simon, Chairman, International June 1-3, 2005<br />
Health<br />
8 USAID/India Neal Brandes, Health Specialist June 2, 2005<br />
Patricia Paredes Jodrey, Senior<br />
Advisor for Global Health<br />
Vic Barberio, Chief <strong>of</strong> HIV/AIDS<br />
9 Boston University Jon Simon, Chairman, International<br />
Health<br />
10 John Hopkins University Mark Steinh<strong>of</strong>f, School <strong>of</strong> Public<br />
Health<br />
11 Boston University Jon Simon, Chairman, International<br />
Health<br />
June 2, 2005<br />
June 2, 2005<br />
June 3, 2005<br />
26
12 Pan American Health<br />
Organization (PAHO)<br />
Luis Gabriel Cuervo, Chief,<br />
Research Promotion and<br />
Development;Richard Van West-<br />
Charles, Area Manager,<br />
Information and Knowledge<br />
management; Rebecca De Los<br />
Rios, Regional Advisor in Public<br />
Health Research, Research<br />
Coordination<br />
13 University <strong>of</strong> Pennsylvania Dr. Donald Silberberg, Pr<strong>of</strong>essor <strong>of</strong><br />
Neurology, Senior Associate Dean;<br />
Jennifer Pinto-Martin, Pr<strong>of</strong>essor <strong>of</strong><br />
Nursing; and Dr. Gihan<br />
Tennekoon, Chief, Division <strong>of</strong><br />
Neurology<br />
14 Rockefeller Foundation Charles Gardner, Associate<br />
Director, Health Equity<br />
15 Fudan University Dr. Yaghao Gui, Chairman, Fudan<br />
University Children's Hospital<br />
16 Peking Union Medical<br />
College Hospital<br />
Paul Glarizou, Center for evidence<br />
based medicine<br />
Zhu Chauwen<br />
(Hepatologist)Associate Pr<strong>of</strong>essor,<br />
Director, China Medical College<br />
Pr<strong>of</strong>. Jiyao Wang, President,<br />
ChinaCLEN<br />
Zhang Zhenxin (Neurology Chief),<br />
CEU Director<br />
17 Zhejiang University Dr. Chen Kun (Cancer<br />
Epidemiology) CEU Director,<br />
Zhejiang Province<br />
Dr. Shi Hongying, Biostatistics<br />
Dr. Sing Lang, Molecular<br />
Epidemiology<br />
18 China Academy <strong>of</strong><br />
Traditional Chinese<br />
Medicine (CATCM)<br />
19 International Education<br />
College, Shangai University<br />
<strong>of</strong> Traditional Chinese<br />
Medicine<br />
20 Ministry <strong>of</strong> Health & Family<br />
Welfare, India<br />
Dr. Ren Yanjun, Bioinformatics<br />
Epidemiology<br />
Dr. He Hanging, Epidemiology<br />
Dr. Jon Mong-Juan, Molecular<br />
Epidemiology<br />
June 3, 2005<br />
June 4, 2005<br />
June 6, 2005<br />
June 16, 2005<br />
June 16, 2005<br />
June 16, 2005<br />
June 16, 2005<br />
June 16, 2005<br />
June 17, 2005<br />
Liu Baoyan, CEU Director June 17, 2005<br />
Dr. Zheng Liuyun, Director, Brand<br />
Administration & Promotion Centre<br />
Dr. Zhu Li Ming, Executive Vice<br />
Director<br />
Dr. Li Jie, Vice Researcher<br />
Dr. Liu Ping, Vice President,<br />
Shangai Academy <strong>of</strong> Traditional<br />
Medicine<br />
Dr. V.K.Manchanda, Deputy<br />
Director General<br />
Dr. Sangeeta Saxena, Assistant<br />
Commissioner (Child Health)<br />
June 19, 2005<br />
July 7, 2005<br />
27
21 UNICEF Dr. Marzio Babille, Chief, Health<br />
Division<br />
22 World Health Organization-<br />
SEARO<br />
Sudhansh Malhotra, Advisor, Child<br />
Health<br />
July 7, 2005<br />
July 7, 2005<br />
23 Harvard University Christopher Murray August 4, 2005<br />
24 Boston University Jon Simon, Chairman, International<br />
Health<br />
25 USAID/India Christopher Barrett, USAID<br />
Infectious Disease Fellow<br />
26 Johns Hopkins University Robert Black, Pr<strong>of</strong>essor and<br />
Chairman, International Health<br />
27 SIDA Viveka Person, Research Advisor,<br />
Health Research<br />
28 NIH/National Institute <strong>of</strong><br />
Child Health Development<br />
Danuta Krotoski, NICHD Acting<br />
Associate Director for Prevention<br />
Research and International<br />
Programs<br />
29 University <strong>of</strong> Cape Town Marion Jacobs, Pr<strong>of</strong>essor,<br />
Department <strong>of</strong> Paediatrics & Child<br />
Health<br />
30 World Bank Dr. David Gwatkin, Consultant,<br />
Health Equity<br />
31 Canadian International<br />
Development Agency<br />
(CIDA)<br />
32 International Development<br />
Centre (IDRC), Canada<br />
Garry Aslanyan, Senior Health<br />
Advisor<br />
Sharmila Mhatre, Senior Program<br />
Specialist, Gender, Equity and<br />
Health<br />
33 John Hopkins University Robert Black, Pr<strong>of</strong>essor,<br />
International Health<br />
34 UCLA John L. Fahey, Director, Center for<br />
International Research in<br />
Immunology and Disease<br />
September 11-14,<br />
2005<br />
September 12, 2005<br />
September 13, 2005<br />
September 13, 2005<br />
September 13, 2005<br />
September 14, 2005<br />
September 14, 2005<br />
September 14, 2005<br />
September 15, 2005<br />
October 22, 2005<br />
October 27-28, 2005<br />
35 DFID, UK Anna Maslin, International Officer November 23, 2005<br />
Health Pr<strong>of</strong>essions Leadership<br />
Team<br />
Sue Hill, Chief Scientific Officer<br />
36 Gates Foundation Bill & Melinda Gates December 6, 2005<br />
37 UNICEF Ms. Ann M. Veneman, Executive December 8, 2005<br />
Director<br />
38 GAVI Alliance Julian Lob Lent, Ex. Sec, CEO December 8, 2005<br />
Jon Hankram, Research <strong>Board</strong><br />
Ms Grace Machael, <strong>Board</strong> Member<br />
39 International Vaccine<br />
Institute, Seoul Korea<br />
Dr. Luis Jodate December 8, 2005<br />
40 Canadian International<br />
Development Agency<br />
(CIDA)<br />
Gary Aslanyan, Senior Health<br />
Advisor<br />
December 8, 2005<br />
41 WHO, SEARO, New Delhi Namiyal December 8, 2005<br />
42 UNICEF - HQ, New York Francois Gasse, Senior Project December 8, 2005<br />
<strong>of</strong>ficer , Immunization<br />
28
43 WHO Jean Mani Okwo Bile, Director,<br />
Immunization, vaccine &<br />
Biologicals<br />
44 WHO, Africa Deo Nshimirimana, regional<br />
adviser<br />
45 UNICEF Peter Salama, chief <strong>of</strong><br />
Immunization and Child Survival<br />
46 DFID, UK Catriona Waddington, health<br />
economist and project manager<br />
and consultant on GAVI to DFID,<br />
<strong>the</strong> UK government's Department<br />
for International Development.<br />
December 8, 2005<br />
December 8, 2005<br />
December 8, 2005<br />
December 8, 2005<br />
47 National Institutes <strong>of</strong> Health,<br />
Fogatry International Centre<br />
Mark Miller, Associate Director for<br />
Research<br />
48 USAID - A2Z/India Laxmikant Palo, Country Director,<br />
USAID Micrinutirent Program<br />
49 Finlays Tea Estate (Jon<br />
Simon's Productivity Impact<br />
Study), Kericho<br />
Titus Korir, Director, Corporate<br />
Affairs<br />
Bruce Larsen, Project Manager,<br />
Kenya<br />
50 Johns Hopkins University Mark Steinh<strong>of</strong>f, School <strong>of</strong> Public<br />
Health<br />
51 Gates Foundation Gena Rabniowich, Director,<br />
Infectious Disease.<br />
52 UCLA Dr. John Fahey, Director, Center<br />
for International Research in<br />
Immunology and Disease<br />
December 8, 2005<br />
December 30, 2005<br />
January 1, 2006<br />
January 7, 2006<br />
January 7, 2006<br />
January 22, 2006<br />
53 GSK, Singapore Sanjay K Dutta January 25, 2006<br />
54 USAID/REDSO-ESA, Kenya Dr. Jeffrey Ashley, Director, Office January 31, 2006<br />
<strong>of</strong> Regional HIV/AIDS Programs<br />
Dr. Mary Pat Kieffer, Deputy<br />
Director, Office for Regional<br />
HIV/AIDS Programs, Senior<br />
Technical Advisor for PMTCT and<br />
Pediatric AIDS<br />
55 Boston University Dr. Jonathon Simon, Chairman,<br />
Associate Pr<strong>of</strong>essor <strong>of</strong><br />
International Health<br />
January 31, 2006<br />
56 Kenayatta University Dr. Michael Wainaina M., Lecturer January 31, 2006<br />
& Social Science Research<br />
Consultant<br />
57 CDC, Lusaka Dr. Mark January 31, 2006<br />
58 PEPFAR, Walter Reid Office Lisa Mambo, Pediatric HIV/AIDS January 31, 2006<br />
Kiracho Director<br />
Dr. Helen, Clinical Manager<br />
Col. Samual Martin, Country Chief<br />
<strong>of</strong> Walter Reid Operations in Kenya<br />
59 USAID-Family Health<br />
International, Institute for<br />
HIV and AIDS, Kenya<br />
Fanta Mwademy January 31, 2006<br />
Robert Nathan, Pediatric AIDS<br />
29
60 CEU/CERTC Nairobi Dr. Mark Joshi, Director January 31, 2006<br />
Dr. James Kiarie, OBS/GYN<br />
Patrick Ndavi, OBS/GYN<br />
Ruth, Pediatrician, Immunology<br />
Dorothy, Pediatrician, Immunology<br />
Wafula Ezekiel, Paediatrician<br />
Macharia William, Paediatrician<br />
Obimbo Elizabeth, Paediatrician<br />
Machoki, OBS/GYN<br />
Muriithi Assumpta,<br />
Epidemiologist/Paediatrician<br />
Dr. Vincent, Orthopedics<br />
61 PEPFAR, Walter Reid Office Dr. Charlie Carpenter, Clinical<br />
Researcher<br />
62 Litieu Missuri Hospital,<br />
Western Kenya<br />
63 USAID-Family Health<br />
International, Institute for<br />
HIV and AIDS, Kenya<br />
64 Ministry <strong>of</strong> Health, National<br />
AIDS/STD, TB and Leprosy,<br />
Control Programme<br />
(NASCOP/NLTP), Kenya<br />
February 1, 2006<br />
Bruce February 1, 2006<br />
Maggie<br />
Carolina<br />
Nancy, Nursing<br />
Dorothy Murugae, Pediatricain<br />
Immunology<br />
Gail A.W.Goodridge, REDSO<br />
Project Director<br />
David Stanton, REDSO Project<br />
Director<br />
Panu, REDSO Project Director<br />
Dr. Sylvia Ojoo, Consultant<br />
Physician HIV/AIDS Medicine,<br />
Technical Advisor ART Programme<br />
February 2, 2006<br />
February 2, 2006<br />
65 SABE Dr. Gene Gellis, Director February 2, 2006<br />
66 CEU/CERTC Nairobi Dr. Mark Joshi, Director February 2, 2006<br />
Dr. James Kiarie, OBS/GYN<br />
67 Boston University, School <strong>of</strong><br />
Public Health/Center for<br />
International Health, Lusaka<br />
Dr. Dave, Obstetrics &<br />
Gynaecologists<br />
Dr. Jeru, Biostatistician<br />
Dr. Vincent, Orthopedics<br />
Machoki, Institute <strong>of</strong> Tropical &<br />
Infectious Disease<br />
Michael B. MacDonald, Resident<br />
Advisor, Malaria<br />
February 3, 2006<br />
68 World Bank Dr. Rosemary Sunkutu, Deputy February 4, 2006<br />
DG, Research in public health<br />
69 HSSP, USAID, Lusaka Mubiana Macwan'gi, Research February 4, 2006<br />
Advisor<br />
70 Michigan State University Thom Jayne, Health Economists February 5, 2006<br />
71 UTH, Lusaka Dr. P. Matondo, Department <strong>of</strong><br />
Medicine<br />
February 6, 2006<br />
72 Ministry <strong>of</strong> Health,<br />
Directorate in Research,<br />
Lusaks, Zambia<br />
Dr. Nobane, Research Officer,<br />
Assistant Director for Directorate in<br />
Research<br />
February 6, 2006<br />
30
73 SHARe (Support to <strong>the</strong> Peter Mijere, Deputy Chief <strong>of</strong> Party February 6, 2006<br />
HIV/AIDS Response in<br />
Zambia<br />
74 HSSP, USAID, Lusaka Dr. Elijah Sinyinza, Deputy Chief <strong>of</strong><br />
Party - Systems<br />
February 7, 2006<br />
75 University <strong>of</strong> Zambia,<br />
School <strong>of</strong> Medicine<br />
76 National Malaria Control<br />
Centre, Lusaka<br />
Pr<strong>of</strong>. S. Siziya, Associate<br />
Pr<strong>of</strong>essor <strong>of</strong> Medical Biostatistics<br />
Pr<strong>of</strong>. Yakub F. Mulla, Dean,<br />
Associate Pr<strong>of</strong>essor <strong>of</strong><br />
Orthopaedic Surgery, Consultant<br />
Orthopaedic Surgeon<br />
Dr. Gavin Silwamba, Head <strong>of</strong><br />
Department, Community Health<br />
Dr. Thomas Glover Akpey,<br />
Co-ordinator (Health Economics)<br />
Dr. Yolan Banda, Biostatistician<br />
Pr<strong>of</strong>. Kumar Sridutt Baboo,<br />
Pr<strong>of</strong>essor, Community Health<br />
Dr. Pascolina Chanda, National<br />
Research Working Group Meeting<br />
February 7, 2006<br />
February 7, 2006<br />
77 WHO -SEARO, India Supriya Bezbaruah,<br />
February 14, 2006<br />
Communications Officer<br />
78 USAID/India Massee Bateman, Senior Advisor February 15, 2006<br />
in Child Health<br />
79 Safe Point Centre, Sussex Dr. Mark Coska, Convenor February 15, 2006<br />
80 UNICEF, India Country<br />
Office<br />
Dr. K. Suresh, Project Officer,<br />
Epidemiology Health Section<br />
81 National <strong>Trust</strong>, India Dr. Vinod Aggarwal, Joint<br />
Secretary/CEO<br />
82 John Hopkins University Rebekah, Master <strong>of</strong> Health<br />
83 Brandies University,<br />
Massachusetts<br />
84 Pediatric Dengue vaccine<br />
Initiative<br />
Sciences<br />
Jose A. Suaya, Senior Research<br />
Associate - Adjunct Faculty<br />
February 16, 2006<br />
February 20, 2006<br />
February 22, 2006<br />
March 1, 2006<br />
Scott Halstead, Research Director March 1, 2006<br />
85 Boston University Dr. Jonathon Simon, Chairman,<br />
Associate Pr<strong>of</strong>essor <strong>of</strong><br />
International Health<br />
March 3, 2006<br />
86 USAID/India Massee Bateman, Senior Advisor March 7, 2006<br />
in Child Health<br />
87 CARE/India Vishawajeet, Shivgarh Project March 9, 2006<br />
Usha Kiran, Program Director,<br />
RACHNA<br />
88 NIAID Jack Whitescan, Director March 9, 2006<br />
89 USAID/India Massee Bateman, Senior Advisor March 10, 2006<br />
in Child Health<br />
Christopher Barrett, USAID March 10, 2006<br />
Infectious Disease Fellow<br />
90 World Bank/India G.V.Ramana, Public Health<br />
Specialist<br />
March 12, 2006<br />
91 UNICEF, India Country<br />
Office<br />
Win Win Soe, Project Officer, Safe<br />
Mo<strong>the</strong>rhood Women's Health<br />
92 John Hopkins University Robert E. Black, Pr<strong>of</strong>essor,<br />
International Health<br />
March 13, 2006<br />
March 20, 2006<br />
31
93 Harvard University Richard A. Cash, Dept. <strong>of</strong><br />
population and International Health<br />
94 Boston University Jon Simon, Director, Center for<br />
International Health<br />
Gerald T. Keush, Assistant Provost<br />
(Medical Campus), Associate Dean<br />
(School <strong>of</strong> Public Health), Director<br />
(Global Health Initiative at Boston<br />
University)<br />
March 20, 2006<br />
March 20, 2006<br />
95 INRUD, Nepal Dr. Kafla, Nepal March 21, 2006<br />
Dr. Sauwakane, Thailand March 21, 2006<br />
Dr. Usha Gupta, India March 21, 2006<br />
96 US Embassy, India Altaf Lal, chief <strong>of</strong> <strong>the</strong> Molecular<br />
Vaccine Section <strong>of</strong> <strong>the</strong> Immunology<br />
Branch, Center for disease control<br />
and Prevention (CDC)<br />
March 29, 2006<br />
Paolo Miatti, NIH Representative March 29, 2006<br />
Chair <strong>INCLEN</strong> (Wilton Park meeting on Pandemic Influenza, U.K)<br />
1 Rockefeller Foundation Dr. Ka<strong>the</strong>rine Bond, Associate<br />
Director, Health Equity<br />
2 CDC, Atlanta Dr. James Leduc, Coordinator for<br />
Inflenza, CDS<br />
3 WHO Dr. Michael J Ryan, Coordinator,<br />
Global Alert and Response Unit<br />
4 UN/UNSIC Mr. Peter Scoot-Bowden, Chief<br />
Contingency Planning,<br />
5 European Community Mr. Vincent De Vischer, Head <strong>of</strong><br />
Unit, Asia Directorate<br />
6 Canadian Institute <strong>of</strong> Health<br />
Research<br />
7 Immunization and<br />
Respiratory Infection<br />
Division<br />
8 Ministry <strong>of</strong> Health, Govt. <strong>of</strong><br />
Sweden<br />
Pr<strong>of</strong>. Bhagirath Singh, Scientific<br />
Director<br />
March 3, 2006<br />
March 3, 2006<br />
March 3, 2006<br />
March 3, 2006<br />
March 3, 2006<br />
March 3, 2006<br />
Dr. Arlene King, Director March 3, 2006<br />
Mrs. Dorrit Alopaeus-Stahl -<br />
Director <strong>of</strong> <strong>the</strong> Department for<br />
Multilateral Development<br />
March 3, 2006<br />
9 H<strong>of</strong>fman La Roche Dr. David Reddy March 3, 2006<br />
Ms. Ingrit Maria Van Den Neucher<br />
32
Appendix 2<br />
<strong>INCLEN</strong> Inc, and <strong>INCLEN</strong> <strong>Trust</strong> International, Inc.<br />
Proposed Budget FY06-07<br />
Strategy/Objective<br />
A Streng<strong>the</strong>n Global, Regional, National R&CB<br />
B<br />
C<br />
D<br />
E<br />
F<br />
1) Research (IPHIDE/SAPNA/GAVI) $ 640,000<br />
2) Capacity development (IPHIDE) 150,000<br />
3) Regionalization (India$25K IPHIDE; Africa, SEA, Latin, China $5K each) 45,000<br />
4) Regional meetings (Africa, SEA, Latin, China $15K each) 60,000<br />
Financial Sustainability for Infrastructure<br />
5) Fundraising (Global Forum 10 and o<strong>the</strong>r) 95,000<br />
6) Marketing and public relations 10,000<br />
Programs in Priority Health Problems<br />
7) Best prospects (Obesity, Neuro Disabilities, Governance, Trad Med) 600,000<br />
Virtual Campus<br />
8) Epidemiology and related disciplines 100,000<br />
Governance Functions<br />
9) BOT/BOG * 55,000<br />
Network Coordination<br />
10) Coordinate global and interregional activities $ 550,000<br />
Less OH funding currently available:<br />
USAID IPHIDE (180,000)<br />
Non-<strong>INCLEN</strong> (170,000)<br />
ADIP/GAVI (25,000)<br />
Interest Income (25,000)<br />
Total cash requirement for Network Coordination 150,000<br />
Budget Total $ 1,905,000<br />
Direct Project Funding current and projected 1,305,000<br />
Projected Cash Requirement FY06-07 $ 600,000<br />
* includes $7,500 for Office <strong>of</strong> <strong>the</strong> Chair<br />
Combined Net Audited Assets<br />
Projected<br />
Balance Expenses Revenue Balance<br />
6/30/2005 actual/proj actual/proj 6/30/2006<br />
Restricted $ 12/31/2005 767,258 $ 767,258<br />
Unrestricted $ 1,172,702 $ 731,742 $ 750,000 $ 1,190,960<br />
$ 1,939,960 $ 1,499,000 $ 750,000 $ 1,190,960<br />
33