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Research ArticleArticles

Research in Family Medicine in Developing Countries

Bruce L. W. Sparks and Shatendra K. Gupta
The Annals of Family Medicine May 2004, 2 (suppl 2) S55-S59; DOI: https://doi.org/10.1370/afm.192
Bruce L. W. Sparks
MBBCh, (Witwatersrand), MFGP(SA), MRCGP, FRCGP
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Shatendra K. Gupta
MBBS, MD(GP)
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    Figure 1.

    Distribution of burden of disease in disability-adjusted life years (DALYs) by cause in World Health Orgainzation regions (estimated for 2000).

    Non-comm = noncommunicable, comm = communicable, Medit = Mediterranean.

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    Table 1.

    Some General Factors Inhibiting Family Medicine Research in Developing Countries

    Adapted from Horton R. North and South: bridging the information gap. Lancet. 2000;355:2231–2236.
    Poor health care infrastructure—materials, manpower, political will
    Limited financial resources—government priorities lie elsewhere in education, defence, general health care delivery, or debt repayment
    Poor training in research methods, epidemiology and statistics in general medical training
    Little incentive for a busy practitioner, overwhelmed by the system
    Reluctance of international journals to publish papers from developing world9
    Research is not a priority of health system
    Employment systems where only service is rewarded
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    Table 2.

    Personal Factors That Limit Output of Research in Family Medicine

    No defined practice population, with mobile populations
    Limitation or absence of reliable and comprehensive address lists to recruit participant physicians
    Overworked physicians in primary care with limited time for research
    No protected time for research or writing
    Limited or no access to research funds and grants, with inexperience in the grant application process
    Limited exposure to “culture of research”
    Lack of peer group in many countries to discuss, stimulate, or criticize work
    Limited research expertise of individual physician, and little access to training in research methodology, epidemiology, and statistics
    Limited support and supervision—supervisors are often at a distance because of sparse distribution of health personnel and often are insufficiently trained themselves
    Prospect of rejection of developing world papers by international journals is inhibiting factor to a culture of research9
    Poor or limited writing skills
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The Annals of Family Medicine: 2 (suppl 2)
The Annals of Family Medicine: 2 (suppl 2)
Vol. 2, Issue suppl 2
1 May 2004
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Research in Family Medicine in Developing Countries
Bruce L. W. Sparks, Shatendra K. Gupta
The Annals of Family Medicine May 2004, 2 (suppl 2) S55-S59; DOI: 10.1370/afm.192

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Research in Family Medicine in Developing Countries
Bruce L. W. Sparks, Shatendra K. Gupta
The Annals of Family Medicine May 2004, 2 (suppl 2) S55-S59; DOI: 10.1370/afm.192
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  • Article
    • Abstract
    • INTRODUCTION
    • THE NEED FOR MORE RESEARCH IN DEVELOPING COUNTRIES
    • STRATEGIES TO DEVELOP AND STIMULATE FAMILY MEDICINE RESEARCH IN DEVELOPING COUNTRIES.
    • CHALLENGES FOR WONCA
    • CONCLUSION
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