1. HINARI & AGORA Maurice Long Fiesole, 19 March 2004

2. Health InterNetwork Access to Research Initiative Health InterNetwork Access to Research Initiative Access to Global Online Research in Agriculture Access to Global Online Research in Agriculture

3. HINARI … “… The Health InterNetwork Access to Research Initiative – HINARI – is using information technology to narrow the information gap in health science.” “… The Health InterNetwork Access to Research Initiative – HINARI – is using information technology to narrow the information gap in health science.” Kofi Annan: Address to PAHO, Washington, DC 2 December 2002 Kofi Annan: Address to PAHO, Washington, DC 2 December 2002

4. HINARI … “It is perhaps the biggest step ever taken towards reducing the health information gap between rich and poor countries." “It is perhaps the biggest step ever taken towards reducing the health information gap between rich and poor countries." Gro Harlem Brundtland, Director General WHO, launching HINARI, London 9 July 2001 Gro Harlem Brundtland, Director General WHO, launching HINARI, London 9 July 2001

5. AGORA “AGORA is our response to UN Secretary General Kofi Annan’s call -- when he was proclaiming the Millennium Declaration in September 2000 -- to engage in public/private partnerships for improving agriculture, fisheries, food, environment and related research in the developing world.” “AGORA is our response to UN Secretary General Kofi Annan’s call -- when he was proclaiming the Millennium Declaration in September 2000 -- to engage in public/private partnerships for improving agriculture, fisheries, food, environment and related research in the developing world.” Eric Swanson, Chair STM, Rome, October 2003 Eric Swanson, Chair STM, Rome, October 2003

6. HINARI … access to full text on line biomedical research and clinical journals and other information access to full text on line biomedical research and clinical journals and other information researchers and healthcare workers in more than 1000 institutions in the developing nations researchers and healthcare workers in more than 1000 institutions in the developing nations not for profit research institutions, medical schools, nursing schools, dentistry school, government health ministries, etc not for profit research institutions, medical schools, nursing schools, dentistry school, government health ministries, etc

7. AGORA … full text on line journals and other information to researchers in agriculture in nearly 300 institutions in the developing nations full text on line journals and other information to researchers in agriculture in nearly 300 institutions in the developing nations not for profit research institutions, universities, policy units and relevant government departments not for profit research institutions, universities, policy units and relevant government departments subjects include nutrition, agriculture, fisheries, forestry, ecology and environmental studies subjects include nutrition, agriculture, fisheries, forestry, ecology and environmental studies

8. HINARI “PHASE 1” & AGORA Institutions in 69 countries where the annual per capita GNP is US$1000 or less * Institutions in 69 countries where the annual per capita GNP is US$1000 or less * HINARI launched January 2002 HINARI launched January 2002 AGORA launched October 2003 AGORA launched October 2003 Free access Free access * World Bank, December 2000 * World Bank, December 2000

9. HINARI Phase 2 Institutions in 44 countries where the annual per capita GNP is between US$1001 and $3000 Institutions in 44 countries where the annual per capita GNP is between US$1001 and $3000 Launched January 2003 Launched January 2003 In general, access to the HINARI “catalogue” for the equivalent of US$1000 in local currency In general, access to the HINARI “catalogue” for the equivalent of US$1000 in local currency Some publishers who have existing strong markets are excluding access in a few countries Some publishers who have existing strong markets are excluding access in a few countries Publishers are donating all HINARI revenues collected in 2004 & 2005 to WHO for use in training librarians and infrastructure support Publishers are donating all HINARI revenues collected in 2004 & 2005 to WHO for use in training librarians and infrastructure support

10. Uptake – March 2004 HINARI Phase 1: 666 institutions registered 666 institutions registered 62 countries (69 eligible) 62 countries (69 eligible) HINARI Phase 2 429 institutions registered 429 institutions registered 40 countries (44 eligible) 40 countries (44 eligible)AGORA 200 institutions registered 200 institutions registered 47 countries (69 eligible) 47 countries (69 eligible)

11. Publishers Statement of Intent Provide access to a wide range of key biomedical journals at prices which reflect the state of national economies in the developing world. Provide access to a wide range of key biomedical journals at prices which reflect the state of national economies in the developing world. In some cases, access may be provided at no charge. In some cases, access may be provided at no charge. The Initiative applies only to bona fide academic and research institutions. The Initiative applies only to bona fide academic and research institutions. The Initiative includes most of the countries classified by the World Bank as low or lower-middle income. The Initiative includes most of the countries classified by the World Bank as low or lower-middle income.

12. Each publisher will offer access in the broad terms of the principles on which this Initiative is based, and will be free to provide specific arrangements according to its own business model. Each publisher will offer access in the broad terms of the principles on which this Initiative is based, and will be free to provide specific arrangements according to its own business model. Access authentication will be provided by WHO’s Health InterNetwork project. Access authentication will be provided by WHO’s Health InterNetwork project. Through this Initiative, the publishers are indicating support for the World Intellectual Property Organisation, the International Publishers Association and other organisations in promoting respect for the Berne Convention in the use of important scientific information. Through this Initiative, the publishers are indicating support for the World Intellectual Property Organisation, the International Publishers Association and other organisations in promoting respect for the Berne Convention in the use of important scientific information.

13. All partners recognise the key role national governments will take in supporting this Initiative and developing it. All partners recognise the key role national governments will take in supporting this Initiative and developing it. The Partners are committed to the success of the Initiative, and while monitoring its progress, expect it to continue for at least three years. The Partners are committed to the success of the Initiative, and while monitoring its progress, expect it to continue for at least three years. The publishers hope to work with the WHO in encouraging research publishing programmes in developing nations. The publishers hope to work with the WHO in encouraging research publishing programmes in developing nations. New partners will be sought to increase the amount of content within the Initiative and to provide funds and technology to establish a firm infrastructure for the future. New partners will be sought to increase the amount of content within the Initiative and to provide funds and technology to establish a firm infrastructure for the future.

14. User licence Each institution signs a user licence. Key features: For profit institutions ineligible For profit institutions ineligible Users have access to the full version of journals Users have access to the full version of journals Maximum of 15% for downloading and printing Maximum of 15% for downloading and printing Course packs permitted Course packs permitted Document supply permitted to faculty, students and employees Document supply permitted to faculty, students and employees Integrity of publisher material must be maintained Integrity of publisher material must be maintained

15. Why did publishers join? Obvious need for researchers to gain access to health and food information Obvious need for researchers to gain access to health and food information WHO, FAO & UN sponsored WHO, FAO & UN sponsored Realistic prospect of the programmes achieving their purpose Realistic prospect of the programmes achieving their purpose Collegiality Collegiality A truly sustainable programme A truly sustainable programme

16. Partnerships … HINARI and AGORA are partnerships …. HINARI and AGORA are partnerships …. Entirely voluntary Entirely voluntary No contract has been signed by anyone No contract has been signed by anyone 1. Yale and Cornell University Libraries, 2. National Library of Medicine 3. Dept. for International Development 4. USAID 5. Rockefeller Foundation

17. Partnerships Social contract …. Social contract ….

18. What have partners learned? Working with an agencies such as WHO and FAO has its ups and downs – far more ups than downs! Working with an agencies such as WHO and FAO has its ups and downs – far more ups than downs! Working collegially more effective than alone Working collegially more effective than alone The small partner’s contribution is important The small partner’s contribution is important Balance between lean organisation and efficiency Balance between lean organisation and efficiency Need to listen to HINARI and AGORA users Need to listen to HINARI and AGORA users

19. Challenges … High cost of Internet connectivity High cost of Internet connectivity Poor distribution of appropriate hardware Poor distribution of appropriate hardware High cost of peripherals, e.g. paper High cost of peripherals, e.g. paper Inadequate funding of institutional libraries Inadequate funding of institutional libraries Lack of an information culture Lack of an information culture Getting the message across Getting the message across Encourage local publishing Encourage local publishing

20. Chesterton’s paradox …

21. Chesterton’s paradox If a thing’s worth doing, it’s worth doing badly … If a thing’s worth doing, it’s worth doing badly …

22. The future HINARI and AGORA will continue till at least December 2006 HINARI and AGORA will continue till at least December 2006 Evaluation programme to look at the following: Evaluation programme to look at the following: 1. Impact on quality of research 2. Increase in papers from developing countries? 3. Impact on local publishing 4. Value of WHO and FAO partnerships 5. Input from other partners and funders 6. Impact on publishers’ revenue

23. Participating publishers American Academy of Pediatrics American Academy of Pediatrics American Association for the Advancement of Science American Association for the Advancement of Science American Association for Cancer Research American Association for Cancer Research American College of Physicians American College of Physicians American College of Chest Physicians American College of Chest Physicians American Medical Association American Medical Association

24. American Society of Clinical Nutrition American Society of Clinical Nutrition American Society of Clinical Oncology American Society of Clinical Oncology American Society of Hematology American Society of Hematology Annual Reviews Annual Reviews Arnold. Arnold. Australian Medical Association. Australian Medical Association. BioMedCentral BioMedCentral BioOne BioOne Blackwell Publishing Blackwell Publishing

25. Botanical Society of America Botanical Society of America British Medical Journal Publishing Group British Medical Journal Publishing Group CABI Publishing CABI Publishing Canadian Medical Association Canadian Medical Association Cochrane Collaboration Cochrane Collaboration Cold Spring Harbour Press Cold Spring Harbour Press Company of Biologists Company of Biologists Elsevier Science Elsevier Science Finnish Medical Society Finnish Medical Society Journal of Bone and Joint Surgery (US and UK Volumes) Journal of Bone and Joint Surgery (US and UK Volumes)

26. Kluwer Academic Publishers Kluwer Academic Publishers Landes Bioscience Landes Bioscience Lippincott Williams & Wilkins Lippincott Williams & Wilkins Massachusetts Medical Society Massachusetts Medical Society Morion Morion National Academy of Sciences National Academy of Sciences National Library of Medicine National Library of Medicine Nature Publishing Group Nature Publishing Group Oxford University Press Oxford University Press

27. Portland Press Portland Press Royal College of Surgeons of England Royal College of Surgeons of England Royal Society of Medicine Royal Society of Medicine Royal Pharmaceutical Society of Great Britain Royal Pharmaceutical Society of Great Britain Sage Sage Society for the Study of Reproduction Society for the Study of Reproduction Springer Verlag Springer Verlag Taylor and Francis Taylor and Francis Thieme Verlag Thieme Verlag University of Chicago Press University of Chicago Press John Wiley John Wiley

28. www.aginternetwork.org www.healthinternetwork.net mlong@bmjgroup.com www.aginternetwork.org www.healthinternetwork.net mlong@bmjgroup.com Fiesole, Friday 18 March 2004 www.aginternetwork.org www.healthinternetwork.net mlong@bmjgroup.com