Objective

Baseline

2014 (n=47)

Target by 2025

Achievement

(% of countries) 2018 (n=39)


Countries not meeting the target (out of 39 countries)

(A) Governance




1. Countries with valid health research policies, strategic plans, and priority lists






60%






100%.






65%

  • Health research policies

Angola, Botswana, Cabo Verde, Democratic Republic of the Congo, Eswatini, Ghana, Guinea-Bissau, Madagascar, Malawi, Mauritania, Mauritius, Zimbabwe (12)

  • Strategic plans

Angola, Botswana, Burundi, Cabo Verde, Congo, Democratic Republic of the Congo, Eswatini, Gabon, Ghana, Guinea-Bissau, Madagascar, Mauritania, Mauritius, Mozambique, Namibia, Nigeria, Sierra Leone, South Sudan, Uganda, Zimbabwe (20)

  • Research priority lists

Angola, Gabon, The Gambia, Mali, Namibia, Seychelles, Sierra Leone, Uganda (8)

2. Countries with legislation on R4H


52%


80%


(22/39) 56%

Angola, Botswana, Burundi, Cabo Verde, Cote d'Ivoire, Democratic Republic of the Congo, Eritrea, Eswatini, Ethiopia, Guinea-Bissau,

Lesotho, Madagascar, Mauritania, Namibia, Seychelles, Sierra Leone, South Sudan (17)

3. All countries with national

or institutional ethics review committees


90%


100%

(37/39) 95%

Benin, Madagascar (2)

4. At least 80% of countries have a national or institutional ethics review committee assessing and providing feedback within

three months



80%



100%



(37/39) 95%

Benin, Madagascar (2)

(B) Creating and sustaining resources




1. Countries with a health research promoting unit

within the MoH


59%


75%.

(23/39) 59%

Angola, Benin, Cote d'Ivoire, Democratic Republic of the Congo, Eswatini, Gabon, Ghana, Guinea-Bissau, Mali, Mauritania, Mauritius,

Mozambique, Namibia, Seychelles, Sierra Leone, Uganda (16)

2. Countries with

universities/colleges that

20%

40%.

(35/39)

90%

Cabo Verde, Guinea-Bissau, Mauritius, Seychelles (4)


Objective

Baseline

2014 (n=47)

Target by 2025

Achievement

(% of countries) 2018 (n=39)


Countries not meeting the target (out of 39 countries)

have a training programme

in health research





3. Countries with a national

health research institute/council


40%


55%


72%

Botswana, Burundi, Cote d'Ivoire, Eritrea, Eswatini, The Gambia, Lesotho, Namibia, Seychelles, Sierra Leone, South Sudan, (11)

(C) Producing and using health

research




1.   Countries with an R & D

coordination mechanism

40%

85%

(33/39)

85%

Senegal, Ethiopia, Gabon, Mauritania Mauritius, Burundi (6)

2. Each country to increase the number of articles

published in peer reviewed journals by at least 30%



30%


Data on peer-reviewed articles not provided

3. Countries with a knowledge translation platform


26%


100%

(23/39) 59%

Angola, Burkina Faso, Benin, Burundi, Cabo Verde Nigeria, Gabon, Congo, Sierra Leone, South Sudan, Eswatini, Namibia, Mauritania, Cote

d'Ivoire, Democratic Republic of the Congo, Eritrea, (16)

(D) Financing




1. Countries that have a dedicated budget line for

R4H


52%


75%

(24/39) 62%

Angola, Burundi, Benin, Cabo Verde, Congo, Cote d'Ivoire, Eritrea, Eswatini, Gabon, Guinea-Bissau, Mauritania, Namibia, Seychelles,

Sierra Leone, South Sudan (15)

2. Countries investing at least 2% of the national health budget in R4H


2%


25%

(2/24) 8.3%

Cameroon/Mali

Benin, Botswana, Burkina Faso, Eritrea, Gabon, Ghana, The Gambia, Lesotho, Liberia, Madagascar, Malawi, Mauritius, Rwanda, Zimbabwe

Mozambique, Niger, Nigeria, Senegal, South Africa, Tanzania, Uganda, Zambia (22)

3. Countries investing at least 5% of health sector

development assistance in R4H


2%


25%

(1/24) 4.2%

Cameroon

Botswana, Benin, Burkina Faso, Eritrea, Gabon, The Gambia, Ghana, Lesotho, Liberia, Madagascar, Malawi, Mali, Mauritius, Mozambique,

Niger, Nigeria, Rwanda, Senegal, South Africa, Tanzania, Uganda, Zambia, Zimbabwe (23)

4. Countries regularly

tracking R4H spending from all sources


20%


50%

(37/39) 95%

Cabo Verde, Mauritania (2)



Health research system barometer parameters

Regional barometer score

(2014) n=47

(2018)

n=39

p value

A. Governance of research for health




1. Regional health research policy index (RHRPI)

0.49

0.67

0.047

2. Regional health research law index (RHRLI)

0.40

0.56

0.139

3. Regional strategic health research plan index (RSHRPI)

0.47

0.49

0.853

4. Regional ethical review committee index (RERCI)

0.91

0.95

0.474

5. Regional health research priority list index (RHRPLI)

0.53

0.79

0.012

6. Regional health research focal point index (RHRFPI)

0.83

0.85

0.802

Average score for the governance of R4H

0.61

0.72

0.283

B. Developing and sustaining resources for R4H



0.05


0.55

0.51

0.0006

0.64

0.35



0.25


0.72

0.72

0.53

0.79

0.61



0.008


0.105

0.047

<0.001

0.128

0.016

7. Regional universities with faculties of health sciences/medicine

(RUFHSI)

8. Regional health research institutes or councils (RHRCI)

9. Regional R4H programme (RHRPRI)

10. Regional R4H programme staff density index (RHRHRI)

11. Regional NGO R4H index (RNGOI)

Average score for developing and sustaining resources for

R4H

C. Producing and using research




12. Regional R4H programme action plan index (RHRPAI)




13. Regional knowledge translation platform index (RKTPI)

0.34

0.59

0.020

14. Regional health research management forum index

0.32

0.59

0.012

(RHRMFI)

0.51

0.46

0.644

15. Regional R4H publications per 100 000 population index

0.10



(RPPCI)

0.32

0.55

0.032

Average score for producing and using research




D. Financing of R4H



0.47

0.06

0.27


0.42



0.62

0.23

0.43


0.61



0.165

0.019

0.016


0.040

16. Regional budget line for R4H index (RBLHRI)

17. Regional government spending on R4H index (RHRBI)

Average score for financing of R4H


Regional health research systems barometer (RHRSB)

average score



Country

Score

2014

2018

Group 1: High-income and upper-middle-income (n= 9)



Algeria

59

-

Angola

47

46

Botswana

55

44**

Equatorial Guinea

13

-

Gabon

19

32

Mauritius

19

44**

Namibia

24

26

Seychelles

18

25

South Africa

79

89*

Cameroon

36

95*

Cabo Verde

50

25

Congo

24

57

Côte d’Ivoire

36

44

Ghana

48

66*

Kenya

42

85**

Lesotho

47

64**

Mauritania

30

25

Nigeria

42

58*

Sao Tome and Principe

6

-

Senegal

71

71*

Eswatini

54

38

Zambia

65

86*

Burkina Faso

65

77*

Burundi

35

38

Benin

54

51

Chad

12

-

Central African Republic

30

-

Comoros

18

-

Democratic Republic of the Congo

35

33**

Eritrea

42

44

Ethiopia

65

67*

The Gambia

43

57*

Guinea

53

-

Guinea-Bissau

30

50

Liberia

36

82**

Madagascar

42

39**

Malawi

48

70**

Mali

59

85*

Mozambique

30

70*

Niger

65

84*

Rwanda

81

83**

Sierra Leone

18

26

South Sudan

12

44

Tanzania

77

86*

Togo

18


Uganda

72

70*

Zimbabwe

65

64**