Fulltext

Current status and future prospects of epidemiology and public health training and research in the WHO African region

Nachega, Jean B. ; Uthman, Olalekan A. ; Ho, Yuh-Shan ; Lo, Melanie ; Anude, Chuka ; Kayembe, Patrick ; Wabwire-Mangen, Fred ; Gomo, Exnevia ; Sow, Papa Salif ; Obike, Ude ; Kusiaku, Theophile ; Mills, Edward J. ; Mayosi, Bongani M. ; IJsselmuiden, Carel

In: International Journal of Epidemiology, 2012, vol. 41, no. 6, p. 1829-1846

Ajouter à la liste personnelle
    Titre
    • Current status and future prospects of epidemiology and public health training and research in the WHO African region
    Auteur
    • Nachega, Jean B.. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Uthman, Olalekan A.. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Ho, Yuh-Shan. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Lo, Melanie. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Anude, Chuka. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Kayembe, Patrick. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Wabwire-Mangen, Fred. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Gomo, Exnevia. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Sow, Papa Salif. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Obike, Ude. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Kusiaku, Theophile. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Mills, Edward J.. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • Mayosi, Bongani M.. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    • IJsselmuiden, Carel. Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa, Department of Epidemiology, Infectious Diseases Program, Pittsburgh University, Graduate School of Public Health, Pittsburgh, PA, USA, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa, Primary Care Sciences, Keele University, Keele, UK, Trend Research Centre, Asia University, Taichung, Taiwan, School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of the Congo, School of Public Health, Makerere University, Kampala, Uganda, University of Zimbabwe, Harare, Zimbabwe, University of Dakar, Dakar, Senegal, Department of Pediatrics, Universite of Lome, Lome, Togo, Centre for Global Health, University of Ottawa, Ottawa, Canada, Council on Health Research for Development (COHRED), Geneva, Switzerland and School of Psychology, University of KwaZulu-Natal, KwaZulu-Natal, South Africa
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • International Journal of Epidemiology, 2012, vol. 41, no. 6, p. 1829-1846. Oxford University Press
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:298350
    Summary
    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