scholarly journals Human resources in health research institutions in sub-Saharan African countries: results of a questionnaire-based survey

2014 ◽  
Vol 107 (1_suppl) ◽  
pp. 85-95 ◽  
Author(s):  
Derege Kebede ◽  
Chris Zielinski ◽  
Peter Ebongue Mbondji ◽  
Issa Sanou ◽  
Wenceslas Kouvividila ◽  
...  
Keyword(s):  
Human Resources ◽  
Health Research ◽  
Research Institutions ◽  
African Countries ◽  
Sub Saharan

scholarly journals Research ethics policies and practices in health research institutions in sub-Saharan African countries: results of a questionnaire-based survey

2014 ◽  
Vol 107 (1_suppl) ◽  
pp. 70-76 ◽  
Author(s):  
Chris Zielinski ◽  
Derege Kebede ◽  
Peter Ebongue Mbondji ◽  
Issa Sanou ◽  
Wenceslas Kouvividila ◽  
...  
Keyword(s):  
Research Ethics ◽  
Health Research ◽  
Research Institutions ◽  
African Countries ◽  
Ethics Policies ◽  
Sub Saharan ◽  
Policies And Practices

scholarly journals Research and its governance in health research institutions in sub-Saharan African countries: results of a questionnaire-based survey

2014 ◽  
Vol 107 (1_suppl) ◽  
pp. 55-69 ◽  
Author(s):  
Derege Kebede ◽  
Chris Zielinski ◽  
Peter Ebongue Mbondji ◽  
Issa Sanou ◽  
Wenceslas Kouvividila ◽  
...  
Keyword(s):  
Health Research ◽  
Research Institutions ◽  
African Countries ◽  
Sub Saharan

scholarly journals Research output of health research institutions and its use in 42 sub-Saharan African countries: results of a questionnaire-based survey

2014 ◽  
Vol 107 (1_suppl) ◽  
pp. 105-114 ◽  
Author(s):  
Derege Kebede ◽  
Chris Zielinski ◽  
Peter Ebongue Mbondji ◽  
Issa Sanou ◽  
Wenceslas Kouvividila ◽  
...  
Keyword(s):  
Health Research ◽  
Research Output ◽  
Research Institutions ◽  
African Countries ◽  
Sub Saharan

Managing and Motivating

2011 ◽  
pp. 79-95
Author(s):  
Eilish Mc Auliffe ◽  
Ogenna Manafa ◽  
Cameron Bowie ◽  
Lucy Makoae ◽  
Fresier Maseko ◽  
...  
Keyword(s):  
Human Resources ◽  
Low Income ◽  
Low Income Countries ◽  
Critical Element ◽  
African Countries ◽  
Bilateral Agreements ◽  
Working Environments ◽  
Sub Saharan ◽  
And Performance ◽  
Source Countries

It is now more than a decade since the acknowledgement of the health human resources crisis that exists in many low-income countries. During that decade much attention has focused on addressing the “pull” factors (e.g. developing voluntary international recruitment guidelines and bilateral agreements between recruiting and source countries) and on scaling up the supply of health professionals. Drawing on research conducted in two sub-Saharan African countries, we argue that a critical element in the human resources crisis is the poor working environments in these countries that not only continue to act as a strong “push” factor, but also impact on the motivation and performance of those who remain in their home countries. Unless attention is focused on improving work environments, the human resources crisis will continue in a vicious cycle leading to further decline in the health systems of low-income countries.

scholarly journals Implementation and performance of haemovigilance systems in 10 sub-saharan African countries is sub-optimal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Washington T. Samukange ◽  
Verena Kluempers ◽  
Manvi Porwal ◽  
Linda Mudyiwenyama ◽  
Khamusi Mutoti ◽  
...  
Keyword(s):  
Human Resources ◽  
African Countries ◽  
Face To Face ◽  
Regulatory Processes ◽  
Legal Provisions ◽  
The Status ◽  
Sub Saharan ◽  
And Performance ◽  
Set Up ◽  
Regulations And Guidelines

Abstract Background Haemovigilance is an important element of blood regulation. It includes collecting and evaluating the information on adverse events resulting from the use of blood and blood components with the aim to improve donor and patient safety. We describe the results of the pilot of the integrated GBT+ Blood for the haemovigilance function in 10 sub-Saharan African countries. Methods We piloted the integrated WHO Global Benchmarking Tool plus Blood (GBT+ Blood) to assess the haemovigilance function of national regulatory authorities (NRAs) in Ethiopia, Kenya, Malawi, Nigeria, Liberia, Rwanda, South Africa, Tanzania, Uganda, and Zimbabwe. Data obtained from documents and face to face interviews were used to determine the status of implementation and performance of the following six indicators; legal provisions regulations and guidelines, organisation and governance, human resources, regulatory processes, transparency and accountability and finally, monitoring progress and assessing impact, by estimating median scores across 20 sub-indicators. In addition, a cluster analysis was performed. Results The countries showed inter-organisation variability in implementation and performance of the haemovigilance function. The overall median score (all sub-indicators) was 44 % (range: 7.5 % - 70 %). The lowest average performance scores were for the arrangement for effective organisation and coordination (35 %) and human resources (35 %) indicators. The highest average scores were observed for the mechanism to promote transparency and mechanism to monitor regulatory performance indicators (50 % and 60 %, respectively). We identified clusters of best-implemented sub-indicators from the procedures for haemovigilance and poorly implemented sub-indicators from the legal provisions, regulations and guidelines for haemovigilance and human resources. Conclusions Implementation of sub-indicators and performance of haemovigilance systems varied greatly for all countries with a few countries performing reasonably well in the implementation of some sub-indicators under procedures for haemovigilance. Most countries were poorly implementing sub-indicators in the legal provisions, arrangement for effective organisation and human resources indicators. The legislative provisions in most countries were at a nascent stage. There is a need to set up targeted and customised technical support coupled with prioritised interventions to strengthen the capacities of NRAs.

scholarly journals Policy makers, regulators and researchers’ perspectives on genomics research and the capacity of the National Health Research Act of 2013 to regulate genomics research in Zambia

2020 ◽  
Vol 3 ◽  
pp. 32
Author(s):  
Oliver Mweemba ◽  
John Musuku ◽  
Tulani Francis L. Matenga ◽  
Michael Parker ◽  
Rwamahe Rutakumwa ◽  
...  
Keyword(s):  
Health Research ◽  
Ethics Committees ◽  
Sub Saharan Africa ◽  
Main Concern ◽  
African Countries ◽  
Future Health ◽  
Policy Makers ◽  
Genomics Research ◽  
History Of ◽  
Sub Saharan

Background: Health research in sub-Saharan Africa takes place against a lengthy history of exploitation and unfair collaboration. This has involved the export of samples and data from the continent for the benefit of institutions and researchers elsewhere. In this paper, we report the perspectives of people involved in conducting genomics research in Zambia and the capacity of the Health Research Act (HRA) of 2013 in regulating genomics research. Methods: We approached 14 purposively selected stakeholders involved in the development or implementation of the HRA in Zambia for in-depth interviews. These were members of research ethics committees, genomics researchers, Ministry of Health policy makers and institutional lawyers. Results: Participants reported that there are benefits in genomics research for Zambia such as diagnosing and treatment of diseases. Participants also expressed concerns, most of which were ethical in nature. Prominent concerns were on consent. Participants’ main concern was the possible misuse of samples in the future. These concerns resonated with the HRA, which prohibits the use of broad consent for the collection of samples and data for future unspecified research. The implications of this is that Zambians may not participate in any kind of health research for which the storage, sharing and re-use of data or samples is envisaged. The restrictive nature of HRA means that genomics research may be excluded from future health research collaborations, thus isolating the country from potentially beneficial health research. Some policy makers also worried the samples and data that comes from such research may be difficult to access by local scientists. Conclusion: In this article, we describe the views of Zambian policymakers on genomics research and the capacity of HRA in regulating genomics research. Our findings are relevant for the Zambian audience, and other African countries that are aiming to regulate health research, especially genomics research.

scholarly journals Expenditures on health research in sub-Saharan African countries: results of a questionnaire-based survey

2014 ◽  
Vol 107 (1_suppl) ◽  
pp. 77-84
Author(s):  
Derege Kebede ◽  
Chris Zielinski ◽  
Peter Ebongue Mbondji ◽  
Issa Sanou ◽  
Wenceslas Kouvividila ◽  
...  
Keyword(s):  
Health Research ◽  
African Countries ◽  
Sub Saharan

scholarly journals Institutional facilities in national health research systems in sub-Saharan African countries: results of a questionnaire-based survey

2014 ◽  
Vol 107 (1_suppl) ◽  
pp. 96-104 ◽  
Author(s):  
Derege Kebede ◽  
Chris Zielinski ◽  
Peter Ebongue Mbondji ◽  
Issa Sanou ◽  
Wenceslas Kouvividila ◽  
...  
Keyword(s):  
National Health ◽  
Health Research ◽  
African Countries ◽  
Research Systems ◽  
Sub Saharan ◽  
Health Research Systems

Managing and Motivating

2012 ◽  
pp. 888-904
Author(s):  
Eilish McAuliffe ◽  
Ogenna Manafa ◽  
Cameron Bowie ◽  
Lucy Makoae ◽  
Fresier Maseko ◽  
...  
Keyword(s):  
Human Resources ◽  
Low Income ◽  
Low Income Countries ◽  
Critical Element ◽  
African Countries ◽  
Bilateral Agreements ◽  
Working Environments ◽  
Sub Saharan ◽  
And Performance ◽  
Source Countries

It is now more than a decade since the acknowledgement of the health human resources crisis that exists in many low-income countries. During that decade much attention has focused on addressing the “pull” factors (e.g. developing voluntary international recruitment guidelines and bilateral agreements between recruiting and source countries) and on scaling up the supply of health professionals. Drawing on research conducted in two sub-Saharan African countries, we argue that a critical element in the human resources crisis is the poor working environments in these countries that not only continue to act as a strong “push” factor, but also impact on the motivation and performance of those who remain in their home countries. Unless attention is focused on improving work environments, the human resources crisis will continue in a vicious cycle leading to further decline in the health systems of low-income countries.

scholarly journals Implementation and Performance of Haemovigilance Systems in 10 Sub-Saharan African Countries

2021 ◽  
Author(s):  
Washington T. Samukange ◽  
Verena Kluempers ◽  
Manvi Porwal ◽  
Linda Mudyiwenyama ◽  
Khamusi Mutoti ◽  
...  
Keyword(s):  
Human Resources ◽  
African Countries ◽  
Face To Face ◽  
Regulatory Processes ◽  
Legal Provisions ◽  
The Status ◽  
Sub Saharan ◽  
And Performance ◽  
Set Up ◽  
Regulations And Guidelines

Abstract Background:Haemovigilance is an important element of blood regulation. It includes collecting and evaluating information on adverse events resulting from the use of blood and blood components with the aim to improve donor and patient safety. We assessed how haemovigilance is currently being implemented and performed in 10 sub-Saharan African countries. Methods:We piloted the use of the integrated WHO Global Benchmarking Tool plus Blood (GBT+ Blood) to assess the haemovigilance function of national regulatory authorities (NRAs) in Ethiopia, Kenya, Malawi, Nigeria, Liberia, Rwanda, South Africa, Tanzania, Uganda, and Zimbabwe. Data obtained from documents and face to face interviews were used to determine the status of implementation and performance of the following six indicators; legal provisions regulations and guidelines, organisation and governance, human resources, regulatory processes, transparency and accountability and finally, monitoring progress and assessing impact, by estimating median scores across 20 sub-indicators. In addition, a cluster analysis was performed.Results:The countries showed inter-organisation variability in implementation and performance of the haemovigilance function. The overall median score (all sub-indicators) was 44% (range: 7.5% - 70%). The lowest average performance scores were for the arrangement for effective organisation and coordination (35%) and human resources (35%) indicators. The highest average scores were observed for the mechanism to promote transparency and mechanism to monitor regulatory performance indicators (50% and 60%, respectively). We identified clusters of best implemented sub-indicators from the procedures for haemovigilance and poorly implemented sub-indicators from the legal provisions, regulations and guidelines for haemovigilance and human resources. Conclusions:Implementation of sub-indicators and performance of haemovigilance systems varied greatly for all countries with a few countries performing reasonably well in implementation of some sub-indicators under procedures for haemovigilance. Most countries were poorly implementing sub-indicators in the legal provisions, arrangement for effective organisation and human resources indicators. The legislative provisions in most countries were at a nascent stage. There is a need to set up targeted and customised technical support coupled with prioritised interventions to strengthen the capacities of NRAs.

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