Research Capacity and Training Needs for Cancer in Conflict-Affected MENA Countries

Background: The global cancer burden is disproportionately greater in low- and middle-income countries, including those affected by conflict in the Middle East and North Africa (MENA) region. Contributing factors include inadequate control of risk factors plus limited surveillance and treatment opti...

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Autores principales: Zahi Abdul-Sater, Elsa Kobeissi, Marilyne Menassa, Talar Telvizian, Deborah Mukherji
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Publicado: Ubiquity Press 2020
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Acceso en línea:https://doaj.org/article/0df7eb8def7a45e2a79d4933a21afa94
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spelling oai:doaj.org-article:0df7eb8def7a45e2a79d4933a21afa942021-12-02T16:09:33ZResearch Capacity and Training Needs for Cancer in Conflict-Affected MENA Countries2214-999610.5334/aogh.2809https://doaj.org/article/0df7eb8def7a45e2a79d4933a21afa942020-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2809https://doaj.org/toc/2214-9996Background: The global cancer burden is disproportionately greater in low- and middle-income countries, including those affected by conflict in the Middle East and North Africa (MENA) region. Contributing factors include inadequate control of risk factors plus limited surveillance and treatment options. Weak healthcare infrastructure may be further compounded by the conflict prevalent in multiple MENA countries. Improved cancer surveillance, research, and capacity strengthening are essential for implementing cancer control plans in the MENA region, requisite for reducing the disproportionate cancer burden. Aims: This article aims to understand the barriers to cancer research and training in conflict-affected MENA countries, and to identify opportunities for developing capacities for reliable cancer research strategies. Methods: This study employs a mixed-method approach utilizing an online questionnaire with open and close ended questions targeting oncologists and cancer researchers in conflict-affected MENA countries. For open-ended questions, we performed a qualitative content analysis to identify thematic barriers. Results: Forty-eight respondents, mostly Medical and Radiation Oncologists, completed the questionnaire. The most significant training needs were conducting clinical, basic, and qualitative cancer research. The most prominent barriers identified were insufficient training in data analysis and research design (77% and 75% of respondents, respectively) and insufficient institutional and government funding (94% and 85%, respectively). For the qualitative data, we organized the barriers into six themes, the most common was the lack of research infrastructure (28%). Conclusions: Despite an escalating cancer burden, conflict-affected MENA countries are lagging in knowledge production and implementation of evidence-based cancer research. Novel modes of knowledge transmission and collaboration across geographical and political boundaries are sorely needed. Based on our study, we recommend developing innovative and accessible training opportunities focusing on developing basic, clinical, and qualitative research skills. Research capacity-strengthening initiatives should encourage the investigation of context-specific research questions with the potential to make a meaningful impact on cancer control in the region.Zahi Abdul-SaterElsa KobeissiMarilyne MenassaTalar TelvizianDeborah MukherjiUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution DOAJ
collection DOAJ
language EN
topic Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Zahi Abdul-Sater
Elsa Kobeissi
Marilyne Menassa
Talar Telvizian
Deborah Mukherji
Research Capacity and Training Needs for Cancer in Conflict-Affected MENA Countries
description Background: The global cancer burden is disproportionately greater in low- and middle-income countries, including those affected by conflict in the Middle East and North Africa (MENA) region. Contributing factors include inadequate control of risk factors plus limited surveillance and treatment options. Weak healthcare infrastructure may be further compounded by the conflict prevalent in multiple MENA countries. Improved cancer surveillance, research, and capacity strengthening are essential for implementing cancer control plans in the MENA region, requisite for reducing the disproportionate cancer burden. Aims: This article aims to understand the barriers to cancer research and training in conflict-affected MENA countries, and to identify opportunities for developing capacities for reliable cancer research strategies. Methods: This study employs a mixed-method approach utilizing an online questionnaire with open and close ended questions targeting oncologists and cancer researchers in conflict-affected MENA countries. For open-ended questions, we performed a qualitative content analysis to identify thematic barriers. Results: Forty-eight respondents, mostly Medical and Radiation Oncologists, completed the questionnaire. The most significant training needs were conducting clinical, basic, and qualitative cancer research. The most prominent barriers identified were insufficient training in data analysis and research design (77% and 75% of respondents, respectively) and insufficient institutional and government funding (94% and 85%, respectively). For the qualitative data, we organized the barriers into six themes, the most common was the lack of research infrastructure (28%). Conclusions: Despite an escalating cancer burden, conflict-affected MENA countries are lagging in knowledge production and implementation of evidence-based cancer research. Novel modes of knowledge transmission and collaboration across geographical and political boundaries are sorely needed. Based on our study, we recommend developing innovative and accessible training opportunities focusing on developing basic, clinical, and qualitative research skills. Research capacity-strengthening initiatives should encourage the investigation of context-specific research questions with the potential to make a meaningful impact on cancer control in the region.
format article
author Zahi Abdul-Sater
Elsa Kobeissi
Marilyne Menassa
Talar Telvizian
Deborah Mukherji
author_facet Zahi Abdul-Sater
Elsa Kobeissi
Marilyne Menassa
Talar Telvizian
Deborah Mukherji
author_sort Zahi Abdul-Sater
title Research Capacity and Training Needs for Cancer in Conflict-Affected MENA Countries
title_short Research Capacity and Training Needs for Cancer in Conflict-Affected MENA Countries
title_full Research Capacity and Training Needs for Cancer in Conflict-Affected MENA Countries
title_fullStr Research Capacity and Training Needs for Cancer in Conflict-Affected MENA Countries
title_full_unstemmed Research Capacity and Training Needs for Cancer in Conflict-Affected MENA Countries
title_sort research capacity and training needs for cancer in conflict-affected mena countries
publisher Ubiquity Press
publishDate 2020
url https://doaj.org/article/0df7eb8def7a45e2a79d4933a21afa94
work_keys_str_mv AT zahiabdulsater researchcapacityandtrainingneedsforcancerinconflictaffectedmenacountries
AT elsakobeissi researchcapacityandtrainingneedsforcancerinconflictaffectedmenacountries
AT marilynemenassa researchcapacityandtrainingneedsforcancerinconflictaffectedmenacountries
AT talartelvizian researchcapacityandtrainingneedsforcancerinconflictaffectedmenacountries
AT deborahmukherji researchcapacityandtrainingneedsforcancerinconflictaffectedmenacountries
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