Challenges and Strategies for Improving Training of Mid-Level Research Personnel in Nigeria.


Journal

Annals of global health
ISSN: 2214-9996
Titre abrégé: Ann Glob Health
Pays: United States
ID NLM: 101620864

Informations de publication

Date de publication:
18 06 2019
Historique:
entrez: 22 6 2019
pubmed: 22 6 2019
medline: 15 5 2020
Statut: epublish

Résumé

Contextual research evidence is needed to reduce morbidity and mortality due to chronic but preventable diseases in low- and middle-income countries. Nigeria, Africa's most populous country, is particularly burdened by these diseases despite its academic and research infrastructure. A major impediment to developing robust evidence on sustainable disease prevention and treatment strategies is the lack of skilled research personnel. This study aimed to identify (1) training barriers for research assistants and coordinators and (2) potential strategies to counter these barriers using a Nominal Group Technique (NGT) exercise conducted at the 2017 conference of the Nigeria Implementation Science Alliance (NISA). A one-hour NGT exercise was conducted with 26 groups of 2-9 persons each (N = 134) drawn from conference attendees. Group members were presented with questions related to the two objectives. Each member was asked to generate, list, discuss and vote on ideas that were eventually ranked by the group. Qualitative Thematic Analysis (QTA) was conducted for the collated responses. The QTA identified 166 training gaps and 147 potential solutions, out of which 104 were ranked. Themes that emerged for gaps included: 1) inadequate mentorship; 2) inadequate training/ lack of organized curriculum; 3) limited access to opportunities for training and employment; 4) lack of government funding; 5) lack of interest, motivation; and 6) lack of research culture. Themes for potential strategies to address the gaps were: 1) trainings/curriculum development; 2) research modules implemented in secondary and tertiary institutions; 3) creating a sustainable forum for research-related questions and answers; and 4) advocating for and accessing more government funding for research training. This study identified actionable strategies that reflect practical realities in implementation research in Nigeria, which can guide government agencies, policy makers, research organizations, and local foundations as they work together to increase research capacity in Nigeria.

Sections du résumé

BACKGROUND
Contextual research evidence is needed to reduce morbidity and mortality due to chronic but preventable diseases in low- and middle-income countries. Nigeria, Africa's most populous country, is particularly burdened by these diseases despite its academic and research infrastructure. A major impediment to developing robust evidence on sustainable disease prevention and treatment strategies is the lack of skilled research personnel.
OBJECTIVE
This study aimed to identify (1) training barriers for research assistants and coordinators and (2) potential strategies to counter these barriers using a Nominal Group Technique (NGT) exercise conducted at the 2017 conference of the Nigeria Implementation Science Alliance (NISA).
METHOD
A one-hour NGT exercise was conducted with 26 groups of 2-9 persons each (N = 134) drawn from conference attendees. Group members were presented with questions related to the two objectives. Each member was asked to generate, list, discuss and vote on ideas that were eventually ranked by the group. Qualitative Thematic Analysis (QTA) was conducted for the collated responses.
FINDINGS
The QTA identified 166 training gaps and 147 potential solutions, out of which 104 were ranked. Themes that emerged for gaps included: 1) inadequate mentorship; 2) inadequate training/ lack of organized curriculum; 3) limited access to opportunities for training and employment; 4) lack of government funding; 5) lack of interest, motivation; and 6) lack of research culture. Themes for potential strategies to address the gaps were: 1) trainings/curriculum development; 2) research modules implemented in secondary and tertiary institutions; 3) creating a sustainable forum for research-related questions and answers; and 4) advocating for and accessing more government funding for research training.
CONCLUSION
This study identified actionable strategies that reflect practical realities in implementation research in Nigeria, which can guide government agencies, policy makers, research organizations, and local foundations as they work together to increase research capacity in Nigeria.

Identifiants

pubmed: 31225955
doi: 10.5334/aogh.2405
pmc: PMC6634317
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NIH
Pays : International

Informations de copyright

© 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.

Déclaration de conflit d'intérêts

The authors have no competing interests to declare.

Références

Health Res Policy Syst. 2018 Feb 12;16(1):10
pubmed: 29433577
Ethiop J Health Sci. 2016 Mar;26(2):131-44
pubmed: 27222626
PLoS One. 2011;6(11):e27263
pubmed: 22132094
Am J Public Health. 1972 Mar;62(3):337-42
pubmed: 5011164
Acad Med. 2014 Aug;89(8 Suppl):S93-7
pubmed: 25072590
Lancet Glob Health. 2015 Nov;3(11):e692-700
pubmed: 26475016
Health Res Policy Syst. 2018 Apr 17;16(1):32
pubmed: 29665809
Metab Brain Dis. 2014 Jun;29(2):217-20
pubmed: 24166356
Ann Glob Health. 2016 Nov - Dec;82(6):1010-1025
pubmed: 28314488
Lancet. 2015 Aug 22;386(9995):743-800
pubmed: 26063472
Rheumatology (Oxford). 2013 Sep;52(9):1545-6
pubmed: 23667184
Health Res Policy Syst. 2016 Feb 24;14:13
pubmed: 26911836
Public Health. 2003 Jul;117(4):274-80
pubmed: 12966750
Afr J Med Med Sci. 2010 Sep;39(3):233-9
pubmed: 21416794
BMJ Open. 2015 Mar 13;5(3):e006340
pubmed: 25770227
Health Policy Plan. 2014 Oct;29(7):831-41
pubmed: 24038107
PLoS Med. 2014 Mar 11;11(3):e1001612
pubmed: 24618823
Niger J Clin Pract. 2015 Jul-Aug;18(4):437-44
pubmed: 25966712
J Acquir Immune Defic Syndr. 2016 Aug 1;72 Suppl 2:S161-6
pubmed: 27355504
Global Health. 2012 May 29;8:11
pubmed: 22643120
J Neurosci Nurs. 2007 Apr;39(2):120-3
pubmed: 17477227
Glob Health Action. 2014 Mar 14;7:23499
pubmed: 24647128
Int J Equity Health. 2014 Feb 21;13:20
pubmed: 24559409
J Law Med Ethics. 2002 Fall;30(3):411-9
pubmed: 12497701
Implement Sci. 2014 Aug 12;9:102
pubmed: 25112492

Auteurs

Echezona E Ezeanolue (EE)

Department of Pediatrics and Child Health, University of Nigeria, Enugu-Campus, NG.
Healthy Sunrise Foundation, Las Vegas, NV, US.

Theddeus Iheanacho (T)

Healthy Sunrise Foundation, Las Vegas, NV, US.
Yale University, New Haven Connecticut, US.

Dina V Patel (DV)

Healthy Sunrise Foundation, Las Vegas, NV, US.

Shatabdi Patel (S)

Healthy Sunrise Foundation, Las Vegas, NV, US.

Nadia Sam-Agudu (N)

Institute of Human Virology, Abuja, NG.
Institute of Human Virology, University of Maryland, Baltimore, MD, US.

Michael Obiefune (M)

Healthy Sunrise Foundation, Las Vegas, NV, US.
Institute of Human Virology, University of Maryland, Baltimore, MD, US.

Patrick Dakum (P)

Institute of Human Virology, Abuja, NG.

Prosper Okonkwo (P)

AIDS Prevention Initiative, Abuja, NG.

Ayodotun Olutola (A)

Centre for Clinical Care and Clinical Research, Abuja, NG.

Hadiza Khamofu (H)

Family Health International, Abuja, NG.

Bolanle Oyeledun (B)

Center for Integrated Health Programs, Abuja, NG.

Sani Aliyu (S)

National Agency for the Control of AIDS, Abuja, NG.

Muyiwa Aina (M)

Solina Health, Abuja, NG.

Andy Eyo (A)

Excellence Community Education Welfare Scheme, Abuja, NG.

John Oko (J)

Catholic Caritas Foundation Nigeria, Abuja, NG.

Timothy Akinmurele (T)

Enhanced Health Access Initiatives, Abuja, NG.

Obinna Oleribe (O)

Excellence and Friends Management Consult, Abuja, NG.

Usman Gebi (U)

Friends for Global Health Initiative, NG.
Equitable Health Access Initiative, NG.

Muktar H Aliyu (MH)

Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN, US.

Rachel Sturke (R)

Fogarty International Center, National Institutes of Health, Bethesda, MD, US.

George Siberry (G)

United States Agency for International Development, Washington DC, US.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH