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Medical Research Council Achievements, Performance & Budget

Medical Research Council Achievements, Performance & Budget. Presentation to: Parliamentary Portfolio Committee on Health 16 April 2013 Professor Salim S. Abdool Karim President: MRC. Overview. Mission of the MRC Research Highlights of 2012 Strategic goals & performance

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Medical Research Council Achievements, Performance & Budget

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  1. Medical Research Council Achievements, Performance & Budget Presentation to: Parliamentary Portfolio Committee on Health 16 April 2013 Professor Salim S. Abdool Karim President: MRC

  2. Overview • Mission of the MRC • Research Highlights of 2012 • Strategic goals & performance • Revitalisation of the MRC • Financial state: 2013-2015 • Budget • Conclusion 2

  3. Mission of the MRC Generating New Knowledge for Policy and Practice to Improve the Health of the Nation 3

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  5. Highlight of 2012: MRC features in State of Nation Address It was with good reason that we were delighted when late last year, studies from the Medical Research Council, the Lancet medical journal and others began reporting a dramatic increase in life expectancy… 5

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  7. One of South Africa’s proudest achievements: People living >10% longer than 5 years ago - due to AIDS treatment Research highlights of 2012 Bradshaw D, Dorrington R, Laubscher R. Rapid Mortality Surveillance Report 2011. Medical Research Council 7 Deaths in children <5yrs: ↓ 43% (42 per 1000 live births in 2011) Adults deaths: ↓ 20% (40% premature deaths in 2011) Life expectancy: ↑ by 6 years (60 years in 2011)

  8. MRC shows mother-to-child transmissionof HIV reduced to 2.7% in 2011 Research highlights of 2012 8 MRC’s Health Systems Research Unit undertook a national HIV survey to assess mother-to-child transmission In 2011, only 2.7% of newborns acquired HIV from their mothers down from 25% ten years ago Presented at the International AIDS Conference, Washington 2012

  9. MRC’s Strategic Goals in line with NSDA 9

  10. MRC’s Strategic Goals continued… 10

  11. MRC Organisational Performance: 2012/3 Q1-Q3 11

  12. MRC Dashboard Auditor-General Internal Control Dashboard: 2012 12

  13. Revitalisation of the MRC Informing the change needed 14

  14. Revitalisation of the MRC: Remedying 3 key problems • Declining scientific stature of medical research • Sub-optimal intramural research productivity, few articles in the top medical science journals and low article citation rates • MRC not fulfilling custodianship role in medical research in SA • 19% of baseline budget allocated to Universities for all medical research - compromising clinical research • Number of intramural units > Number of extramural units (intramural expansion, duplication, poor integration, incoherence) • MRC intramural units spend ~90% of their budgets on salaries • losing leadership role as MRC becomes increasingly dependent on donor funding and donor agendas 15

  15. Activities implemented to revitalise the MRC 16 Prioritising in-house research to focus on the 10 most common causes of death and disease in South Africa Increasing extramural funding to universities and medical schools in order to rebuild their health research Creating new funding approaches for the development of new drugs, vaccines and diagnostic tests Improving the efficiency and effectiveness of the MRC’s administrative systems Improving peer-review and the quality of MRC research Improving the MRC’s laboratory and space utilisation Improving research support functions eg. medical journals

  16. Financial State of the MRC in 2012 MRC baseline grant grew + 3.5% pa in last 4 years Dire financial state MRC budget has been shrinking in last 4 yrs Heading for repeated budget deficits MRC Budget < 10% of NIH funding to SA 17

  17. Financial state of the MRC (2013 - 2015) 18

  18. Summary of income for MTEF period (excluding VAT) 19

  19. Overview of Total MRC Budget 20

  20. Conclusion • MRC made major research contributions in 2012 – even receiving a mention in the “State of the Nation” address • On track for clean audit (Financial & Performance) in 2012 • Revising Strategic Plan in 2013 – new strategic goals & targets • Raising standards to World-class – focus on impact • Revitalisation of the MRC well underway • Increased funding for new drugs, vaccines and diagnostic tests • Re-organisation of intramural research to focus on high impact • New funding for Universities – rejuvenating health research in SA • Fund-raising: Need ~R100m more p.a. to reverse ↓budget • Generating new knowledge to improve Health of the Nation 21

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