NATIONAL INSTITUTE OF PUBLIC HEALTH

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1 ORGANIZATION HISTORY The INSP is an independent agency and is part of a group of 12 National Institutes of Health associated with the Mexican Ministry of Health. The other 11 institutes are primarily focused on providing medical care, and secondarily on conducting basic research and teaching with a clinical focus. The INSP is unique among the National Institutes of Health because of its academic institution of higher education, which is fundamentally focused on teaching, research and providing support to services related to health promotion and disease prevention, in addition to its focus on applied research. There are seven research and education centers in this institute: 1) CISP: Center for Research in Population Health; 2) CISS: Center for Health Systems Teaching Research; 3) CISEI: Infectious Disease Teaching and Research Center; 4) CIEE: Center for Evaluation Research and Surveys; 5) CINyS: Nutrition and Health Research Center; 6) CENIDSP: Information Center for Public Health Decisions; and 7) CRISP: Regional Center for Public Health Research The INSP is an independent academic institution within the Ministry of Health, with authority over its budget and academic standards. It is accepted by all accreditation entities for higher education in Mexico and maintains collaborative relationships with the national and international entities most relevant to public health. It has autonomy in the distribution of resources and its budget as well as in recruiting and promoting educational personnel. MISSION OF THE ORGANIZATION To contribute to social equity by promoting the highest standards of health for the population through the generation of knowledge, innovation in health systems and training of highly qualified public health professionals. PRINCIPAL ACTIVITIES AND SERVICES OF YOUR ORGANIZATION I. Research Positioning of niches with the greatest impact on public health. Production of knowledge with high strategic value for the improvement of health. As part of its research activities, the INSP prioritizes relevant research that identifies factors which determine health through the study of core aspects of health and applied community interventions, and that helps to identify and improve the health conditions of the population. The Institute also gives priority to mission-oriented research, whose objective is to produce knowledge that is translated into actions and health policies. This enables defining actions that support diverse sectors

2 (health, education, social development, etc.) and that assure that health services benefit the entire society. II. Teaching Development of professionals with excellence in the field of public health through professional and research programs. The INSP has clear guidelines to direct the actions of its three principal functions, articulated in the institutional mission, of teaching, research and service. Since 1922, the School of Public Health of Mexico, now the INSP, has been the principal developer of human resources in public health in Latin America. The Institute was founded on the premise that instruction in public health should be provided by the different centers that generate and disseminate knowledge. Therefore, the INSP is an institution that: a) develops professionals for teaching, research, service and innovation in public health in their corresponding areas of specialization, and b) formulates and implements educational degree programs and updates public health professionals and technical and support personnel in field research and teaching through continuing education and distance-learning courses. Degree programs both professional as well as academic at the specialty, master and doctorate levels are strong, innovative and continually updated; they have been designed with a focus on competencies that emphasize the practical application of knowledge and promotes a comprehensive vision of learning bringing together knowledge, skills and attitudes to the very tasks performed in the practice of public health. The academic programs are organized around the education and research centers. The INSP has evolved out of strong research centers and has demonstrated that said organizational structure is functional. Its greatest strength is derived from collegiate bodies that guarantee inclusive, democratic practices that are multidisciplinary and committed to academic quality. III. Collaboration and service Evaluation of programs with broad coverage in the health sector. Promotion of collaboration and technical support both nationally and internationally to influence the public agenda and respond to the current and prospective societal needs and demands with improved products and services. The INSP s deep connection with its surroundings is necessary for the institution to detect the demands of the different social actors who participate in the promotion of population health and respond to its needs. The knowledge generated by the Institute based on scientific evidence presumes a set of premises and values that demonstrate the diversity of our community and the society. Therefore, the knowledge generated must turn into support for decision-making, social

3 participation and promotion of healthy lifestyles in the population for the benefit of the community. In this way, the INSP responds to the research and development needs of human resources in the priority fields in health worldwide and nationally, in a collaborative manner and with close coordination with diverse strategic partners. The profile of our strategic partners is representative of civil, academic, productive and governmental sectors, and includes, among others: research universities and institutes, pharmaceutical laboratories, clinics and hospitals, schools and medical schools, civil organizations, foundations and international organizations, public entities at the federal, state and municipal levels, health-related professional associations and colleges, and social security institutions and agencies. Some specific examples of said strategic partners are: Instituto Mexicano del Seguro Social, Universidad Nacional Autónoma de México, Pan American Health Organization, Pfizer, Cámara Nacional de la Industria Farmacéutica, Foreign Relations Ministry, Public Education Ministry, Consejo Nacional de Ciencia y Tecnología, World Bank, Kellogg Foundation, Bill and Melinda Gates Foundation, National Center for the Control and Prevention of VIH/SIDA, Instituto Politécnico Nacional, Comisión Nacional de Protección Social en Salud, GlaxoSmith Kline, Astra-Zeneca, Sanofi-Aventis, Health Services of the state of Morelos, Instituto Nacional de Estadística, Geografía e Informática, among others. EXPERIENCES FROM PREVIOUS COLLABORATIVE RESEARCH PROJECTS WITH INTERNATIONAL INSTITUTIONS Community-based research processes understood as the construction of knowledge based on social realities take into account the context in which they are developed and the conditions that encourage people to confront the challenges presented by their environment. Thus, communitybased research programs became a fundamental part of the INSP s research program as well as an essential component of the Ministry of Health s mission. All research centers develop projects that include the active participation of members of the community and diverse institutions. The World Health Organization (WHO) has recognized the INSP as a center for collaboration in three areas: malaria, environmental health and the prevention of traffic accidents. The Joint United Nations Programme on HIV/AIDS (UNAIDS) designated the Institute in December 2007 as an associate member to work in conjunction with the Food and Nutrition Programme. In addition, the INSP houses the Information Center for Health Sciences in Latin America and the Caribbean, which is connected with the Regional Medical Library (Bireme), the Pan-American Health Organization (PAHO) and the WHO. In 2009, the INSP became a collaborating organization with TropEd, an international network of institutions of higher education in international health, which accredits the didactic units included in education programs so that university students who become part of the network can receive recognition for the credits they earn. INSTITUTIONS / RESEARCH GROUPS The INSP closely collaborates with the Ministry of Health and state health systems to develop research projects that result in public policies. Some examples of the health organizations with which there are collaborative agreements are:

4 - Pan-American Health Organization. The Global Health Professionals Survey was administered. - National Center for Gender Equity and Reproductive Health. A study was conducted of the validity and reproducibility of the interpretation of mammograms by Mexican radiologists, using the BI-RADS system, and a comprehensive evaluation for the detection of breast cancer in seven states. - Ministry of Health. A community intervention was implemented that consisted of a hybrid capture test using vaginal self-sampling in homes to identify HPV DNA, for the purpose of establishing the test s usefulness in the timely detection of cervical cancer. - Mexican Council Against Tobacco Smoke. Research was conducted on the costs attributable to the consumption of tobacco in Mexico. - Ministry of Health. The 2009 Evaluation of the Performance of Public Hospitals was conducted. - National Center for Gender Equity and Reproductive Health. Alternative personnel were incorporated for pregnancy, childbirth and puerperium care in rural medical units affiliated with the Ministry of Health. - Pan-American Health Organization (PAHO). A report was conducted regarding road safety in the region of the Americas so as to construct a diagnosis of such situations worldwide using standardized methodology. - Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) (Social security and services institute for state workers). Consulting was provided for the development of the Master Infrastructure Plan for this institute. - Ministries of Health and the Mexico City Government. Projects were conducted to detect, treat and prevent diseases in penitentiaries in Mexico City. - State of Mexico Health Institute. An evaluation was implemented of the sub-program for the vaccination of children under 5 years of age in the State of Mexico. - Guerrero Institute for the Comprehensive Care of Older Adults. A diagnostic was conducted of life and wellbeing conditions of the older adult, as well as an evaluation of the Program for Better Living. - Sistema para el Desarrollo Integral de la Familia (DIF) State of Mexico (System for Comprehensive Family Development). Research was conducted of the contribution of school breakfasts, provided by the DIF, to the nutritional status of children. - Federal Secretaries of Health and Social Development. Projects were developed to evaluate social and health programs, such as Progresa and Oportunidades. - ABC Hospital of Mexico City. Effects were studied of calcium complementation during pregnancy and its effect on lead absorption. - State Health Services of Morelos. Studies were conducted of: allergies and asthma in children; the identification, treatment and prevention of diseases associated with chemical and biological contamination, with a focus on health promotion in Alpuyeca, Morelos, Mexico, and; contamination generated by open-air garbage dumps in Morelos. - Mexico-California Health Initiative. Factories related to migration have been studied. - State Health Services of Michoacán, Nayarit, Sinaloa and Chihuaha. The causes of malaria and community participation in the eradication of said disease has been studied. - Ministry of Health, National Council against Addictions (Conadic), Federal Commission for the Protection Against Sanitary Risks (Cofepris) and non-governmental organizations (NGO). Consulting was provided in relation with the tobacco problem in Mexico for the development and fulfillment of policies to control tobacco at the federal and local levels.

5 RESEARCH THEMES Lines of research 1. Cancer prevention and control 2. Health and vulnerable groups 3. Prevention and control of vector-transmitted diseases 4. Prevention and control of TB 5. Environmental Health 6. Prevention of injuries and violence 7. Sexual health and prevention of AIDS and STIs 8. Promotion of healthy lifestyles 9. Medications in public health: access, use and antimicrobial resistance 10. Human resources in health 11. Social protection in health 12. Evaluation of health programs and policies 13. Obesity, diabetes and cardiovascular disease 14. Malnutrition 15. Reproductive Health 16. Emerging viral diseases 17. Vaccines 18. Regenerative medicine SHORT DESCRIPTION OF RESEARCH ACTIVITIES The research mission of the INSP is to contribute to increasing the health levels of the population through the production, dissemination and utilization of scientific knowledge about health conditions and the organized social response, to help solve health problems based on public health disciplines and methods. In 2008, the INSP began a process to restructure the institutional organization and procedures in order to better support advances in mission-oriented research. This was developed under the leadership of nationally and internationally renowned leaders with the ability to identify integrate and guide the 15 lines and the 3 new lines of mission-oriented research defined by the INSP. These were established in accordance with the analysis of objectives that correspond to the Institute s mission. In addition, meetings are held by an important group of researchers who interact through the research centers and who generate, produce, disseminate and utilize knowledge in public health based on their different disciplines, levels and perspectives of analysis.

6 SOCIAL RELEVANCE OF THE IMPACT OF YOUR RESEARCH ACTIVITIES The following commitments have been established so that the INSP s research activities are relevant to health in Mexico: a) Research activities should serve to support health actions and policies. b) They should be oriented toward the production of scientific knowledge that helps to reduce health inequities. c) These activities should serve to establish strategies that support health sector efforts to achieve universal coverage of services. To this end, the definition of institutional priorities includes the participation of users and the perceptions of academic bodies to identify problems and opportunities, so as to develop relevancy and excellence in research.

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