Health research capacity building in Georgia: a case-based needs assessment

Squires, Allison; Chitashvili, Tamar; Djibuti, Mamuka; Ridge, Laura Jean; Chyun, Deborah

doi:10.1016/j.puhe.2017.01.024

Cited by 11 publications

(11 citation statements)

References 17 publications

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“…However as these levels are strongly interconnected, any strength or weakness in one of these levels will directly impact the other two levels [ 9 ]. Most of the findings are consistent with the international literature on research capacity strengthening in Low and Middle Income Countries (LMICs) including those affected by armed conflict and political unrest [ 40 , 41 ]. The key themes emerging from this work are categorized below as strengths and challenges of health research which would support the design of impactful research capacity strengthening interventions.…”

Section: Discussionsupporting

confidence: 85%

Assessing the capacity for conflict and health research in Lebanon: a qualitative study

et al. 2020

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Background: Conflicts pose new challenges for health systems, requiring rapid and practical approaches to meet emerging needs on the ground. Lebanon has been highly influenced by surrounding conflicts in the Middle East and North Africa (MENA) region, especially the Syrian crisis. Strengthening research capacity to collect evidence on conflict in the MENA region and beyond is crucial to inform healthcare policy and practice. For targeted capacity strengthening interventions, the main objective of this paper is to present key findings of a needs assessment of conflict and health research in Lebanon. This will support recent efforts to scale up context-specific policies, interventions to strengthen the country's health system, and research capacity. Methods: The study is based on 30 semi-structured interviews with key informants such as specialist academics, humanitarian workers and public sector officials. Results: Despite being ranked third in the number of publications on biomedical and health research per capita in MENA and in hosting reputable universities which are considered central academic hubs in the region, lack of nationwide research culture, insufficient funding and limited access to data were reported to be major challenges for health researchers in Lebanon. Even with the ongoing efforts, poor impact of research on policy continues to be a persistent gap. Large disparities in research capacities and taught skills were reported between different universities in Lebanon, with a disproportionate emphasis on quantitative over qualitative skills. Most medical students are not trained to conduct research or to practice in conflict settings. Concerns were also expressed regarding the ethics of research conducted, specifically by local non-governmental organizations. Recommendations: To conduct contextualized trainings on research skills with a stronger focus on qualitative approaches, medical practice, and ethical research in conflict. To better involve policymakers in designing research agendas by organizing multiple stakeholder meetings.

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Section: Discussionsupporting

confidence: 85%

Assessing the capacity for conflict and health research in Lebanon: a qualitative study

et al. 2020

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“…The United States has a good understanding of the value and identity of the clinical academic (Adams et al, 2018;Bowman & Gardner, 2001;Havens et al, 2002;Huenneke et al, 2017;Peloquin & Abreu, 1996;Squires et al, 2017); in line with other developed countries, senior posts such as a clinical professor are recognised and available. The focus has predominantly been on medical and nursing roles, although a small number of senior midwifery clinical academic roles are noted, in additional to a scattering of senior AHP clinical academic roles (Squires, 2019).…”

Section: Usa Perspectivementioning

confidence: 99%

International Perspectivesof Nurses, Midwives and Allied Health Professionals Clinical Academic Roles: Are We at Tipping Point?

Carrick-Sen¹,

Moore²,

Davidson³

et al. 2019

IJPBLHSC

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Healthcare research activity improves patient outcomes. Nurses, Midwives and Allied Health Professions (NMAHPs) make an important contribution to clinical research. Within the United Kingdom (UK), there is a 25-year history of increasing healthcare research capacity and capability through clinical academic roles. Medical colleagues were the first to introduce the role in 2005. In 2007, a national policy identified inequalities in access to and success of research training fellowships between medical and nursing healthcare professionals. This was followed by a number of national initiatives, which continue to evolve to the present day. There is evidence that the UK has reached the 'tipping point' to increase NMAHP research capacity and capability through clinical academic roles. Despite these initiatives substantial gaps remain. Outside, the UK, the term 'clinical academic' is not well understood. There is evidence of the presence of senior clinical academic roles, a clinical professor within Australia and the United States, for example, but there is a lack of opportunities and of a formulised research training pathway at a junior level. There is interest and appreciation of the NMAHP research-active clinical academic within the clinical setting in the Nordic countries and China, but the pace of change is slow due to co-existing priorities involving change and innovation. There is a need to develop and agree both national and international definitions that describes the NMAHP research-focused clinical academic role activity.

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“…We reviewed articles to determine what types of institutions were the focus of capacity building initiatives and from which institutions data was collected. A plurality of the studies collected data from Universities or Colleges (31%, N = 16) (15,17,19,20,22,25,26,29,(31)(32)(33)40,(43)(44)(45)(46), followed by Non-Pro t Hospitals (21%, N = 11) (15,19,20,22,23,30,32,37,38,41,42), then Non-Pro t Health Research Centers (10%, N = 5) (24,26,29,38,39), and Laboratories (6%, N = 3) (20,34,36). Sixteen articles mentioned other types of institutions such as Ministries of Health, funders, etc.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Sixteen articles mentioned other types of institutions such as Ministries of Health, funders, etc. (31%, N = 16) (17,21,22,24,(26)(27)(28)(29)31,32,35,37,39,41,44,46)Similarly, the focus of the studies was also most heavily Universities or Colleges (42%, N = 13) (15,19,20,22,25,29,(31)(32)(33)40,43,45,46), followed by Non-Pro t Hospitals (29%, N = 9) (15,19,20,22,23,30,37,41,42), Non-Pro t Health Research Centers (23%, N = 7) (24,26,29,35,38,45,46), and then Laboratories (13%, N = 3) (20,36,41).…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Sustainability was identi ed across 18 articles, and within these, was highlighted 26 times during the thematic analysis (17,(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)33,39,(43)(44)(45). Administrative support and infrastructure were consistently linked to sustainability, and included hiring staff, building and renovating spaces, procuring resources as well as other institutional support structures needed to develop individual and overall capacity (20,22,27).…”

Section: Essentials Of a Trusted Institutionmentioning

confidence: 99%

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Exploring the role and nature of trust in institutional capacity building in low- and middle-income countries: a systematic review

Manoj

Brough

Kalbarczyk

2020

Preprint

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Background Global concern with strengthening institutions is evident and has been underscored in the wake of the COVID-19 pandemic. Trusted or trustworthy institutions are vital in addressing institutional capacity strengthening, but there is limited research on institutional trust and how to build it. A preliminary approach entitled, Trusted Institutions (TI), identifies six essential elements of trust including: team culture, autonomy, scale and longevity, commitment to quality and ethics, sustainability, and good fit with local context and culture. We aimed to explore capacity building initiatives and the notion of ‘trust’ within non-government health institutions in low- and middle-income countries (LMICs) and validate these essential elements of trust through a systematic review.Methods We searched the published literature in PubMed and EMBASE in March 2020 and employed a three-concept search that included “health-related institutions”; “capacity building”; and “LMICs”. The study team used PRISMA reporting guidelines to conduct title and full-text reviews and conduct data extraction and analysis.Results The search yielded 342 unique articles. Seventy-seven references met initial inclusion criteria and underwent full-text extraction; 31 studies were included in the final analysis. Capacity building activities ranged from individual-level skills to institutional systems and structures. All articles addressed at least one element of trust with over half of articles describing sustainability (n = 18; 58%) and good fit with local context and culture (n = 18; 58%). Only 14 (45%) of articles explicitly mentioned the concept of trust either within an institution (intra-institutional) or between two or more institutions (interinstitutional). Four additional themes emerged as relevant to institutional trust including collaboration, communication, extent of institutional networks, and intersectionality.Conclusions This review validates essential elements of trust in the TI approach and documents the importance of building trust both within and between institutions. The TI approach can be used by public health institutions in LMICs to enhance their abilities to achieve institutional missions and meet global targets.

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Health research capacity building in Georgia: a case-based needs assessment

Cited by 11 publications

References 17 publications

Assessing the capacity for conflict and health research in Lebanon: a qualitative study

Assessing the capacity for conflict and health research in Lebanon: a qualitative study

International Perspectivesof Nurses, Midwives and Allied Health Professionals Clinical Academic Roles: Are We at Tipping Point?

Exploring the role and nature of trust in institutional capacity building in low- and middle-income countries: a systematic review

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