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The International Clinical Epidemiology Network (INCLEN): a progress report
S B Halstead1, P Tugwell, K Bennett
1Rockefeller Foundation, New York, NY 10036.
Journal of Clinical Epidemiology
|January 1, 1991
Summary
The International Clinical Epidemiology Network (INCLEN) successfully built research capacity in developing countries by establishing Clinical Epidemiology Units (CEUs). These units promote evidence-based healthcare decisions and have shown significant research productivity and policy impact.
Area of Science:
- Global Health Research Capacity Building
- Clinical Epidemiology
- Health Systems Strengthening
Background:
- The International Clinical Epidemiology Network (INCLEN) was founded in 1982 to enhance research capabilities in developing world medical schools.
- Clinical Epidemiology Units (CEUs) were developed to foster rational decision-making in clinical and healthcare practices.
Purpose of the Study:
- To summarize the evolution and experiences of the INCLEN model.
- To assess the progress and impact of CEU development and research training.
Main Methods:
- Established a network of 27 CEUs, primarily in developing countries.
- Provided advanced research training to fellows, with a high return rate to their home institutions.
- Monitored research productivity and policy influence of trained fellows.
Main Results:
- Over 60% of targeted fellows completed training and returned to faculty positions.
- Low fellow non-return rate (2%) and significant research output observed.
- Research influenced clinical and healthcare policy, with some units developing graduate programs.
Conclusions:
- The INCLEN model has substantially progressed in building research capacity and promoting evidence-based healthcare.
- Future challenges include ensuring self-sustainability and transferring training responsibilities.
- Increased priority for health research in developing countries by donors and governments is crucial.