Translational Medicine Research in Sub Saharan Africa – Challenges and Prospects
##plugins.themes.bootstrap3.article.main##
Translational medicine (TM) is a branch of medicine and research in which basic science research findings are implemented to solve clinical problems and it involves the generation of research questions from clinical problems - the so-called “bench to bedside and back to bench approach” [1]. Despite the vital importance of TM as would be seen in the course of this paper and the steps that other regions of the world have taken, and plan to take to bolster their already working TM sector, sub-Saharan Africa is yet to fully take the first few steps on the road to TM research [2], [3].
This situation of depending on the research findings from technologically advanced countries presents a lot of challenges as environment and genetics play a very important role in what kind of results are obtained [2]. This causes discrepancies in outcome/ inability to replicate study findings using the study methods and design applied by research that a clinical decision or recommendation was made.
Due to the workload on the health professionals, poor health care system, low interest in research, inadequate training and funding, and other factors that would be highlighted in this paper, the clinician is seldom able to lift his/her eyes from the present emergency to consider what may prove useful in the future. This state of affairs is also compounded by the fact that the fruition of TM research may take many years [4]. Some solutions include more efficient record keeping, more government support, improved research training among others. This paper aims to highlight the challenges of TM in sub Saharan Africa and further offer some practical and culturally adaptable solutions to these challenges.
-
Homer-Vanniasinkam S, & Tsui J (2012). The Continuing Challenges of Translational Research: Clinician-Scientists’ Perspective. Cardiology Research and Practice Journal, Volume 2012, doi:10.1155/2012/246710.
DOI
Google Scholar
-
Adefuye AO, Adeola A & Bezuidenhout J (2018). The physician-scientists: rare species in Africa. Pan African Medical Journal. 2018; 29:8 doi:10.11604/pamj.2018.29.8.13239.
DOI
Google Scholar
-
Conradie A, Duys R, Forget P & Biccard BM (2018). Barriers to clinical research in Africa: a quantitative and qualitative survey of clinical researchers in 27 African countries. British Journal of Anesthesia, 121 (4): 813e821.
DOI
Google Scholar
-
Butler, D. (2008). Translational research: crossing the valley of death. Nature, 453(7197): 840–842.
DOI
Google Scholar
-
Wehling M (2008). Translational medicine: science or wishful thinking? Journal of Translational Medicine, 6:31.
DOI
Google Scholar
-
Anyangwe SC, Mtonga C. Inequities in the global health workforce: the greatest impediment to health in sub- Saharan Africa. Int J Environ Res Publ Health 2007; 4: 93e100.
DOI
Google Scholar
-
Cochrane G, Manville C. Probing the Barriers to Conducting Clinical Research in Sub-Saharan Africa 2014. Accessed on 15 October 2020.
Google Scholar
-
Meara JG, Leather AJ, Hagander L, et al. Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet 2015; 386:569e624.
DOI
Google Scholar
-
Adams J, King C & Hook D (2010). Global research report Africa 2010. Evidence, Thomson Reuters. Available from: http://researchanalytics.thomsonreuters.com/m/pdfs/globalresearchreport-africa.pdf.
Google Scholar
-
Hait, W. N. (2005). Translating research into clinical practice: deliberations from the American Association for Cancer Research. Clinical Cancer Research, 11(12): 4275–4277.
DOI
Google Scholar
-
Weber G (2013). Identifying translational science within the triangle of biomedicine. Journal of Translational Medicine, 11:126.
DOI
Google Scholar
-
Michael D (2020). Complications in Translational Research. Translational Medicine. 10:209. DOI:10.24105/2161-1026.10.209.
Google Scholar
-
Szalma et al (2010). Effective knowledge management in translational medicine. Journal of Translational Medicine 2010, 8:68. Available: http://www.translational-medicine.com/content/8/1/68.
DOI
Google Scholar
-
Jones et al (2011). Detection and characterization of translational research in cancer and cardiovascular medicine. Journal of Translational Medicine. 9:57.
DOI
Google Scholar
-
Parkinson H, et al (2009). ArrayExpress update–from an archive of functional genomics experiments to the atlas of gene expression. Nucleic Acids Res 2009, 37:D868-72.
DOI
Google Scholar
-
Mbonye AK, Wamala JF, Nanyunja M, Opio A, Makumbi I, Aceng JR (2014). Ebola viral hemorrhagic disease outbreak in West Africa-lessons from Uganda. Afr Health Sci. 14(3): 495-501. 1968.
DOI
Google Scholar
-
Brechot C. (2015). Train Africa's scientists in crisis response: to prevent future epidemics, a new international effort must boost West Africa's scientific and public-health capacity. Nature. 524(7563): 7-8.
DOI
Google Scholar
-
Kokwaro G, Kariuki S (2001). Medical research in Africa: problems and some solutions. Malawi Medical Journal. Sep; 13(3): 40.
Google Scholar
-
van Hoving DJ, Brysiewicz P (2017). African emergency care providers’ attitudes and practices towards research. African Journal of Emergency Medicine; 7: 9e14.
DOI
Google Scholar
-
Tiwari R (2000). Internet and library services. Library Herald. 38(3&4): 164.
Google Scholar
-
Masucci et al (2017). The need for a network to establish and validate predictive biomarkers in cancer immunotherapy. Journal of Translational Medicine. 15:223.
DOI
Google Scholar
-
Kilama W (2009). The 10/90 gap in sub-Saharan Africa: Resolving inequities in health research. Acta Tropica, 112(1): S8- S15.
DOI
Google Scholar