Literature DB >> 33557828

An assessment of implementation science research capacity in Uganda.

Aggrey S Semeere1,2, Fred C Semitala3,4,5, Olivia Lunkuse3, Anne Katahoire3,6, Nelson K Sewankambo3,5, Moses R Kamya3,5.   

Abstract

BACKGROUND: In Uganda and other resource-poor countries, relevant research findings face a tortuous path to translation into policy and routine practice. Implementation science (ImSc) research could facilitate faster translation. Presently it is unclear what ImSc research capacity and possible training needs exist among Ugandan researchers. To assess both components, we interviewed potential trainees in Kampala, Uganda.
METHODS: We used a cross-sectional design to survey potential ImSc trainees who had some research training and involvement in generating or utilizing research. Using a questionnaire, we documented eligibility for ImSc training, knowledge and interest in training, existing self-assessed confidence in initiating clinical research (SCICR) and self-assessed confidence in initiating ImSc research (SCIIR), availability for training and preferred modes of training. We developed scores from the Likert scales and used descriptive statistics, logistic regression and ordinal logistic regression to evaluate predictors of SCIIR.
RESULTS: Between November 2016 and April 2017, we interviewed 190 participants; 60% were men, with a median age of 37 years. Among participants, 33% comprised faculty, 37% were graduate students and 30% were project staff. The majority of respondents knew about ImSc (73%) and were research-trained (80%). Only 9% reported any ImSc-related training. Previous ImSc training was associated with higher odds of a SCIIR score ≥ 75th percentile. Previous ImSc training compared to not having any training was associated with higher odds of reporting abilities in behaviour change theory integration (OR: 3.3, 95% CI: 1.3-8.5, p = 0.01) and framework use in intervention design and implementation (OR: 2.9, 95% CI: 1.1-7.4, p = 0.03), accounting for age, sex and current employment. In addition, 53% of participants preferred in-person (face-to-face) short ImSc courses compared to a year-long training, while 33% preferred online courses. Participants reported median availability of 6 hours per week (IQR: 4, 10) for training.
CONCLUSION: Most participants had some understanding of ImSc research, had research training and were interested in ImSc training. Those with previous ImSc training had better skills and SCIIR, compared to those without previous training. A hybrid approach with modular face-to-face training and online sessions would suit the preferences of most potential trainees.

Entities:  

Keywords:  Curriculum development; Implementation science research training; Resource-poor settings; Sub-Saharan Africa; Uganda

Mesh:

Year:  2021        PMID: 33557828      PMCID: PMC7869465          DOI: 10.1186/s12961-020-00653-2

Source DB:  PubMed          Journal:  Health Res Policy Syst        ISSN: 1478-4505


  20 in total

1.  A framework for training health professionals in implementation and dissemination science.

Authors:  Ralph Gonzales; Margaret A Handley; Sara Ackerman; Patricia S Oʼsullivan
Journal:  Acad Med       Date:  2012-03       Impact factor: 6.893

2.  Core competencies in the science and practice of knowledge translation: description of a Canadian strategic training initiative.

Authors:  Sharon E Straus; Melissa Brouwers; David Johnson; John N Lavis; France Légaré; Sumit R Majumdar; K Ann McKibbon; Anne E Sales; Dawn Stacey; Gail Klein; Jeremy Grimshaw
Journal:  Implement Sci       Date:  2011-12-09       Impact factor: 7.327

3.  Male circumcision for HIV prevention in men in Rakai, Uganda: a randomised trial.

Authors:  Ronald H Gray; Godfrey Kigozi; David Serwadda; Frederick Makumbi; Stephen Watya; Fred Nalugoda; Noah Kiwanuka; Lawrence H Moulton; Mohammad A Chaudhary; Michael Z Chen; Nelson K Sewankambo; Fred Wabwire-Mangen; Melanie C Bacon; Carolyn F M Williams; Pius Opendi; Steven J Reynolds; Oliver Laeyendecker; Thomas C Quinn; Maria J Wawer
Journal:  Lancet       Date:  2007-02-24       Impact factor: 79.321

Review 4.  Delivering preexposure prophylaxis to pregnant and breastfeeding women in Sub-Saharan Africa: the implementation science frontier.

Authors:  Dvora L Joseph Davey; Linda-Gail Bekker; Pamina M Gorbach; Thomas J Coates; Landon Myer
Journal:  AIDS       Date:  2017-10-23       Impact factor: 4.177

Review 5.  Tuberculosis in sub-Saharan Africa: opportunities, challenges, and change in the era of antiretroviral treatment.

Authors:  Elizabeth L Corbett; Barbara Marston; Gavin J Churchyard; Kevin M De Cock
Journal:  Lancet       Date:  2006-03-18       Impact factor: 79.321

6.  PrEP Implementation Science: State-of-the-Art and Research Agenda.

Authors:  Carlos F Cáceres; Kenneth H Mayer; Rachel Baggaley; Kevin R O'Reilly
Journal:  J Int AIDS Soc       Date:  2015-07-20       Impact factor: 5.396

7.  Teaching implementation science in a new Master of Science Program in Germany: a survey of stakeholder expectations.

Authors:  Charlotte Ullrich; Cornelia Mahler; Johanna Forstner; Joachim Szecsenyi; Michel Wensing
Journal:  Implement Sci       Date:  2017-04-27       Impact factor: 7.327

8.  How is implementation research applied to advance health in low-income and middle-income countries?

Authors:  Olakunle Alonge; Daniela Cristina Rodriguez; Neal Brandes; Elvin Geng; Ludovic Reveiz; David H Peters
Journal:  BMJ Glob Health       Date:  2019-03-07

Review 9.  Hypertension awareness, treatment and control in Africa: a systematic review.

Authors:  James Kayima; Rhoda K Wanyenze; Achilles Katamba; Elli Leontsini; Fred Nuwaha
Journal:  BMC Cardiovasc Disord       Date:  2013-08-02       Impact factor: 2.298

10.  Implementation of tuberculosis infection control in health facilities in Mukono and Wakiso districts, Uganda.

Authors:  Esther Buregyeya; Fred Nuwaha; Suzanne Verver; Bart Criel; Robert Colebunders; Rhoda Wanyenze; Joan N Kalyango; Achilles Katamba; Ellen Mh Mitchell
Journal:  BMC Infect Dis       Date:  2013-08-01       Impact factor: 3.090

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