Gaps between research and public health priorities in low income countries: Evidence from a systematic literature review focused on Cambodia

Goyet Sophie, Touch Socheat, Ir Por, SamAn Sovannchhorvin, Fassier Thomas, Frutos Roger, Tarantola Arnaud, Barennes Hubert. 2015. Gaps between research and public health priorities in low income countries: Evidence from a systematic literature review focused on Cambodia. Implementation Science, 10 (32), 12 p.

https://doi.org/10.1186/s13012-015-0217-1

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Quartile : Q1, Sujet : HEALTH CARE SCIENCES & SERVICES / Quartile : Q1, Sujet : HEALTH POLICY & SERVICES

Résumé : Background Evidence-based public health requires that research provides policymakers with reliable and accessible information reflecting the disease threats. We described the scientific production of research in Cambodia and assessed to what extent it provides appropriate insights and implications for practice to guide health policymakers and managers and knowledge relevant for translation. Methods We conducted a systematic review of scientific articles published on biomedical research in Cambodia. Regression analysis assessed the trends over time and factors associated with actionable messages in the articles' abstracts. Results From 2000 to 2012, 628 articles were published in 237 journals with a significant increase over time (from 0.6/million population to 5.9/million population, slope coefficient 7.6, 95% CI 6.5–8.7, p < 0.001). Most publications on diseases addressed communicable diseases (n = 410, 65.3%). Non-communicable diseases (NCD) were under-addressed (7.7% of all publications) considering their burden (34.5% of the disease burden). Of all articles, 67.8% reported descriptive studies and 4.3% reported studies with a high level of evidence; 27.4% of studies were led by an institution based in Cambodia. Factors associated with an actionable message (n = 73, 26.6%) were maternal health (OR 3.08, 95% CI 1.55–6.13, p = 0.001), the first author's institution being Cambodian (OR 1.78, 95% CI 1.06–2.98, p = 0.02) and a free access to full article (OR 3.07, 95% CI 1.08–8.70, p = 0.03). Of all articles, 87% (n = 546) were accessible in full text from Cambodia. Conclusions Scientific publications do not fully match with health priorities. Gaps remain regarding NCD, implementation studies, and health system research. A health research agenda would help align research with health priorities. We recommend 1) that the health authorities create an online repository of research findings with abstracts in the local language; 2) that academics emphasize the importance of research in their university teaching; and 3) that the researcher teams involve local researchers and that they systematically provide a translation of their abstracts upon submission to a journal. We conclude that building the bridge between research and public health requires a willful, comprehensive strategy rather than relying solely only publications.

Mots-clés Agrovoc : santé publique, recherche publique, publication, méthode statistique, maladie de l'homme, maladie des animaux, bibliométrie

Mots-clés géographiques Agrovoc : Cambodge

Classification Agris : L70 - Sciences et hygiène vétérinaires - Considérations générales
000 - Autres thèmes
C30 - Documentation et information
U10 - Informatique, mathématiques et statistiques

Champ stratégique Cirad : Axe 4 (2014-2018) - Santé des animaux et des plantes

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