Malijan Greco Mark B, Chen Mengji, Ong Gui Xian, Cerrado Johannes Paolo B, Park Kidong
Division of Data, Strategy and Innovation, World Health Organization Regional Office in the Western Pacific, Manila, 1000, Philippines.
Nuffield Department of Population Health, Clinical Trial Service Unit & Epidemiological Studies Unit, University of Oxford, Oxford, OX3 7LF, United Kingdom.
Lancet Reg Health West Pac. 2025 Jun 21;59:101602. doi: 10.1016/j.lanwpc.2025.101602. eCollection 2025 Jun.
Health research capacity remains constrained in Pacific Island Countries. This scoping review examined health research output in the Cook Islands, Fiji, Guam, and Tonga from 2014 to 2024 following the Arksey and O'Malley framework. A total of 752 publications met inclusion criteria, with output increasing markedly after 2020. A total of 447 studies (59%) were from Fiji, 142 (19%) from Guam, 95 (13%) from Tonga, and 68 (9%) from Cook Islands. Most studies described problems or causes, with fewer solution-focused, implementation, and evaluative studies. Majority of studies had international corresponding authors, and only half of studies included local co-authors. Where reported, two thirds had funding from primarily international sources, and local research ethics approval was present in less than half of the studies. These findings highlight concerns about research equity and sustainability, suggesting a need for greater local ownership, domestic funding, and ethical oversight to strengthen health research ecosystems in these countries.
太平洋岛国的卫生研究能力仍然受到限制。本综述按照阿克西和奥马利框架，对2014年至2024年期间库克群岛、斐济、关岛和汤加的卫生研究产出进行了考察。共有752篇出版物符合纳入标准，2020年后产出显著增加。共有447项研究（59%）来自斐济，142项（19%）来自关岛，95项（13%）来自汤加，68项（9%）来自库克群岛。大多数研究描述了问题或原因，关注解决方案、实施和评估的研究较少。大多数研究有国际通讯作者，只有一半的研究包括当地共同作者。在有报告的情况下，三分之二的研究主要由国际来源提供资金，不到一半的研究获得了当地研究伦理批准。这些发现凸显了对研究公平性和可持续性的担忧，表明需要加强当地所有权、国内资金支持和伦理监督，以强化这些国家的卫生研究生态系统。
