Tolani Musliu Adetola, Ahmed Muhammed, Ojewola Rufus Wale, Abdulwahab-Ahmed Abdullahi, Abdulkadir Abubakar, Mbaeri Timothy Uzoma, Raphael John, Atim Terkaa, Ajape Akanbi Abdulwahab, Shuaibu Samaila Ibrahim, Tela Usman Mohammed, Lawal Ahmad Tijjani, Nasir Oyelowo, Maitama Hussaini Yusuf
Department of Surgery, Ahmadu Bello University/Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria.
Department of Surgery, College of Medicine, University of Lagos and Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.
Niger Med J. 2020 Jul-Aug;61(4):218-222. doi: 10.4103/nmj.NMJ_46_20. Epub 2020 Aug 4.
Health-care research in Nigeria has been growing over the years but is constrained by many difficulties. This study aimed to identify the challenges encountered in health-care research and suggest policies to address these problems.
It was a cross-sectional study of medical doctors who have been involved in health-related researches. All participants filled a self-administered online questionnaire comprising 31 questions in five sections. The responses were analyzed using the Google forms and the Statistical Package for the Social Sciences software version 23.
The mean age of the study participants was 41.0 ± 8.4 years. Three-quarters of the respondents (75.5%) worked in teaching hospitals. Nearly all (96.6%) carried out their studies using personal funds and only one in 10 had been involved in high-budget projects (≥₦1,000,000). The generation of quality researches was impeded by the restriction of literature review to free online journals (93.2%), incomplete health records (88.0%), limited access to research kits (65.7%), limited use of advanced statistical analysis (29.8%), and challenges with obtaining ethical approval (21.2%). Despite the average online visibility of these researches (52.2%), only 28.5% stated that it has been locally adopted to influence medical practice in their center.
There is a wide disparity in research capacity among hospital tiers. It is important to leverage on and expand existing partnerships to provide institutional access to premium literature, offer robust, and assessable financial support for the conduct of high-quality researches and provide a framework to bridge the gap in the use of these works to influence practice change in Nigeria.
多年来，尼日利亚的医疗保健研究一直在发展，但受到诸多困难的制约。本研究旨在确定医疗保健研究中遇到的挑战，并提出解决这些问题的政策建议。
这是一项对参与健康相关研究的医生进行的横断面研究。所有参与者填写了一份自我管理的在线问卷，问卷包括五个部分的31个问题。使用谷歌表单和社会科学统计软件包第23版对回答进行分析。
研究参与者的平均年龄为41.0±8.4岁。四分之三的受访者（75.5%）在教学医院工作。几乎所有受访者（96.6%）使用个人资金进行研究，每10人中只有1人参与过高预算项目（≥100万奈拉）。高质量研究的产生受到以下因素的阻碍：文献综述仅限于免费在线期刊（93.2%）、健康记录不完整（88.0%）、获取研究工具的机会有限（65.7%）、高级统计分析的使用有限（29.8%）以及获得伦理批准存在挑战（21.2%）。尽管这些研究的在线可见度平均为52.2%，但只有28.5%的人表示其研究在当地已被采用以影响其所在中心的医疗实践。
不同层级医院的研究能力存在很大差异。利用并扩大现有伙伴关系很重要，以便提供获取优质文献的机构渠道，为开展高质量研究提供有力且可评估的资金支持，并提供一个框架来弥合这些研究在影响尼日利亚实践变革方面的应用差距。
