Fostering global primary care research : a capacity-building approach

dc.contributor.authorPonka, Daviden_ZA
dc.contributor.authorCoffman, Meganen_ZA
dc.contributor.authorFraser-Barclay, Krystle Elizabethen_ZA
dc.contributor.authorFortier, Richard D. W.en_ZA
dc.contributor.authorHowe, Amandaen_ZA
dc.contributor.authorKidd, Michaelen_ZA
dc.contributor.authorLennon, Robert P.en_ZA
dc.contributor.authorMadaki, Jeremiah K. A.en_ZA
dc.contributor.authorMash, Boben_ZA
dc.contributor.authorSidik, Sherina Mohden_ZA
dc.contributor.authorVan Weel, Chrisen_ZA
dc.contributor.authorZawaly, Kristinaen_ZA
dc.contributor.authorGoodyear-Smith, Felicityen_ZA
dc.date.accessioned2022-05-04T07:39:26Z
dc.date.available2022-05-04T07:39:26Z
dc.date.issued2020-07
dc.descriptionCITATION: Ponka, David et al. 2020. Fostering global primary care research : a capacity-building approach. BMJ Global Health, 5(7):e002470, doi:10.1136/bmjgh-2020-002470.en_ZA
dc.descriptionThe original publication is available at: https://gh.bmj.com
dc.description.abstractThe Alma Ata and Astana Declarations reaffirm the importance of high-quality primary healthcare (PHC), yet the capacity to undertake PHC research-a core element of high-quality PHC-in low-income and middle-income countries (LMIC) is limited. Our aim is to explore the current risks or barriers to primary care research capacity building, identify the ongoing tensions that need to be resolved and offer some solutions, focusing on emerging contexts. This paper arose from a workshop held at the 2019 North American Primary Care Research Group Annual Meeting addressing research capacity building in LMICs. Five case studies (three from Africa, one from South-East Asia and one from South America) illustrate tensions and solutions to strengthening PHC research around the world. Research must be conducted in local contexts and be responsive to the needs of patients, populations and practitioners in the community. The case studies exemplify that research capacity can be strengthened at the micro (practice), meso (institutional) and macro (national policy and international collaboration) levels. Clinicians may lack coverage to enable research time; however, practice-based research is precisely the most relevant for PHC. Increasing research capacity requires local skills, training, investment in infrastructure, and support of local academics and PHC service providers to select, host and manage locally needed research, as well as to disseminate findings to impact local practice and policy. Reliance on funding from high-income countries may limit projects of higher priority in LMIC, and 'brain drain' may reduce available research support; however, we provide recommendations on how to deal with these tensions.en_ZA
dc.description.versionPublisher's version
dc.format.extent7 pages
dc.identifier.citationPonka, David et al. 2020. Fostering global primary care research : a capacity-building approach. BMJ Global Health, 5(7):e002470, doi:10.1136/bmjgh-2020-002470en_ZA
dc.identifier.otherdoi:10.1136/bmjgh-2020-002470
dc.identifier.urihttp://hdl.handle.net/10019.1/125183
dc.language.isoen_ZAen_ZA
dc.publisherBMJ Publishing
dc.rights.holderAuthors retain copyright
dc.subjectPrimary health careen_ZA
dc.subjectHealth systems evaluationen_ZA
dc.subjectHealth services researchen_ZA
dc.titleFostering global primary care research : a capacity-building approachen_ZA
dc.typeArticleen_ZA
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