Department of Health Policy, LSE, Houghton Street, London, WC2A 2AE, United Kingdom.
LSE Health, LSE, Houghton Street, London, WC2A 2AE, United Kingdom.
Health Res Policy Syst. 2021 Dec 11;19(1):142. doi: 10.1186/s12961-021-00778-y.
In recent years there have been calls to strengthen health sciences research capacity in African countries. This capacity can contribute to improvements in health, social welfare and poverty reduction through domestic application of research findings; it is increasingly seen as critical to pandemic preparedness and response. Developing research infrastructure and performance may reduce national economies' reliance on primary commodity and agricultural production, as countries strive to develop knowledge-based economies to help drive macroeconomic growth. Yet efforts to date to understand health sciences research capacity are limited to output metrics of journal citations and publications, failing to reflect the complexity of the health sciences research landscape in many settings.
We map and assess current capacity for health sciences research across all 54 countries of Africa by collecting a range of available data. This included structural indicators (research institutions and research funding), process indicators (clinical trial infrastructures, intellectual property rights and regulatory capacities) and output indicators (publications and citations).
While there are some countries which perform well across the range of indicators used, for most countries the results are varied-suggesting high relative performance in some indicators, but lower in others. Missing data for key measures of capacity or performance is also a key concern. Taken as a whole, existing data suggest a nuanced view of the current health sciences research landscape on the African continent.
Mapping existing data may enable governments and international organizations to identify where gaps in health sciences research capacity lie, particularly in comparison to other countries in the region. It also highlights gaps where more data are needed. These data can help to inform investment priorities and future system needs.
近年来,人们呼吁加强非洲国家的卫生科学研究能力。通过在国内应用研究成果,可以提高卫生水平、社会福利和减贫水平;人们越来越认识到这对于大流行病的防范和应对至关重要。发展研究基础设施和绩效可以减少国民经济对初级商品和农业生产的依赖,因为各国都在努力发展以知识为基础的经济,以帮助推动宏观经济增长。然而,迄今为止,人们对卫生科学研究能力的理解仅限于期刊引文和出版物的产出指标,未能反映许多情况下卫生科学研究领域的复杂性。
我们通过收集一系列现有数据,绘制并评估了非洲 54 个国家的卫生科学研究能力现状。这包括结构指标(研究机构和研究资金)、过程指标(临床试验基础设施、知识产权和监管能力)和产出指标(出版物和引文)。
虽然有些国家在使用的各种指标中表现良好,但对于大多数国家,结果是多样化的,这表明在一些指标上相对表现较高,但在其他指标上较低。关键能力或绩效指标的数据缺失也是一个主要问题。总体而言,现有数据对非洲大陆当前卫生科学研究格局提出了一种微妙的看法。
绘制现有数据可以使政府和国际组织能够确定卫生科学研究能力的差距所在,特别是与该地区其他国家相比。这也突出了需要更多数据的领域。这些数据可以帮助确定投资重点和未来系统需求。