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Planning, Priority Setting, and Budget
Development for NIH AIDS Research
Robert W. Eisinger, Ph.D. Office of AIDS Research
National Institutes of Health
Focus of Presentation
• Overview of OAR
• Priority Setting Process
• Budget Development Process
• Trans-NIH Management, Coordination, and
Evaluation
National Institute
on Alcohol Abuse
and Alcoholism
National Institute
of Arthritis and
Musculoskeletal
and Skin Diseases
National Cancer
Institute
National Institute
of Diabetes and
Digestive and
Kidney Diseases
National Institute
of Dental and
Craniofacial
Research
National Institute
on Drug Abuse
National Institute
of Environmental
Health Sciences
National Institute
on Aging
National Institute
of Child Health
and Human
Development
National Institute on
Deafness and Other
Communication
Disorders
National Eye
Institute
National Human
Genome Research
Institute
National Heart,
Lung, and Blood
Institute
National Institute
of Mental Health
National Institute
of Neurological
Disorders and
Stroke
National Institute
of General
Medical Sciences
National Institute
of Nursing Research
National Library
of Medicine
Center for
Information
Technology
Center for
Scientific Review
National Center
for Complementary
and Alternative
Medicine
National Institute
of Allergy and
Infectious Diseases
John E. Fogarty
International
Center
National Center for
Advancing
Translational
Sciences
Warren Grant
Magnuson
Clinical Center
National Institute on
Minority Health and
Health Disparities
National Institute of
Biomedical Imaging
and Bioengineering
Office of the Director
Office of AIDS
Research
DHHS/NIH/OD/OAR
National Institutes of Health
NIH Office of AIDS Research
• Unique role and legislative authorities
• Annual trans-NIH strategic plan
• Annual trans-NIH budget tied to the strategic
plan
• Trans-NIH coordination, management, and
evaluation
• A unified NIH research front against the AIDS
pandemic
Annual Trans-NIH Strategic Plan: Setting
Scientific Priorities
Trans-NIH Plan for HIV-Related
Research
OAR Planning Process
Trans-NIH Coordinating Committees
NIH Institutes and Centers
Other government entities with research responsibilities
Non-government experts from academia, foundations,
and industry
Community representatives
OAR Advisory Council
Uses of the Annual Strategic Plan
Informs the scientific community, the public, and
AIDS-affected communities about the Trans-NIH
AIDS research agenda
Frames the development of the Trans-NIH AIDS
budget
Determines the use of NIH AIDS-designated dollars
Coding permits tracking and monitoring of
expenditures
Strategic Plan Areas:
Investing in Basic Research
- Etiology and Pathogenesis
Reducing New Infections
- Microbicides
- Vaccines
- Behavioral and Social Science
- Treatment as Prevention
Improving Disease Outcomes for HIV-
Infected Individuals
- Drug Discovery, Development, and Treatment
- Research Toward a Cure
Strategic Plan Areas:
Reducing HIV-Related Disparities
Special Populations:
- Racial and Ethnic Populations
- Women and Girls
- Research in International Settings
Training, Infrastructure, and Capacity Building
Translating Research From Bench to Bedside
to Community
- Natural History and Epidemiology
- Information Dissemination
NIH AIDS Research
Overarching Priorities
A strong foundation of basic science
Prevention research, including
development of vaccines, microbicides,
and behavioral interventions
Research toward a cure
Current NIH Objectives in Behavioral
and Social Science Research
Preventive Intervention Research
Basic Behavioral and Social Science Research
Consequences of HIV Infection
Research Methods
Behavioral and Social Science
Research Portfolio
Adherence/compliance/retention in care
Stigma, discrimination, poverty, criminal justice
Neurocognitive complications
Drug and alcohol use; drug interactions
Integrate BSSR into design and evaluation of interventions
Develop and test innovative interventions reflecting the cultural and social context of the lives of various populations
Trans-NIH Budget Development Process
Budget Development Process
Institutes and Centers (ICs) develop new/expanded program initiatives, with budget requests, for each scientific area
OAR reviews ICs’ initiatives in relation to the Plan and OAR priorities
Consultations between ICs and OAR throughout process
Budget is developed in consultation between the OAR Director and NIH Director
OAR allocates budget levels to each IC
$2,921 $2,902 $2,906 $2,928 $3,019 $3,085 $3,059 $3,075 $3,095
$2,898
$3,122
50
550
1050
1550
2050
2550
3050
3550
2005 2006 2007 2008 2009 2010 2011 2012 2013
CR
2013
PS
2014
PB
Doll
ars
in
Mil
lio
ns
Fiscal Year
Total AIDS Funding
FY 2005 – FY 2014
IC Funding Distribution FY 2012-2014 (dollars in thousands)
DHHS/NIH/OD/OAR
FY 2014
Institute / FY 2012 FY 2013 President's
Center Actual CR Budget
NCI $271,692 $273,355 $278,101
NHLBI 67,995 68,431 60,982
NIDCR 20,061 20,301 17,130
NIDDK 30,951 31,140 30,136
NINDS 46,857 47,144 47,229
NIAID 1,572,973 1,583,052 1,631,577
NIGMS 65,202 65,601 69,597
NICHD 144,924 146,189 152,923
NEI 8,902 8,956 --
NIEHS 5,338 5,371 5,122
NIA 5,632 5,666 5,888
NIAMS 4,925 4,955 5,455
NIDCD 1,877 1,888 1,888
NIMH 190,387 191,733 163,264
NIDA 319,292 321,347 332,286
NIAAA 28,380 28,554 29,378
NINR 12,642 12,719 12,809
NHGRI 7,130 7,174 7,120
NIBIB 3,699 3,722 1,287
NIMHD 20,446 20,571 21,331
NCCAM 1,610 1,620 1,610
NCATS 68,328 68,766 66,417
FIC 24,241 24,389 27,017
NLM 7,665 7,712 8,412
OD
OAR 63,802 64,192 64,392
ORIP 79,844 80,333 80,365
Subtotal, OD 143,646 144,525 144,757
TOTAL, NIH $3,074,795 $3,094,881 $3,121,716
FY 2014 Funding by Scientific Area of
Emphasis of the NIH Plan for HIV-Related
Research (dollars in thousands)
FY 2012 FY 2013 FY 2014
Area of Emphasis Actual CR PB
HIV Microbicides $129,919 $134,627 $133,800
Vaccines 556,613 560,962 574,966
Behavioral and Social Science 420,084 421,684 430,209
Therapeutics
Therapeutics as Prevention 56,561 58,126 66,026
Drug Discovery, Development and Treatment 650,059 659,261 651,168
Total, Therapeutics 706,620 717,387 717,194
Etiolgy and Pathogenesis 668,244 674,697 693,851
Natural History and Epidemiology 257,973 253,342 247,385
Training, Infrastructure, and Capacity Building 280,775 281,474 272,062
Information Dissemination 54,567 50,708 52,249
Total, Budget Authority $3,074,795 $3,094,881 $3,121,716
Trans-NIH Management
and Coordination
Facilitate trans-institute programs
Manage multi-institute research
– Centers for AIDS Research (CFAR) Steering
Committee
Foster research through designated funds, targeted
workshops
Identify areas that require focused attention
Tracking AIDS Research Funds
All ICs are required to code all NIH-funded intramural
and extramural AIDS-related research projects
All projects coded to objectives of the Plan
Information includes:
– Principal Investigator
– Institution
– Funding
– Mechanism
ARIS data uploaded to RCDC
Overview
OAR has and continues to shift AIDS research
program priorities and resources to meet the
changing epidemic and scientific opportunities
This investment in AIDS research has produced
critical scientific advances
AIDS research has also assisted prevention and
treatment of other important diseases
New challenges and opportunities lie ahead
Additional Information
Additional information is available
on the National Institutes of Health
Office of AIDS Research
Web site
http://www.oar.nih.gov
NIH… Turning Discovery Into Health®
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