Key Features of Sub-Sahara Africa’s Selected Child Health Policy and Program Evidence-base Publications

Abstract

Background: Progressive child health care continuum policy and research advancement constitutes
rightful priority in every setting. Nevertheless, given the current reality, countries of Sub-Saharan Africa,
including Ethiopia are expected to improve performance in this respect.
Objective: The given research output aimed at describing the key features of selected child health policy
and programmatic research evidence publications from the Sub-Saharan Africa.
Method: The study implemented a quantitative cross-sectional descriptive methodological framework using
sampled abstracts pool of reference sources which are already published and archived into the Pub Med
between September 2013 through September 2015 limit. Coupled with several sub-themes Child Health
Policy Evidences in Sub-Saharan Africa and Child Health Research in Sub-Saharan Africa were the two
main search strategies. A total of 1,446 abstracts of the published articles were solicited and organized in
alphabetical order on thematic area. Subsequently, with consideration a sample size of one-third (33.9%),
491 abstracts were enrolled for the focused quantitative descriptive analysis.
Result: Majority of the Sub-Saharan countries have two or more published child health related articles
entered in Pub Med during the period. Kenya (12.5%; 60), South Africa (11.0%; 53), Uganda (8.7%; 42),
Ethiopia (8.0%; 38) and Nigeria (8.0%; 38) were the lead countries. Overall, the Eastern Africa Region
was on top with 35.9% share of the articles. From the perspective of design and quality of evidence,
quantitative and cross-sectional descriptive, including exploratory were most commonly used accounting
for 77.6% and 77.2% respectively. Specifically, intervention trials and mixed method designs were below
10.0% each. Pertaining to the child population and child health conditions, the desired proportional due
priority to the newborn and under-five category, of course, without forgetting all other childhood
population and their health conditions, appeared not optimal. Predominance of multiple authorships where
nearly 50% revealed between five and ten authors for an article was encouraging. Publication journal
outlets are quite abundant even by taking the Ethiopian case scenario.
Conclusion & Recommendation: Even if still very modest, efforts made by the majority of the Sub-Saharan
African countries and particularly so by Kenya, South Africa and Uganda should encourage other countries
of the region to advancing the child health research culture cause with increased enterprise. Engagement in
dynamic mapping, analysis, and synthesis of up-to-date child health evidence-base should serve standard
academic, research, policy and program continuum of practice in Sub-Saharan Africa