Enhancing the Quality and Visibility of African Medical and Health Journals

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Abstract
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Are most journals published in Africa too weak to be useful to local practitioners, researchers, and policy makers?Might a new method for scholarly communication on the African continent improve the utility of these journals?According to a provocative article published in Learned Publishing (Smart 2007), the answer to both questions is yes.Smart argued that the African research and education communities need to rethink their tendency to "slavishly . . .follow the Western model of academic promotion based on publishing in journals."In an earlier article, Horton (2000a) voiced concerns that researchers, policy makers, and philanthropic organizations in developed countries believe simply providing access to Western information will solve many of the problems of developing nations.On the contrary, he wrote, in Africa "there is already a well-developed local information culture that needs support, not swamping," noting, moreover, the lack of African journals in MEDLINE (Horton 2000a).According to a survey conducted in 2005, about 158 medical journals were published in 33 African countries, but most had circulations <1,000, were published ≤ 4 times per year, and were excluded from major bibliographic indexes (Siegfried et al. 2006).African Journals Online, an online repository of African scholarly abstracts hosted by the International Network for the Availability of Scientific Publications (INASP), lists 111 health and medical journals from 18 African countries in 2008 (African Journals Online 2008).However, compared with those of other continents, African medical and health journals continue to be poorly represented in international indexing services: among 5,000 journals indexed in MEDLINE, 38 are from Africa (13 countries), and among 6,700 journals in the Institute for Scientific Information's Science Citation Index, only 20 are from Africa (4 countries), including just 1 medical journal.Even within Africa, there is a disparity in research publication, with South Africa, Egypt, and Nigeria producing 60% of the total number of articles indexed by PubMed between 1996 and 2005 (Uthman and Uthman 2007).Moreover, there are gaps in research information published in leading Western and Northern journals on conditions and diseases that are most relevant to low-income countries in Africa (Horton 2000b).Thus, despite the recognized benefits of medical journals to health practitioners (Gross 2000; Lamas 1992), Africa's medical journal and research production and distribution are low, and as a result, research from Africa is not readily available to colleagues on the continent or in the international scientific community.Quality journals are needed throughout Africa to help raise the visibility of African science to researchers, practitioners, and policy makers in countries within Africa, especially sub-Saharan Africa, and to the wider international community (Ofori-Adjei 2006).Both Smart (2007) and Horton (2000a, 2000b) provide insights into the troubling issue of scientific and medical communications within Africa.Although there is no doubt that many of the medical and health journals published in Africa are weak, it would not be appropriate to declare them moribund and give up on the traditional peer-reviewed journal model for these medical, health care, and research communities (Ofori-Adjei 2006).In fact, substituting another communication vehicle for this specific subset of journals would need to be undertaken with extreme caution, if at all.Scientific

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Mali Médical Goes Global
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Performance, priorities, and future of biomedical research publications in Africa: Need for networks between scientists in developed and developing countries.
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Scientific publications play an important role in the scientific process providing a key linkage between knowledge production and use [1]. Africa’s health challenges and research needs have been well documented for many years now. Scientific publishing activity worldwide over the past decades shows that most countries in Africa have low levels of publication [1–10]. In the 1990s, the term “the 10/90” gap was coined to express the acute global imbalance whereby developing countries experienced 90 per cent of the world’s major health problems, but received only 10 per cent of its resources for health research [11–13]. The difficulties in research, publication, editorial bias, and information access facing Africa are profound and seem almost intractable [1, 14]. Richard Horton, editor-in-chief of The Lancet in his excellent discussion of this issue has highlighted some of the barriers to information exchange between North and South [14]. Lack of funding, poor laboratory, limited technical support, little available training, few tutors or mentors, no career structure, weak peer networks, diffuse relation between research and academic reward, and research biased to Northern interests are important factors affecting research production from Africa. The low proportions of published articles from authors from Africa have been reported in many research fields [1–10], and may be due to fear of rejection, uncertain about journal options, and no culture of publication to draw on. In addition, serious under-representation of editorial and advisory board members from countries with a low human development index in medical journals has been documented recently [15–17]. This editorial bias may be due to low interest in less-developed countries and reviews fail to take account of local research conditions. Another difficulty facing African researcher is dissemination of findings to other parts of the world. Most of the information published in African journals are largely not included in major databases. Access to technological tools, information access, and other equipment and supplies to ease the work is not always possible. Researchers in Africa are poorly paid [18, 19]. Many have to work in private practice to make ends meet. Many research units in Africa are struggling to cope with a “brain drain” of basic scientist and clinical researchers to developed countries which offer more opportunities and greater political and financial securities [20–23]. There is an urgent need to strengthen local research capacity in Africa, to tackle compelling questions about health and disease vital to enhancing people’s health, lives and livelihoods. More support should be provided by developed countries to Africa, for the advancement of local research efforts. This support should aim to improve the infrastructure of research in Africa. In addition, there is a need for Africa countries to develop and sustain research capacity by attracting, developing and retaining excellent scientists, providing and sustaining the infrastructure and equipment that high-quality research needs; developing strong research institutions with effective leadership, governance and management systems; sustaining a balanced research portfolio in the Africa and partner countries. Researchers from Africa should work effectively through partnerships internationally, nationally; regionally and locally to ensure that research agenda is relevant to Africa’s need and deliverable. There is a need for schemes to promote research as a viable career option and by giving more research awards and supplementing researchers’ salaries. This can be inform of non-bond research grants to PhD students studies in local universities that are have a good links to reputable institutions in the North. Researchers from Africa should join national, regional, and global networks. Developing computerized knowledge management systems to more accurately track research output including grey literature may help eliminate intellectual isolation. Health research priorities in Africa have often been determined by funders, institutions or individuals, rather than by means of a truly participatory and rational process. There is a need to strengthen the “African Voice” in determining the priorities for future health research. On a final note, I believe like others, that adopting a philosophy of friends-helping-friends and intellectual solidarity will help promotes a commitment to research to equity in health development in Africa.

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  • Cite Count Icon 10
  • 10.15171/ijhpm.2020.06
Handing the Microphone to Women: Changes in Gender Representation in Editorial Contributions Across Medical and Health Journals 2008-2018.
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The editorial materials in top medical and public health journals are opportunities for experts to offer thoughts that might influence the trajectory of the field. To date, while some studies have examined gender bias in the publication of editorial materials in medical journals, none have studied public health journals. In this perspective, we studied the gender ratio of the editorial materials published in the top health and medical sciences journals between 2008 and early 2018 to test whether gender bias exists. We studied a total of 59 top journals in health and medical sciences. Overall, while there is a trend of increasing proportion of female first authors, there is still a greater proportion of male than female first authors. The average male-to-female first author ratio during the study period across all journals was 2.08. Ensuring equal access and exposure through journal editorials is a critical step, albeit only one step of a longer journey, towards gender balance in health and medical sciences research. Editors of top journals have a key role to play in pushing the fields towards more balanced gender equality, and we strongly urge editors to rethink the strategies for inviting authors for editorial materials.

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Journal Article Setting the Public Health Agenda on Major Diseases in Sub-Saharan Africa: African Popular Magazines and Medical Journals, 1981–1997 Get access Cornelius B. Pratt, Cornelius B. Pratt 1Cornelius B. Pratt (PhD, University of Minnesota, 1981) is strategic issues manager in the Office of Communication, U.S. Department of Agriculture Forest Service, Washington, DC Search for other works by this author on: Oxford Academic Google Scholar Louisa Ha, Louisa Ha 2Louisa Ha (PhD, Michigan State University, 1994) is associate professor in the Department of Telecommunications at Bowling Green State University, Ohio, and former research director at the Gallup Organization Search for other works by this author on: Oxford Academic Google Scholar Charlotte A. Pratt Charlotte A. Pratt 3Charlotte A. Pratt (PhD, University of Minnesota, 1985) is project scientist, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland Search for other works by this author on: Oxford Academic Google Scholar Journal of Communication, Volume 52, Issue 4, December 2002, Pages 889–904, https://doi.org/10.1111/j.1460-2466.2002.tb02579.x Published: 10 January 2006

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