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Clinical Research and the Training of Host Country Investigators: Essential Health Priorities for Disease-Endemic Regions.

ABSTRACT: The health-care needs and resources of disease-endemic regions such as west Africa have been a major focus during the recent Ebola outbreak. On the basis of that experience, we call attention to two priorities that have unfortunately been ignored thus far: 1) the development of clinical research facilities and 2) the training of host country investigators to ensure that the facilities and expertise necessary to evaluate candidate interventions are available on-site in endemic regions when and where they are needed. In their absence, as illustrated by the recent uncertainty about the use of antivirals and other interventions for Ebola virus disease, the only treatment available may be supportive care, case fatality rates may be unacceptably high and there may be long delays between the time potential interventions become available and it becomes clear whether those interventions are safe or effective. On the basis of our experience in Mali, we urge that the development of clinical research facilities and the training of host country investigators be prioritized in disease-endemic regions such as west Africa.

SUBMITTER: Koita OA

PROVIDER: S-EPMC4751934 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature

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Clinical Research and the Training of Host Country Investigators: Essential Health Priorities for Disease-Endemic Regions.

Koita Ousmane A OA Murphy Robert L RL Fongoro Saharé S Diallo Boubakar B Doumbia Seydou O SO Traoré Moussa M Krogstad Donald J DJ

The American journal of tropical medicine and hygiene 20151123 2

The health-care needs and resources of disease-endemic regions such as west Africa have been a major focus during the recent Ebola outbreak. On the basis of that experience, we call attention to two priorities that have unfortunately been ignored thus far: 1) the development of clinical research facilities and 2) the training of host country investigators to ensure that the facilities and expertise necessary to evaluate candidate interventions are available on-site in endemic regions when and wh ...[more]

PMID: 26598570

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Project description:BackgroundThe National Health Vision of Pakistan 2016-2025 is to provide affordable health services through a resilient and responsive health system for achieving health-related Sustainable Development Goals (SDGs) and universal health coverage (UHC) targets. Through this study, we wanted to identify the research priorities at the national level that would help to provide the necessary evidence for achieving this vision through essential package of health services (EPHS).MethodsWe followed World Health Organization (WHO) guidance for undertaking research priority-setting exercises and the Child Health and Nutrition Research Initiative (CHNRI) methodology in conducting this national exercise. The proposed research options for the next three to five years were identified in five thematic research areas: communicable diseases; non-communicable diseases (NCDs) and injuries; reproductive, maternal, newborn, child, and adolescent health (RMNCAH); mental health; and health systems and services. We assessed these research options against five priority-setting criteria: feasibility, public health importance, sustainability, equity, and community involvement.ResultsForty-three experts proposed 272 research ideas, which were consolidated into a list of 155 research options and sent back to the experts for scoring. The top 10 research priorities in each of the five research areas were identified based on the weighted research priority scores (wRPS) rankings. Tuberculosis and antimicrobial resistance; NCD screening and prevention; maternal and neonatal mortality; mental health of children, adolescents, and youth; and human resource management were the issues that were most frequently reflected in the list of research priorities. Most research priorities aimed to identify barriers to the implementation of interventions.ConclusionsThrough this exercise, we identified the top 50 national health research priorities, which also have a strong correlation with EPHS interventions. To realise the findings of this exercise, funding agencies should establish funding mechanisms to support the undertaking of the identified research priorities, and academic researchers should actually utilise them in future studies. Such activities could hopefully contribute to achieving the national health goals.

Project description:In China, health education served as the primary method for controlling schistosomiasis and had significantly contributed to the management of schistosomiasis epidemics. In contrast, university students who lived/studied in schistosomiasis-endemic areas were often in the risk zone for schistosomiasis infection as part of their social practice and leisure activities. Thus, the risk of schistosomiasis transmission remained widespread and chronic. This study will conduct a survey and analyzed schistosomiasis awareness among university students in colleges and universities in endemic areas. The aim was to optimize intervention strategies once transmission had been interrupted. Students from two colleges and universities in the city of Gongqingcheng on Lake Poyang were selected and asked to complete a questionnaire via the online platform Questionnaire Star- The survey assessed exposure to snail-infested water, knowledge about schistosomiasis, and preferences for health education methods among students who had traveled to snail breeding areas. The survey took place from April 2 to April 4, 2024. The survey results showed that of the 4,847 respondents (49% male, 51% female), 53.8% reported exposure to snail-infested environments near their schools, and 38.4% had direct contact with snail-infested water. Of these, with those who dug for wild vegetables exposed significantly more nonendemic than endemic students to snail water (13.93% vs. 8.42%, χ2 = 16.681, P = 0.000). Awareness of schistosomiasis was low (31.08%), with limited knowledge about transmission (30.58%) and symptoms (42.91%). Of these, students from endemic areas were significantly more aware of transmission and symptoms than those from nonendemic areas (36.52% vs. 27.22%, χ2 = 7.623, P = 0.006 & 50.17% vs. 38.80%, χ2 = 9.872, P = 0.002). Preferred education methods included mobile multimedia (72.75%), brochures (68.68%), and physical promotional items (66.58%). In general, the overall awareness of schistosomiasis among university students remained low. There was a need to enhance health education in schools to improve disease prevention awareness within this population.

Dataset Information

Clinical Research and the Training of Host Country Investigators: Essential Health Priorities for Disease-Endemic Regions.

Publications

Clinical Research and the Training of Host Country Investigators: Essential Health Priorities for Disease-Endemic Regions.

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