Department of Internal Medicine, School of Medicine, University of Zambia, Lusaka, Zambia.
Departments of Neurology, Global Health, Medicine (Infectious Diseases) and Epidemiology, University of Washington, Seattle, Washington.
Semin Neurol. 2024 Apr;44(2):159-167. doi: 10.1055/s-0043-1778640. Epub 2024 Mar 14.
The burden of noncommunicable neurological disorders, such as stroke, dementia, and headache disorders, are on the rise in low- to middle-income countries (LMICs), while neuroinfectious diseases remain a major concern. The development of neuroscience research aimed at defining the burden of neurological diseases across the lifespan, as well as optimizing diagnosis and treatment strategies, is fundamental to improving neurological health in resource-limited settings. One of the key factors to advancing neuroscience research in LMICs is the establishment of effective collaborations based on responsible and trustworthy partnerships between local scientists in LMICs and international collaborators. LMIC researchers face many logistical, institutional, and individual level challenges as they embark on their neuroscience research journey. Despite these challenges, there are opportunities for improving LMIC investigator-led research that should focus on human and institutional infrastructure development. With regard to human capacity building, potential areas for offering support include enhancing research methodology training, offering instruction in manuscript and grant-writing, institutionalizing mentorship programs, and providing opportunities to conduct funded, mentored research to disseminate in high-impact journals. The foundational elements required for implementing and optimizing neuroscience research within an institution include an institutional review board, mentorship programs, data management, research administration, and laboratory facilities. This institutional capacity varies significantly across and within countries, and many rely on collaborations with better-resourced institutions to initiate research. Successful equitable collaborations ensure the engagement of all local and international stakeholders, as well as implementation of a self-sustaining long-term program. Building research capacity in LMICs is an essential endeavor that requires ongoing commitment to training independent scientists. As research capacity increases, LMIC institutions and governments should consider developing competitive research grant programs to support innovative studies led by local researchers, foster regional collaborations, and hence create a sustainable and independent neuroscience research environment.
非传染性神经疾病(如中风、痴呆和头痛障碍)的负担在中低收入国家(LMICs)不断上升,而神经感染性疾病仍然是一个主要关注点。开展旨在明确神经疾病在整个生命周期中的负担并优化诊断和治疗策略的神经科学研究,对于改善资源有限环境下的神经健康至关重要。在 LMICs 推进神经科学研究的关键因素之一是基于当地科学家与国际合作者之间负责任和值得信赖的伙伴关系,建立有效的合作关系。当 LMIC 研究人员开始他们的神经科学研究之旅时,他们面临着许多后勤、机构和个人层面的挑战。尽管存在这些挑战,但仍有机会改善由 LMIC 调查员主导的研究,重点是发展人力和机构基础设施。在人力能力建设方面,提供支持的潜在领域包括加强研究方法培训、提供手稿和资助写作指导、制度化指导计划以及提供开展有资金支持、有指导的研究的机会,以在高影响力期刊上发表。在机构内实施和优化神经科学研究所需的基础要素包括机构审查委员会、指导计划、数据管理、研究管理和实验室设施。这种机构能力在国家之间和内部差异很大,许多国家依赖与资源更丰富的机构合作来开展研究。成功的公平合作确保了所有当地和国际利益相关者的参与,以及可持续的长期项目的实施。在 LMICs 建立研究能力是一项必要的努力,需要持续致力于培训独立的科学家。随着研究能力的提高,LMIC 机构和政府应考虑制定有竞争力的研究资助计划,以支持由当地研究人员领导的创新研究,促进区域合作,从而创造一个可持续和独立的神经科学研究环境。