The Lancet: Repositioning Africa in global knowledge production (2)

14 October, 2018

The Lancet: Repositioning Africa in global knowledge production

Neil thank you for sharing this publication.

We are glad that light is again being thrown on the paucity of research and research implementation in LMICs. But that is as much as we are ready to go to support this publication. To advocate for setting up so-called ‘research intensive’ universities’ in LMICs seems to us to advocate segregation, discrimination and non inclusiveness in academic institutions in LMICs. Yes in HICs Universities are graded using various criteria especially research output, so the idea of creating ‘research intensive’ universities may serve a purpose because all Universities in the HIC have already left ground zero when it comes to research. But in LMICs especially Africa, Universities are still stuck firmly on ground zero of research which accounts for why in 'Sub-Saharan Africa accounts for 13·5% of the global population but less than 1% of global research output. In 2008, Africa produced 27 000 published papers - the same number as The Netherlands.’

Establishing ‘research intensive Universities’ is akin to creating the premier league, but first all Universities in LMICs should be enabled to even do research before much needed support whether financial or material are drained away by such a new creation as research-intensive universities'.

In our view, All Universities in LMICs including Africa need to be supported by the African universities themselves, governments, and development partners to foster the development of research in all universities ever before segregating them into divisive leagues. It is very premature to start creating 'elite universities, that will no doubt take up most of the attention and resources available, in LMICs when all are in dire need to even take off properly. Universal University Support In Research is what is needed at this point.

Joseph Ana


@Health Resources International (HRI) WA.

National Implementing Organisation: 12-Pillar Clinical Governance

National Implementing Organisation: PACK Nigeria Programme for PHC

Publisher: Medical and Health Journals; Books and Periodicals.

Nigeria: 8 Amaku Street, State Housing & 20 Eta Agbor Road, Calabar.

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HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: Joseph is a member of the HIFA Steering Group:

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