National health research systems in the WHO African Region: current status and the way forward
Identifieur interne : 003406 ( Ncbi/Merge ); précédent : 003405; suivant : 003407National health research systems in the WHO African Region: current status and the way forward
Auteurs : Joses Muthuri Kirigia ; Martin Okechukwu Ota ; Marion Motari ; Juliet Evelyn Bataringaya [Ouganda] ; Pascal MouhoueloSource :
- Health Research Policy and Systems [ 1478-4505 ] ; 2015.
Abstract
A number of resolutions of the World Health Assembly and the WHO Regional Committee for Africa call upon African countries and their development partners to make the required investments in national health research systems (NHRS) to generate knowledge and promote its use in tackling priority public health challenges. Implementation of these resolutions is critical for Africa to progress with the rest of the world in achieving the post-2015 health sustainable development goal. This study assesses the current status of some NHRS components in the 47 countries of the WHO African Region, identifies the factors that enable and constrain NHRS, and proposes the way forward.
To track progress in NHRS components and for comparison, a questionnaire that was used in NHRS surveys in 2003 and 2009 was administered in all 47 countries in the African Region. The national health research focal persons were responsible for completing the questionnaire, which had been hand-delivered to them by the WHO country office staff in charge of research, who also briefed them on the survey, went through the questionnaire for clarity, and sought their informed consent.
All the 47 countries responded to the questionnaire, but some did not answer all questions. Of the countries responding to various questions 49 % (23/47) had a national health research policy; 47 % (22/47) had a health strategic plan; 40 % (19/47) had legislation governing research; 53 % (25/47) had a national health research priority agenda; 51 % (24/47) reported having a functional NHRS and a national health research management forum; 91 % (43/47) had an ethical review committee; 49 % (23/47) had hospitals with ethical review committees to review clinical research proposals; 51 % (24/47) had a scientific review committee; 62 % (29/47) had health institutions with scientific review committees; 83 % (39/47) had a national health research focal point; 51 % (24/47) had a health research programme; 55 % (26/47) had a national health or medical research institute or council; 93 % (41/44) had at least one university faculty of health sciences that conducted health research; and 33 % (15/46) had a knowledge translation platform. Forty-seven percent of countries reported having a budget line for research for health in the ministry of health budget. Between 2003 and 2014, the countries with a functional NHRS increased from 30 % to 51 %.
Compared with 2003 and 2009 surveys, our survey found many countries to have made progress in strengthening some of the functions of their NHRS. However, there remains an urgent need for countries without NHRS to establish them and for others to improve the functionality and efficiency of every NHRS component. This is necessary for the national governments to effectively execute their leadership and governance of NHRS and to create an enabling environment within which research for health can flourish.
The online version of this article (doi:10.1186/s12961-015-0054-3) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12961-015-0054-3
PubMed: 26519052
PubMed Central: 4628337
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>A number of resolutions of the World Health Assembly and the WHO Regional Committee for Africa call upon African countries and their development partners to make the required investments in national health research systems (NHRS) to generate knowledge and promote its use in tackling priority public health challenges. Implementation of these resolutions is critical for Africa to progress with the rest of the world in achieving the post-2015 health sustainable development goal. This study assesses the current status of some NHRS components in the 47 countries of the WHO African Region, identifies the factors that enable and constrain NHRS, and proposes the way forward.</p>
</sec>
<sec><title>Methods</title>
<p>To track progress in NHRS components and for comparison, a questionnaire that was used in NHRS surveys in 2003 and 2009 was administered in all 47 countries in the African Region. The national health research focal persons were responsible for completing the questionnaire, which had been hand-delivered to them by the WHO country office staff in charge of research, who also briefed them on the survey, went through the questionnaire for clarity, and sought their informed consent.</p>
</sec>
<sec><title>Results</title>
<p>All the 47 countries responded to the questionnaire, but some did not answer all questions. Of the countries responding to various questions 49 % (23/47) had a national health research policy; 47 % (22/47) had a health strategic plan; 40 % (19/47) had legislation governing research; 53 % (25/47) had a national health research priority agenda; 51 % (24/47) reported having a functional NHRS and a national health research management forum; 91 % (43/47) had an ethical review committee; 49 % (23/47) had hospitals with ethical review committees to review clinical research proposals; 51 % (24/47) had a scientific review committee; 62 % (29/47) had health institutions with scientific review committees; 83 % (39/47) had a national health research focal point; 51 % (24/47) had a health research programme; 55 % (26/47) had a national health or medical research institute or council; 93 % (41/44) had at least one university faculty of health sciences that conducted health research; and 33 % (15/46) had a knowledge translation platform. Forty-seven percent of countries reported having a budget line for research for health in the ministry of health budget. Between 2003 and 2014, the countries with a functional NHRS increased from 30 % to 51 %.</p>
</sec>
<sec><title>Conclusion</title>
<p>Compared with 2003 and 2009 surveys, our survey found many countries to have made progress in strengthening some of the functions of their NHRS. However, there remains an urgent need for countries without NHRS to establish them and for others to improve the functionality and efficiency of every NHRS component. This is necessary for the national governments to effectively execute their leadership and governance of NHRS and to create an enabling environment within which research for health can flourish.</p>
</sec>
<sec><title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s12961-015-0054-3) contains supplementary material, which is available to authorized users.</p>
</sec>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Health Res Policy Syst</journal-id>
<journal-id journal-id-type="iso-abbrev">Health Res Policy Syst</journal-id>
<journal-title-group><journal-title>Health Research Policy and Systems</journal-title>
</journal-title-group>
<issn pub-type="epub">1478-4505</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26519052</article-id>
<article-id pub-id-type="pmc">4628337</article-id>
<article-id pub-id-type="publisher-id">54</article-id>
<article-id pub-id-type="doi">10.1186/s12961-015-0054-3</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>National health research systems in the WHO African Region: current status and the way forward</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Kirigia</surname>
<given-names>Joses Muthuri</given-names>
</name>
<address><email>kirigiaj@who.int</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ota</surname>
<given-names>Martin Okechukwu</given-names>
</name>
<address><email>otama@who.int</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Motari</surname>
<given-names>Marion</given-names>
</name>
<address><email>motarim@who.int</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bataringaya</surname>
<given-names>Juliet Evelyn</given-names>
</name>
<address><email>bataringayaj@who.int</email>
</address>
<xref ref-type="aff" rid="Aff2"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mouhouelo</surname>
<given-names>Pascal</given-names>
</name>
<address><email>mouhouelop@who.int</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1"><label></label>
Research, Publications and Library Services Programme, Health Systems & Services Cluster, World Health Organization, Regional Office for Africa, Brazzaville, Congo</aff>
<aff id="Aff2"><label></label>
Health Systems and Services Cluster, WHO Country Office, Kampala, Uganda</aff>
</contrib-group>
<pub-date pub-type="epub"><day>30</day>
<month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>30</day>
<month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="collection"><year>2015</year>
</pub-date>
<volume>13</volume>
<elocation-id>61</elocation-id>
<history><date date-type="received"><day>24</day>
<month>7</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>15</day>
<month>10</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© Kirigia et al. 2015</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Background</title>
<p>A number of resolutions of the World Health Assembly and the WHO Regional Committee for Africa call upon African countries and their development partners to make the required investments in national health research systems (NHRS) to generate knowledge and promote its use in tackling priority public health challenges. Implementation of these resolutions is critical for Africa to progress with the rest of the world in achieving the post-2015 health sustainable development goal. This study assesses the current status of some NHRS components in the 47 countries of the WHO African Region, identifies the factors that enable and constrain NHRS, and proposes the way forward.</p>
</sec>
<sec><title>Methods</title>
<p>To track progress in NHRS components and for comparison, a questionnaire that was used in NHRS surveys in 2003 and 2009 was administered in all 47 countries in the African Region. The national health research focal persons were responsible for completing the questionnaire, which had been hand-delivered to them by the WHO country office staff in charge of research, who also briefed them on the survey, went through the questionnaire for clarity, and sought their informed consent.</p>
</sec>
<sec><title>Results</title>
<p>All the 47 countries responded to the questionnaire, but some did not answer all questions. Of the countries responding to various questions 49 % (23/47) had a national health research policy; 47 % (22/47) had a health strategic plan; 40 % (19/47) had legislation governing research; 53 % (25/47) had a national health research priority agenda; 51 % (24/47) reported having a functional NHRS and a national health research management forum; 91 % (43/47) had an ethical review committee; 49 % (23/47) had hospitals with ethical review committees to review clinical research proposals; 51 % (24/47) had a scientific review committee; 62 % (29/47) had health institutions with scientific review committees; 83 % (39/47) had a national health research focal point; 51 % (24/47) had a health research programme; 55 % (26/47) had a national health or medical research institute or council; 93 % (41/44) had at least one university faculty of health sciences that conducted health research; and 33 % (15/46) had a knowledge translation platform. Forty-seven percent of countries reported having a budget line for research for health in the ministry of health budget. Between 2003 and 2014, the countries with a functional NHRS increased from 30 % to 51 %.</p>
</sec>
<sec><title>Conclusion</title>
<p>Compared with 2003 and 2009 surveys, our survey found many countries to have made progress in strengthening some of the functions of their NHRS. However, there remains an urgent need for countries without NHRS to establish them and for others to improve the functionality and efficiency of every NHRS component. This is necessary for the national governments to effectively execute their leadership and governance of NHRS and to create an enabling environment within which research for health can flourish.</p>
</sec>
<sec><title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s12961-015-0054-3) contains supplementary material, which is available to authorized users.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Creating and utilizing resources</kwd>
<kwd>Financing</kwd>
<kwd>Governance of research for health</kwd>
<kwd>National health research systems</kwd>
<kwd>Production and use</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2015</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Ouganda</li>
</country>
</list>
<tree><noCountry><name sortKey="Kirigia, Joses Muthuri" sort="Kirigia, Joses Muthuri" uniqKey="Kirigia J" first="Joses Muthuri" last="Kirigia">Joses Muthuri Kirigia</name>
<name sortKey="Motari, Marion" sort="Motari, Marion" uniqKey="Motari M" first="Marion" last="Motari">Marion Motari</name>
<name sortKey="Mouhouelo, Pascal" sort="Mouhouelo, Pascal" uniqKey="Mouhouelo P" first="Pascal" last="Mouhouelo">Pascal Mouhouelo</name>
<name sortKey="Ota, Martin Okechukwu" sort="Ota, Martin Okechukwu" uniqKey="Ota M" first="Martin Okechukwu" last="Ota">Martin Okechukwu Ota</name>
</noCountry>
<country name="Ouganda"><noRegion><name sortKey="Bataringaya, Juliet Evelyn" sort="Bataringaya, Juliet Evelyn" uniqKey="Bataringaya J" first="Juliet Evelyn" last="Bataringaya">Juliet Evelyn Bataringaya</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
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