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非洲基因组学研究的实施:挑战与建议。

Implementation of genomics research in Africa: challenges and recommendations.

作者信息

Adebamowo Sally N, Francis Veronica, Tambo Ernest, Diallo Seybou H, Landouré Guida, Nembaware Victoria, Dareng Eileen, Muhamed Babu, Odutola Michael, Akeredolu Teniola, Nerima Barbara, Ozumba Petronilla J, Mbhele Slee, Ghanash Anita, Wachinou Ablo P, Ngomi Nicholas

机构信息

a Department of Epidemiology and Public Health , University of Maryland School of Medicine , Baltimore , MD , USA.

b Center for Bioethics and Research , Ibadan , Nigeria.

出版信息

Glob Health Action. 2018;11(1):1419033. doi: 10.1080/16549716.2017.1419033.

Abstract

BACKGROUND

There is exponential growth in the interest and implementation of genomics research in Africa. This growth has been facilitated by the Human Hereditary and Health in Africa (H3Africa) initiative, which aims to promote a contemporary research approach to the study of genomics and environmental determinants of common diseases in African populations.

OBJECTIVE

The purpose of this article is to describe important challenges affecting genomics research implementation in Africa.

METHODS

The observations, challenges and recommendations presented in this article were obtained through discussions by African scientists at teleconferences and face-to-face meetings, seminars at consortium conferences and in-depth individual discussions.

RESULTS

Challenges affecting genomics research implementation in Africa, which are related to limited resources include ill-equipped facilities, poor accessibility to research centers, lack of expertise and an enabling environment for research activities in local hospitals. Challenges related to the research study include delayed funding, extensive procedures and interventions requiring multiple visits, delays setting up research teams and insufficient staff training, language barriers and an underappreciation of cultural norms. While many African countries are struggling to initiate genomics projects, others have set up genomics research facilities that meet international standards.

CONCLUSIONS

The lessons learned in implementing successful genomics projects in Africa are recommended as strategies to overcome these challenges. These recommendations may guide the development and application of new research programs in low-resource settings.

摘要

背景

非洲对基因组学研究的兴趣和实施呈指数级增长。“非洲人类遗传与健康”(H3Africa)倡议推动了这一增长,该倡议旨在促进采用当代研究方法来研究非洲人群常见疾病的基因组学和环境决定因素。

目的

本文旨在描述影响非洲基因组学研究实施的重要挑战。

方法

本文中提出的观察结果、挑战和建议是通过非洲科学家在电话会议、面对面会议、联盟会议研讨会以及深入的个人讨论中的交流获得的。

结果

影响非洲基因组学研究实施的挑战,与资源有限相关的包括设施配备不足、研究中心可达性差、缺乏专业知识以及当地医院开展研究活动的有利环境。与研究相关的挑战包括资金延迟、程序繁琐以及需要多次就诊的干预措施、组建研究团队延迟和工作人员培训不足、语言障碍以及对文化规范的认识不足。虽然许多非洲国家在努力启动基因组学项目,但其他一些国家已经建立了符合国际标准的基因组学研究设施。

结论

在非洲实施成功的基因组学项目所吸取的经验教训被推荐为克服这些挑战的策略。这些建议可能会指导低资源环境中新研究项目的开发和应用。

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