Evidence map›Paper›PMID 34645454›Full record

ArticleHealth research policy and systems2021

Governance of health research in four eastern and southern African countries.

Pamela A Juma, Catherine M Jones, Rhona Mijumbi-Deve, Clare Wenham, Tiny Masupe, Joelle Sobngwi-Tambekou, Godfrey Biemba, Namuunda Mtombo, Justin Parkhurst

Abstract read
In one paragraph

Article in Health research policy and systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Pamela A Juma, Nairobi, Kenya. atienopam@yahoo.com.ORCID http://orcid.org/0000-0002-8670-1996
Catherine M JonesDepartment of Health Policy, London School of Economics and Political Science, London, UK.
Rhona Mijumbi-DeveThe Centre for Rapid Evidence Synthesis, College of Health Sciences, Makerere University, Kampala, Uganda.
Clare WenhamDepartment of Health Policy, London School of Economics and Political Science, London, UK.
Tiny MasupeDepartment of Family Medicine and Public Health, Faculty of Medicine, University of Botswana, Gaborone, Botswana.
Joelle Sobngwi-TambekouRSD Institute (Recherche-Santé-Développement), Yaoundé, Cameroon.
Godfrey BiembaNational Health Research Authority, Lusaka, Zambia.
Namuunda MtomboUniversity of Zambia, Lusaka, Zambia.
Justin ParkhurstDepartment of Health Policy, London School of Economics and Political Science, London, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundHealth research governance is an essential function of national health research systems. Yet many African countries have not developed strong health research governance structures and processes. This paper presents a comparative analysis of national health research governance in Botswana, Kenya, Uganda and Zambia, where health sciences research production is well established relative to some others in the region and continues to grow. The paper aims to examine progress made and challenges faced in strengthening health research governance in these countries.

methodsWe collected data through document review and key informant interviews with a total of 80 participants including decision-makers, researchers and funders across stakeholder institutions in the four countries. Data on health research governance were thematically coded for policies, legislation, regulation and institutions and analysed comparatively across the four national health research systems.

resultsAll countries were found to be moving from using a research governance framework set by national science, technology and innovation policies to one that is more anchored in health research structures and policies within the health sectors. Kenya and Zambia have adopted health research legislation and policies, while Botswana and Uganda are in the process of developing the same. National-level health research coordination and regulation is hampered by inadequate financial and human resource capacities, which present challenges for building strong health research governance institutions.

conclusionBuilding health research governance as a key pillar of national health research systems involves developing stronger governance institutions, strengthening health research legislation, increasing financing for governance processes and improving human resource capacity in health research governance and management.

Indexed as

Health PolicyPolicy MakingGovernment ProgramsHumansKenyaUgandaAfricaGovernanceHealth sciencesResearchScience, technology and innovation

Identifiers

PMID34645454
PMCPMC8513324

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.