Developing mental health research in sub-Saharan Africa: capacity building in the AFFIRM project.

Journal: Global mental health (Cambridge, England)

Volume: 3

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry and Mental Health, Alan J Flisher Centre for Public Mental Health, University of Cape Town, Sawkins Road, Rondebosch, Cape Town, South Africa. Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, King's College London, UK. Department of Mental Health, College of Health Sciences, University of Malawi, Blantyre, Malawi. Department of Psychiatry, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe. Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia. Department of Psychiatry, Faculty of Medicine, Makerere University, Kampala, Uganda. Department of Psychiatry, School of Medicine and Dentistry, University of Ghana, Accra, Ghana. Mailman School of Public Health, Columbia University, New York, USA.

Abstract summary 

There remains a large disparity in the quantity, quality and impact of mental health research carried out in sub-Saharan Africa, relative to both the burden and the amount of research carried out in other regions. We lack evidence on the capacity-building activities that are effective in achieving desired aims and appropriate methodologies for evaluating success.AFFIRM was an NIMH-funded hub project including a capacity-building program with three components open to participants across six countries: (a) fellowships for an M.Phil. program; (b) funding for Ph.D. students conducting research nested within AFFIRM trials; (c) short courses in specialist research skills. We present findings on progression and outputs from the M.Phil. and Ph.D. programs, self-perceived impact of short courses, qualitative data on student experience, and reflections on experiences and lessons learnt from AFFIRM consortium members.AFFIRM delivered funded research training opportunities to 25 mental health professionals, 90 researchers and five Ph.D. students across 6 countries over a period of 5 years. A number of challenges were identified and suggestions for improving the capacity-building activities explored.Having protected time for research is a barrier to carrying out research activities for busy clinicians. Funders could support sustainability of capacity-building initiatives through funds for travel and study leave. Adoption of a train-the-trainers model for specialist skills training and strategies for improving the rigor of evaluation of capacity-building activities should be considered.

Authors & Co-authors:  Schneider M M Sorsdahl K K Mayston R R Ahrens J J Chibanda D D Fekadu A A Hanlon C C Holzer S S Musisi S S Ofori-Atta A A Thornicroft G G Prince M M Alem A A Susser E E Lund C C

Study Outcome 

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Citations :  Ahmed M, Arora S, Tiew S, Hayden J, Sevdalis N, Vincent C, Baker P (2014). Building a safer foundation: the Lessons Learnt patient safety training program. British Medical Journal Quality & Safety 23, 78–86. (http://www.ncbi.nlm.nih.gov/pubmed/24003238).
Authors :  15
Identifiers
Doi : e33
SSN : 2054-4251
Study Population
Male,Female
Mesh Terms
Other Terms
AFFIRM;Teaching and Learning;capacity building;low- and middle-income countries;mental health research;sub-Saharan Africa
Study Design
Cross Sectional Study
Study Approach
Qualitative
Country of Study
Publication Country
England