National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, U.S.A.
Stat Med. 2011 Mar 30;30(7):695-708. doi: 10.1002/sim.4144. Epub 2011 Jan 12.
On September 30, 2009, the National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH) conducted a workshop on strengthening biostatistics resources in sub-Saharan Africa (SSA). An increase in global spending on health research over the last decade has boosted funds available to conduct biomedical research in low- to mid-income countries. The HIV/AIDS pandemic, the re-emergence of malaria and tuberculosis, and other emerging infectious agents are major driving forces behind the increase in biomedical research and clinical care programs (clinical trials, observational studies and, other public health programs) in SSA (Exp. Biol. Med. 2008; 233:277-285). In addition, the increased engagement of the United States (U.S.) government through the Global Health Initiative, which expands the traditional focus beyond infectious diseases to other causes of poor health and to the recognition of need the to strengthen health systems for a sustainable response, only increases the need for in-depth in-country expertise in all aspects of biomedical research (White House Press Release, 2009). In this workshop, researchers both from the U.S. and SSA were invited to discuss their collaborative work, to discuss ways in which biostatistical activities are carried out within their research projects, and to identify both general and specific needs for capacity building in biostatistics. Capacity building discussions highlighted the critical need to increase the number of well-trained in-country biostatisticians, both to participate in ongoing studies and to contribute to an infrastructure that can produce the next generation of biostatistical researchers.
2009 年 9 月 30 日,美国国立过敏和传染病研究所(NIAID)、美国国立卫生研究院(NIH)举办了一个加强撒哈拉以南非洲(SSA)生物统计学资源的研讨会。过去十年中,全球卫生研究支出的增加,为中低收入国家开展生物医学研究提供了更多资金。艾滋病大流行、疟疾和结核病的重新出现以及其他新出现的传染病,是推动撒哈拉以南非洲地区生物医学研究和临床护理计划(临床试验、观察性研究和其他公共卫生计划)增加的主要动力(Exp. Biol. Med. 2008; 233:277-285)。此外,美国政府通过全球卫生倡议的积极参与,将传统重点从传染病扩大到其他健康不良的原因,并认识到需要加强卫生系统以做出可持续反应,这进一步增加了对深入了解国内生物医学研究各个方面的专业知识的需求(白宫新闻稿,2009 年)。在本次研讨会上,来自美国和撒哈拉以南非洲的研究人员受邀讨论了他们的合作工作,讨论了在各自的研究项目中如何开展生物统计学活动,并确定了生物统计学能力建设的一般和具体需求。能力建设讨论强调了增加经过良好培训的国内生物统计学家人数的关键需求,不仅要参与正在进行的研究,还要为能够培养下一代生物统计研究人员的基础设施做出贡献。