The Lancet: Repositioning Africa in global knowledge production (6) 'Publish or perish' culture (2)

15 October, 2018

Dear Malcolm

Thank you very much for your view on this very important topic.

It just happens that in Nigeria at least, and I think in many other LMICs, the genie has already left the bottle as the saying goes, that is 'publish or perish' has already taken hold in the Universities in LMICs.

At an Open Access Forum in Kumasi, Ghana about eight years ago, sponsored by BioMed Central (BMC), the discussion sessions were dominated by this fact about 'Publish or Perish' and the audience wondered what could be done to address the situation.

I suppose that if the policy turns to enabling ALL Universities to build effective and functional research infrastructure, and good research begins to dominate the field, the publications will reflect that improvement and in some way 'publish or perish' may not be such a bad thing, because most publications will benefit from best practice.

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.

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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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