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Current status and future prospects of epidemiology and public health training and research in the WHO African region.


ABSTRACT:

Background

To date little has been published about epidemiology and public health capacity (training, research, funding, human resources) in WHO/AFRO to help guide future planning by various stakeholders.

Methods

A bibliometric analysis was performed to identify published epidemiological research. Information about epidemiology and public health training, current research and challenges was collected from key informants using a standardized questionnaire.

Results

From 1991 to 2010, epidemiology and public health research output in the WHO/AFRO region increased from 172 to 1086 peer-reviewed articles per annum [annual percentage change (APC) = 10.1%, P for trend < 0.001]. The most common topics were HIV/AIDS (11.3%), malaria (8.6%) and tuberculosis (7.1%). Similarly, numbers of first authors (APC = 7.3%, P for trend < 0.001), corresponding authors (APC = 8.4%, P for trend < 0.001) and last authors (APC = 8.5%, P for trend < 0.001) from Africa increased during the same period. However, an overwhelming majority of respondents (>90%) reported that this increase is only rarely linked to regional post-graduate training programmes in epidemiology. South Africa leads in publications (1978/8835, 22.4%), followed by Kenya (851/8835, 9.6%), Nigeria (758/8835, 8.6%), Tanzania (549/8835, 6.2%) and Uganda (428/8835, 4.8%) (P < 0.001, each vs South Africa). Independent predictors of relevant research productivity were 'in-country numbers of epidemiology or public health programmes' [incidence rate ratio (IRR) = 3.41; 95% confidence interval (CI) 1.90-6.11; P = 0.03] and 'number of HIV/AIDS patients' (IRR = 1.30; 95% CI 1.02-1.66; P < 0.001).

Conclusions

Since 1991, there has been increasing epidemiological research productivity in WHO/AFRO that is associated with the number of epidemiology programmes and burden of HIV/AIDS cases. More capacity building and training initiatives in epidemiology are required to promote research and address the public health challenges facing the continent.

SUBMITTER: Nachega JB 

PROVIDER: S-EPMC3535755 | biostudies-literature | 2012 Dec

REPOSITORIES: biostudies-literature

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Current status and future prospects of epidemiology and public health training and research in the WHO African region.

Nachega Jean B JB   Uthman Olalekan A OA   Ho Yuh-Shan YS   Lo Melanie M   Anude Chuka C   Kayembe Patrick P   Wabwire-Mangen Fred F   Gomo Exnevia E   Sow Papa Salif PS   Obike Ude U   Kusiaku Theophile T   Mills Edward J EJ   Mayosi Bongani M BM   Ijsselmuiden Carel C  

International journal of epidemiology 20121201 6


<h4>Background</h4>To date little has been published about epidemiology and public health capacity (training, research, funding, human resources) in WHO/AFRO to help guide future planning by various stakeholders.<h4>Methods</h4>A bibliometric analysis was performed to identify published epidemiological research. Information about epidemiology and public health training, current research and challenges was collected from key informants using a standardized questionnaire.<h4>Results</h4>From 1991  ...[more]

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