Evidence map›Paper›PMID 36535721›Full record

ArticleBMJ open2022

Opportunities and challenges to non-communicable disease (NCD) research and training in Pakistan: a qualitative study from Pakistan.

Aysha Almas, Safia Awan, Gerald Bloomfield, Muhammad Imran Nisar, Sameen Siddiqi, Asma Ahmed, Asad Ali, Saad Hameed Shafqat, Zulfiqar Ahmed Bhutta, Daniel Benjamin Mark and 4 more

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

  1. 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

14 authors.

Aysha AlmasDepartment of Medicine, Aga Khan University, Karachi, Pakistan.ORCID 0000-0001-7146-7183
Safia AwanDepartment of Medicine, Aga Khan University, Karachi, Pakistan.
Gerald BloomfieldDepartment of Medicine, Duke University, Durham, North Carolina, USA.
Muhammad Imran NisarDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Sameen SiddiqiCommunity Health Sciences Department, Aga Khan University Medical College, Karachi, Pakistan.ORCID 0000-0001-8289-0964
Asma AhmedDepartment of Medicine, Aga Khan University, Karachi, Pakistan.ORCID 0000-0001-8878-1072
Asad AliDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.ORCID 0000-0001-5274-7665
Saad Hameed ShafqatDepartment of Medicine, Aga Khan University, Karachi, Pakistan.
Zulfiqar Ahmed BhuttaDivision of Women and Child Health, Aga Khan University, Karachi, Pakistan.
Daniel Benjamin MarkDepartment of Medicine, Duke University, Durham, North Carolina, USA.
Pamela DouglasDepartment of Medicine, Duke University, Durham, North Carolina, USA.
John BartlettDepartment of Medicine and Global Health, Duke University, Durham, North Carolina, USA.
Tazeen H JafarHealth Services & Systems Research Programme, Duke-NUS Medical School, Singapore.ORCID 0000-0001-7454-8376
Zainab SamadDepartment of Medicine, Aga Khan University, Karachi, Pakistan samad.zainab@aku.edu.

Funding

The Aga Khan University Pakistan Initiative for Non-Communicable Diseases (AKUPI-NCDs) Research Training ProgramD43TW011625 · FIC · AGA KHAN UNIVERSITY (PAKISTAN) · PI Gerald Samuel Bloomfield, Zainab Samad · 2021 to 2026
$1.4M
The Aga Khan University-Pakistan Initiative for NCDs (AKUPI-NCDs)D71TW011184 · FIC · AGA KHAN UNIVERSITY (PAKISTAN) · PI ALMAS, AYSHA, BLOOMFIELD, GERALD SAMUEL · 2018 to 2018
$47k
FIC NIH HHS D43 TW011625FIC NIH HHS D71 TW011184Medical Research Council MR/L004224/1Medical Research Council MR/N006178/1MRF_ MRF-145-0008-DG-JAFA-C0862
6 · The paper itself

Abstract

introductionMost of the global non-communicable disease (NCD)-related death burden is borne by low and middle-income countries (LMICs). In LMICs like Pakistan, however, a major gap in responding to NCDs is a lack of high-quality research leading to policy development and implementation of NCDs. To assess institutional opportunities and constraints to NCD research and training we conducted a situational analysis for NCD research and training at Aga Khan University Pakistan.

methodsWe conducted a descriptive exploratory study using grounded theory as a qualitative approach: semistructured interviews of 16 NCD stakeholders (three excluded) and two focus group discussions with postgraduate and undergraduate trainees were conducted. A simple thematic analysis was done where themes were identified, and then recurring ideas were critically placed in their specific themes and refined based on the consensus of the investigators.

resultsThe major themes derived were priority research areas in NCDs; methods to improve NCD research integration; barriers to NCD research in LMICs like Pakistan; design of NCD research programme and career paths; and NCD prevention at mass level, policy and link to the government. In general, participants opined that while there was an appetite for NCD research and training, but few high-quality research training programmes in NCDs existed, such programmes needed to be established. The ideal NCD research and training programmes would have in-built protected time, career guidance and dedicated mentorship. Most participants identified cardiovascular diseases as a priority thematic area and health information technology and data science as key methodological approaches to be introduced into research training.

conclusionWe conclude from this qualitative study on NCD research and training that high-quality research training programmes for NCDs are rare. Such programmes need to be established with in-built protected time, career guidance and mentorship for the trainees to improve their research capacity in Pakistan.

Indexed as

Cardiovascular DiseasesNoncommunicable DiseasesHumansPakistanPolicy MakingQualitative ResearchCARDIOLOGYDIABETES & ENDOCRINOLOGYPUBLIC HEALTH

Identifiers

PMID36535721
PMCPMC9764671

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.