GEAR, an international global knowledege effort has been recognised as a platform for making HTA resources available and has proven to be a useful tool for in-country support as indicated by collaborators. This grant period is critical for assessing and ensuring the sustainability of GEAR. The website has been refined to include more material including technical trainings and workshops completed during the year. It is also the platform for posting Plant-A-Tree software and Markov Model with month-level cycle: Discounting Multiplier Generator. A manuscript regarding the “Ask-an-Expert” feature was submitted to IJMR and is currently in the publication process.