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Developing the African national health research systems barometer
Joses Muthuri Kirigia1, Martin Okechukwu Ota2, Flavia Senkubuge3
1Community-Based Research, Innovation and Sustainable Development Organisation (CRSDO), P.O. Box 6994, 00100, GPO, Nairobi, Kenya. kirigiajoses@gmail.com.
A new barometer tool was developed to assess national health research systems (NHRS) in Africa. Most countries scored below 50%, indicating a need for targeted interventions to strengthen health research for universal health coverage.
Area of Science:
- Health Systems Strengthening
- Health Research Policy
- African Health Research
Background:
- A robust national health research system (NHRS) is vital for improving population health and achieving universal health coverage.
- African nations face challenges in strengthening NHRS to generate evidence for informed decision-making.
- This study addresses the need for monitoring NHRS development and performance in the WHO African Region.
Purpose of the Study:
- To develop a barometer for monitoring the development and performance of national health research systems (NHRS) in the WHO African Region.
- To provide a tool for identifying gaps and guiding interventions in African NHRS.
- To support evidence-based decision-making for health system strengthening across Africa.
Main Methods:
- The African national health research systems barometer algorithm was developed based on recommendations from the WHO African Advisory Committee for Health Research and Development.
- Survey data from all 47 WHO African Region Member States were collected using a questionnaire.
- Data were analyzed in an Excel spreadsheet, and barometer scores were calculated for each country on a scale of 0% to 100%.
Main Results:
- The overall NHRS barometer score for the African Region was 42%, falling below the average benchmark of 50%.
- Performance varied significantly, with 10 countries scoring below 20% and only one country exceeding 80%.
- A majority of countries (64%, or 30 out of 47) demonstrated NHRS performance below 50%.
Conclusions:
- An African NHRS barometer, comprising four functions and 17 sub-functions, was successfully developed.
- This barometer aids in identifying NHRS development and performance gaps within the region.
- NHRS scores for sub-functions can pinpoint areas of poor performance, enabling targeted policy interventions.
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