| Titre : | Current status and future prospects of epidemiology and public health training and research in the WHO African region. (2012) |
| Auteurs : | Jean-B NACHEGA ; Chuka ANUDE ; Exnevia GOMO ; Yuh-Shan HO ; Carel-I JSSELMUIDEN ; Patrick KAYEMBE ; Theophile KUSIAKU ; Melanie LO ; Bongani-M MAYOSI ; Edward-J MILLS ; Ude OBIKE ; Papa SALIF SOW ; Olalekan-A UTHMAN ; Fred WABWIRE-MANGEN ; Department of Medicine and Centre for Infectious Diseases. Stellenbosch University. Cape Town. ZAF ; Department of Medicine. Groote Schuur Hospital. University of Cape Town. Cape Town. ZAF |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 41, n° 6, 2012) |
| Pagination : | 1829-1846 |
| Langues: | Anglais |
| Mots-clés : | Epidémiologie ; OMS ; Afrique |
| Résumé : | [BDSP. Notice produite par INIST-CNRS kps9R0xn. Diffusion soumise à autorisation]. 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. |
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