PMID- 32624501 OWN - NLM STAT- MEDLINE DCOM- 20210624 LR - 20210624 IS - 2059-7908 (Print) IS - 2059-7908 (Electronic) IS - 2059-7908 (Linking) VI - 5 IP - 7 DP - 2020 Jul TI - Fostering global primary care research: a capacity-building approach. LID - 10.1136/bmjgh-2020-002470 [doi] LID - e002470 AB - The Alma Ata and Astana Declarations reaffirm the importance of high-quality primary healthcare (PHC), yet the capacity to undertake PHC research-a core element of high-quality PHC-in low-income and middle-income countries (LMIC) is limited. Our aim is to explore the current risks or barriers to primary care research capacity building, identify the ongoing tensions that need to be resolved and offer some solutions, focusing on emerging contexts. This paper arose from a workshop held at the 2019 North American Primary Care Research Group Annual Meeting addressing research capacity building in LMICs. Five case studies (three from Africa, one from South-East Asia and one from South America) illustrate tensions and solutions to strengthening PHC research around the world. Research must be conducted in local contexts and be responsive to the needs of patients, populations and practitioners in the community. The case studies exemplify that research capacity can be strengthened at the micro (practice), meso (institutional) and macro (national policy and international collaboration) levels. Clinicians may lack coverage to enable research time; however, practice-based research is precisely the most relevant for PHC. Increasing research capacity requires local skills, training, investment in infrastructure, and support of local academics and PHC service providers to select, host and manage locally needed research, as well as to disseminate findings to impact local practice and policy. Reliance on funding from high-income countries may limit projects of higher priority in LMIC, and 'brain drain' may reduce available research support; however, we provide recommendations on how to deal with these tensions. CI - (c) Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Ponka, David AU - Ponka D AUID- ORCID: 0000-0003-0902-8520 AD - Besrour Centre for Global Family Medicine, College of Family Physicians of Canada, Mississauga, Ontario, Canada dponka@cfpc.ca. AD - Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada. FAU - Coffman, Megan AU - Coffman M AD - Robert Graham Center Policy Studies in Family Medicine and Primary Care, Washington DC, District of Columbia, USA. FAU - Fraser-Barclay, Krystle Elizabeth AU - Fraser-Barclay KE AD - Department of Family Medicine, Georgetown Public Hospital, Georgetown, Guyana. FAU - Fortier, Richard D W AU - Fortier RDW AUID- ORCID: 0000-0001-5305-991X AD - General Practice, University of Auckland Faculty of Medical and Health Sciences, Auckland, New Zealand. AD - Family Medicine, McGill University, Montreal, Quebec, Canada. FAU - Howe, Amanda AU - Howe A AD - Primary Care, University of East Anglia Norwich Medical School, Norwich, Norfolk, UK. FAU - Kidd, Michael AU - Kidd M AD - Department of Family and Community Medicine, University of Toronto, Canada and Southgate Institute for Health, Toronto, Ontario, Canada. FAU - Lennon, Robert P AU - Lennon RP AUID- ORCID: 0000-0003-0973-5890 AD - Family and Community Medicine, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA. FAU - Madaki, Jeremiah K A AU - Madaki JKA AUID- ORCID: 0000-0002-6898-8428 AD - Family Medicine, University of Jos, Jos, Plateau, Nigeria. AD - Family Medicine, Jos University Teaching Hospital, Jos, Plateau, Nigeria. FAU - Mash, Bob AU - Mash B AD - Family and Emergency Medicine, Stellenbosch University, Cape Town, South Africa. AD - Stellenbosch University, Cape Town, South Africa. FAU - Mohd Sidik, Sherina AU - Mohd Sidik S AUID- ORCID: 0000-0001-6754-6145 AD - Psychiatry, Universiti Putra Malaysia Faculty of Medicine and Health Sciences, Serdang, Selangor, Malaysia. FAU - van Weel, Chris AU - van Weel C AUID- ORCID: 0000-0003-3653-4701 AD - Department Primary and Community Care, Radboud Universiteit Nijmegen, Nijmegen, The Netherlands. AD - Department of Health Services Research and Policy, Australian National University, Acton, Australian Capital Territory, Australia. FAU - Zawaly, Kristina AU - Zawaly K AUID- ORCID: 0000-0003-0370-9616 AD - Family Medicine, McGill University, Montreal, Quebec, Canada. AD - General Practice and Primary Health Care, The University of Auckland, Auckland, New Zealand. FAU - Goodyear-Smith, Felicity AU - Goodyear-Smith F AUID- ORCID: 0000-0002-6657-9401 AD - General Practice, University of Auckland Faculty of Medical and Health Sciences, Auckland, New Zealand. AD - University of Auckland, Auckland, New Zealand. LA - eng PT - Journal Article PT - Review PL - England TA - BMJ Glob Health JT - BMJ global health JID - 101685275 SB - IM MH - Africa MH - *Capacity Building MH - *Developing Countries MH - Humans MH - Income MH - Primary Health Care PMC - PMC7337619 OTO - NOTNLM OT - health services research OT - health systems evaluation COIS- Competing interests: None declared. EDAT- 2020/07/07 06:00 MHDA- 2021/06/25 06:00 PMCR- 2020/07/05 CRDT- 2020/07/07 06:00 PHST- 2020/03/09 00:00 [received] PHST- 2020/05/13 00:00 [revised] PHST- 2020/05/18 00:00 [accepted] PHST- 2020/07/07 06:00 [entrez] PHST- 2020/07/07 06:00 [pubmed] PHST- 2021/06/25 06:00 [medline] PHST- 2020/07/05 00:00 [pmc-release] AID - bmjgh-2020-002470 [pii] AID - 10.1136/bmjgh-2020-002470 [doi] PST - ppublish SO - BMJ Glob Health. 2020 Jul;5(7):e002470. doi: 10.1136/bmjgh-2020-002470.