Diseases have no borders. A disease anywhere in the world may become a health threat everywhere. It takes less than 36 hours for an outbreak to spread from a remote village to any major city in the world, therefore, the most effective – and cost effective – way to protect people from such health threats i.e measles, cholera and COVID-19 is to stop them before they spread to others and cross borders. Here comes the role of public health surveillance. Public health surveillance is the continuous, systematic collection, analysis and interpretation of health-related data. An effective disease surveillance system is essential to detecting disease outbreaks quickly before they spread, cost lives and become difficult to control. Digital technologies can improve the ability to both detect and respond to disease outbreaks by sharing data swiftly thus helping us to understand how and where diseases are spreading. This information is crucial for deciding what health policies and strategies to make and follow. Significance of this research is not limited to one country but it has global health dimensions. It can help to address the critical issue of global health security by evaluating the impact of digital technologies on public health surveillance. Low and middle income countries (LMICs) including Pakistan have fragile health systems therefore the risk of spreading diseases, even beyond their borders, is high. Disease surveillance system in Pakistan has largely been outdated and paper based, frequently leading to delayed detection of measles, cholera and other communicable disease outbreaks. In 2017, Ministry of Health Pakistan, with support of World Health Organization (WHO), launched Integrated Disease Surveillance and Response (IDSR) system which uses electronic health information system (District Health Information System – DHIS-2) as a platform for rapid and near real time reporting for selected diseases. From 2017 to 2022, the new system was implemented in 52 districts of the country while remaining 104 districts are still using paper based system. The dual existence of different reporting systems presents a unique opportunity for a comparative analysis, allowing for insights into the effectiveness of the digital transition. As a doctoral researcher, I will conduct an evaluation to address the existing knowledge gap regarding the effectiveness of transitioning from traditional paper-based disease data reporting systems to new digital systems. Specifically, my research will focus on evaluating the impact of Integrated Disease Surveillance and Response (IDSR) and District Health Information System 2 (DHIS-2) initiatives in Pakistan. This evaluation aims to assess the effectiveness of new electronic infectious disease surveillance system in enhancing the country's health system capabilities. I aim to conduct a comparative analysis of the performance between DHIS-2, an electronic system, and traditional paper-based systems through cross sectional study, evaluate the effectiveness of the Integrated Disease Surveillance and Response (IDSR) framework and the District Health Information System 2 (DHIS-2) through a comprehensive assessment and explore the determinants influencing the adoption of electronic surveillance systems through a mix method study. The local research infrastructure is well-established, with the National Institutes of Health (NIH) Pakistan under Ministry of Health serving as a central data hub for disease surveillance and public health information. The presence of this infrastructure is vital for the success of the research project, as it provides access to comprehensive and up-to-date data on disease surveillance, outbreaks, and response efforts across Pakistan. The NIH website hosts weekly epidemiological IDSR reports. These reports serve as a rich source of information, forming the foundation for the research and ensuring the reliability and relevance of the data collected. Furthermore, the International Doctoral Programme in Epidemiology and Public Health at Tampere University, drawing on its expertise and research strength, will help to improve the quality and depth of the research findings. Together, these elements of the research infrastructure will contribute to the robustness of the study. The research project is feasible as IDSR implementation, led by Ministry of Health Pakistan, is already in progress with support of WHO. I have five years of practical experience, as a public health expert, in disease surveillance, monitoring and evaluation with World Health Organization, US Centers for Disease Control and Prevention (CDC), and UK Health Security Agency. My previous role as the Training Coordinator in the Integrated Disease Surveillance and Response (IDSR) project has been very relevant. Research will be implemented in phased manner starting from kick off meetings, ethical approvals to data collection, data analysis, reporting and dissemination and finalization and publications. The results of this study may help to improve global health security by examining how well digital health information systems detect and respond to diseases quickly. In Pakistan, the findings might help strengthen the healthcare system, providing useful guidance to policy makers and contributing to practical strategies for better public health monitoring. My research is in line with the European Union's recent Global Health Strategy, which is a cornerstone of the EU's external policy. Addressing and mitigating health threats, particularly pandemics, is highlighted as a key priority within this strategy. Through my research, I aim to contribute to this overarching goal by examining the effectiveness of infectious disease surveillance systems, ultimately working towards a healthier and more resilient global community.

Team

The FinCEAL Plus BRIDGES project (2019-2020) supports the development of partnerships and collaborative research activities between the Finnish research community and those in Africa, Asia, and Latin America and the Caribbean (LAC). In addition, the project facilitates connections with European partners, whenever the cooperation also includes partners from the target regions. The project is an extension of the FinCEAL (2013-2014), FinCEAL Plus (2015-2016) and FinCEAL Plus Continuation initiatives, all financed by the Finnish Ministry of Education and Culture. Previously, the focus of FinCEAL has been on supporting research collaboration in the thematic areas determined by the EU's bi-regional science, technology and innovation (STI) policy dialogues with Africa, Asia and LAC. FinCEAL BRIDGES will continue to contribute towards strengthening bi-regional cooperation, while expanding the thematic focus to the Agenda 2030 for Sustainable Development and the 17 Sustainable Development Goals, particularly Global Partnerships for Sustainable Development (Goal 17). On a national level, BRIDGES also supports the International Strategy for Higher Education and Research 2017-2025. The Ministry has mandated the UniPID network to coordinate the initiative.

Team

Jarkko Mutanen, Melissa Plath, Quivine Ndomo

Building on the successes and outcomes of the previous FinCEAL and FinCEAL Plus projects, the FinCEAL Plus Continuation project aimed to provide strategic support to enhance the cooperation between research and science policy communities in Finland, Europe, Africa, Asia, and Latin America and the Caribbean. The specific objectives of the project were to: 1. Strengthen Finnish participation in the EU STI policy dialogues with the target regions; 2. Support Finnish participation in joint research projects with partners from the target regions; 3. Enable Finnish expertise and know-how to be better known in the target regions; and 4. Gather and disseminate information on Finnish cooperation towards the regions within Finland as well as new cooperation possibilities with the target regions.

Team

Eva Kagiri, Kajsa Ekroos, Jarkko Mutanen, Melissa Plath

FinCEAL Plus started in January 2015 as an expansion and continuation of the FinCEAL Project (2012-2014), both funded by the Ministry of Education and Culture. The aims of the FinCEAL Plus project were to: 1. Increase and consolidate the Finnish bi-regional cooperation towards Africa, Asia, and the LAC region, with special emphasis on supporting Finnish researchers’ involvement in European bi-regional networks; 2. Support and consolidate the participation of Finnish experts in EU-Africa, EU-CELAC and EU- Asia bi-regional research and science policy dialogues; 3. Increase the knowledge about and visibility of Finnish cooperation towards the target regions within Finland; 4. Expand the awareness of Finnish expertise in the regions; and 5. Expand and consolidate the Finnish research communities’ awareness of cooperation possibilities with the EU, Africa, Asia and LAC region. 6. Throughout all the project activities, strengthening the Finnish universities’ global responsibility and making it more systematic and measurable.

Team

Eva Kagiri, Kajsa Ekroos, Jarkko Mutanen, Melissa Plath

The two-year FinCEAL pilot project aimed to enhance cooperation between research and science policy communities in Finland, Europe, Africa, and Latin America and the Caribbean by networking the Finnish research community and by supporting their participation in bi-regional research projects and science policy processes. FinCEAL was an initiative funded by the Finnish Ministry of Education and Culture and implemented by UniPID, the Finnish University Partnership for International Development. FinCEAL activities were focused on the following thematic areas, derived from the European Union's bi-regional science, technology and innovation policy processes: Africa – Food Security, Information Society, Health, Climate Change and Renewable Energy; LAC – ICT for Societal Challenges, Bioeconomy, Biodiversity and Climate Change, Renewable Energy and Health.

Team

Eva Kagiri, Kajsa Ekroos, Melissa Plath

LEAP-Agri is a joint Europe Africa Research and Innovation (R&I) initiative related to Food and Nutrition Security and Sustainable Agriculture (FNSSA). 30 partners, including 24 Ministries and Funding Agencies (Group of Funders) from 18 European and African countries decide to join their forces and funding to build an ERA-Net Cofund project with a financial support of the European Commission. The project has two pillars, (i) funding R&I projects on FNSSA, and (ii) Feeding the long-term EU- AU partnership on FNSSA.

Team

Melissa Plath

NexusAsia is a 2-year research project funded by the Academy of Finland. The full name of the project is ‘Water-energy-food nexus: a cross-sectoral analysis of large Asian river basins’. The research thus looks at in analytical and cross-sectoral manner the management of water and related natural resources in large Asian river basins, with a focus on transboundary settings shared by several countries.

Team

Marko Keskinen, Olli Varis, Shokhrukh Jalilov

CHEC project concentrated on the very topical issue of climate change and its evident impacts on the economic structures especially in the context of China and the European Union. The objective of the research was to analyse the impacts of climate change on the global economic structures and financing mechanism from the point of view of China and EU. The spill over effects of these changes are relevant for assessing the accumulated impacts of climate change. These were profoundly analysed in the CHEC project. The project relied on the following hypotheses; (i) climate change will have an impact on the global economic structures and financing mechanisms; (ii) the impacts depend on the mitigation and adaptation policies worldwide; (iii) climate change impacts in China and EU have impacts on the global economic structures and mechanisms, and vice versa; (iv) these can be studied using global system models; (v) better understanding of emission trends, driving forces and policies in both regions help to build cooperation and put forward international climate processes.

Team

Jyrki Luukkanen (FFRC), Jarmo Vehmas (FFRC), Jari Kaivo-Oja (FFRC), Burkhard Auffermann (FFRC), Barry Hughes (Univ. of Denver), Outi Luova (Univ. of Turku), Juha Panula-Ontto (FFRC), Pertti Suomela (FFRC), Chen Ying (CASS), Wang Mou (CASS), Liao Maolin (CASS), Zhang Ying (CASS), Xiong Jianbin (CASS)

The present ALCUE NET proposal (Latin America, Caribbean and European Union Network on Research and Innovation) outlines a Research and Innovation policy support project aimed at supporting the international Science, Technology and Innovation (STI) dimension of the Europe 2020 Strategy and Innovation Union Flagship Initiative. It will do so by promoting bi-regional and bilateral partnerships for jointly societal challenges, working to develop the attractiveness of Europe in the world, and by promoting the establishment of a level-playing field in Research and Innovation. Additionally it will also work to reinforce the external dimension of the European Research Area (ERA), enhance the cooperation of EU Member States and Associated Countries with third countries in the Framework Programme, contribute to the implementation of the Strategic European Framework for International STI Cooperation and of the initiatives of the Strategic Forum for International Cooperation (SFIC).

Team

Maria Lima Toivanen