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撒哈拉以南非洲国家的卫生研究支出:一项基于问卷调查的结果

Expenditures on health research in sub-Saharan African countries: results of a questionnaire-based survey.

作者信息

Kebede Derege, Zielinski Chris, Mbondji Peter Ebongue, Sanou Issa, Kouvividila Wenceslas, Lusamba-Dikassa Paul-Samson

机构信息

World Health Organization Regional Office for Africa, PO Box 6, Brazzaville, Congo

World Health Organization Regional Office for Africa, PO Box 6, Brazzaville, Congo.

出版信息

J R Soc Med. 2014 May;107(1 suppl):77-84. doi: 10.1177/0141076814530601. Epub 2014 Jun 9.

DOI:10.1177/0141076814530601
PMID:24914130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4109355/
Abstract

OBJECTIVE

To estimate the sources of funds for health research (revenue) and the uses of these funds (expenditure).

DESIGN

A structured questionnaire was used to solicit financial information from health research institutions.

SETTING

Forty-two sub-Saharan African countries.

PARTICIPANTS

Key informants in 847 health research institutions in the 42 sub-Saharan African countries.

MAIN OUTCOME MEASURES

Expenditure on health research by institutions, funders and subject areas.

RESULTS

An estimated total of US$ 302 million was spent on health research by institutions that responded to the survey in the World Health Organization (WHO) African Region for the biennium 2005-2006. The most notable funders for health research activities were external funding, ministries of health, other government ministries, own funds and non-profit institutions. Most types of health research performers spent significant portions of their resources on in-house research, with medical schools spending 82% and government agencies 62%. Hospitals spent 38% of their resources on management, and other institutions (universities, firms, etc.) spent 87% of their resources on capital investment. Research on human immunodeficiency virus/tuberculosis and malaria accounted for 30% of funds, followed by research on other communicable diseases and maternal, perinatal and nutritional conditions (23%).

CONCLUSIONS

Research on major health problems of the Region, such as communicable diseases, accounts for most of the research expenditures. However, the total expenditure is very low compared with other WHO regions.

摘要

目的

评估卫生研究的资金来源(收入)及其使用情况(支出)。

设计

采用结构化问卷从卫生研究机构收集财务信息。

背景

撒哈拉以南非洲的42个国家。

参与者

撒哈拉以南非洲42个国家847个卫生研究机构的关键信息提供者。

主要观察指标

各机构、资助者及学科领域的卫生研究支出。

结果

2005 - 2006两年期,世界卫生组织(WHO)非洲区域参与调查的机构在卫生研究方面的支出估计总计3.02亿美元。卫生研究活动最主要的资助者是外部资金、卫生部、其他政府部门、自有资金和非营利机构。大多数类型的卫生研究执行者将其大部分资源用于内部研究,医学院校的这一比例为82%,政府机构为62%。医院将其38%的资源用于管理,其他机构(大学、公司等)将87%的资源用于资本投资。关于人类免疫缺陷病毒/结核病和疟疾的研究占资金的30%,其次是关于其他传染病以及孕产妇、围产期和营养状况的研究(23%)。

结论

该区域重大卫生问题(如传染病)的研究占研究支出的大部分。然而,与WHO其他区域相比,总支出非常低。

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本文引用的文献

1
Surveying the knowledge landscape in sub-Saharan Africa: methodology.审视撒哈拉以南非洲地区的知识版图:方法学
J R Soc Med. 2014 May;107(1 suppl):13-21. doi: 10.1177/0141076814531411. Epub 2014 Jun 9.