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Building a national framework for multicentre research and clinical trials

Experience from the Nigeria Implementation Science Alliance

Bibliographic Data

ID21880853
AuthorsJohn O Olawepo (0000-0001-6732-1042, University of Nigeria), Echezona E Ezeanolue (0000-0002-6294-9479, University of Nigeria, corresponding author), Adanma Ekenna (0000-0002-1348-5102, University of Nigeria), Olabanjo Okunlola Ogunsola (0000-0001-9601-0518, AIDS Prevention Initiative in Nigeria), Ijeoma Uchenna Itanyi (0000-0002-4958-6319, University of Nigeria), Elima Jedy-Agba (Institute of Human Virology Nigeria, Abuja, FCT, Nigeria), Elima Jedy‐Agba (0000-0002-1557-212X, Institute of Human Virology), Emmanuel Egbo (0009-0003-1946-4681, University of Nigeria), Chukwudi Onwuchekwa (Caritas Nigeria), Alexandra Ezeonu (University of Nigeria), Abiola Ajibola (0009-0006-6518-5650, Centre for Integrated Health Programs), Babayemi O Olakunde (0000-0002-0864-6901, University of Nigeria), Omololuoye Majekodunmi (FHI360, Abuja, FCT, Nigeria), Omololuoye B Majekodunmi (0000-0003-3384-4616), Amaka G Ogidi (0000-0002-8282-1173, University of Nigeria), Johnbosco Chika Chukwuorji (0000-0003-4065-4327, University of Nigeria), JohnBosco Chukwuorji (University of Nigeria), Nwamaka Lasebikan (0000-0002-3775-0492, University of Nigeria), Patrick Dakum (0000-0003-4278-5224, Institute of Human Virology), Prosper Okonkwo (0000-0001-6822-9344, AIDS Prevention Initiative in Nigeria), Bolanle Oyeledun (Centre for Integrated Health Programs), John Oko (0000-0003-2904-1597, Caritas Nigeria), Hadiza Khamofu (FHI360, Abuja, FCT, Nigeria), Akudo Ikpeazu (0000-0002-0654-2201, Federal Ministry of Health), Uchechukwu Emmanuel Nwokwu (Federal Ministry of Health), Gambo Aliyu (0000-0002-9661-3463, National Agency for the Control of AIDS), Olamide Shittu (0000-0002-7142-0438), Oladapo Shittu (Federal University of Health Sciences Otukpo, Otukpo, Benue State, Nigeria), Anne F Rositch (0000-0002-0403-8482, Johns Hopkins University), Byron J Powell (0000-0001-5245-1186, Washington University in St. Louis), Donaldson F Conserve (0000-0001-8193-817X, Milken Institute), Gregory A Aarons (0000-0001-8969-5002, University of California San Diego), Ayodotun Olutola (Center for Clinical Care and Research in Nigeria)
Year2022
Volume7
Issue4
Pagese008241
Publication date2022-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2021-008241
PMID35450861
OpenAlexW4224226147
LanguageEN
Citations received3
References cited45

There is limited capacity and infrastructure in sub-Saharan Africa to conduct clinical trials for the identification of efficient and effective new prevention, diagnostic and treatment modalities to address the disproportionate burden of disease. This paper reports on the process to establish locally driven infrastructure for multicentre research and trials in Nigeria known as the Nigeria Implementation Science Alliance Model Innovation and Research Centres (NISA-MIRCs). We used a participatory approach to establish a research network of 21 high-volume health facilities selected from all 6 geopolitical zones in Nigeria capable of conducting clinical trials, implementation research using effectiveness-implementation hybrid designs and health system research. The NISA-MIRCs have a cumulative potential to recruit 60 000 women living with HIV and an age-matched cohort of HIV-uninfected women. We conducted a needs assessment, convened several stakeholder outreaches and engagement sessions, and established a governance structure. Additionally, we selected and trained a core research team, developed criteria for site selection, assessed site readiness for research and obtained ethical approval from a single national institutional review board. We used the Exploration, Preparation, Implementation, Sustainment framework to guide our reporting of the process in the development of this network. The NISA-MIRCs will provide a nationally representative infrastructure to initiate new studies, support collaborative research, inform policy decisions and thereby fill a significant research infrastructure gap in Africa’s most populous country

Alliance · Business · Capacity building · Clinical trial · Economic growth · Environmental planning · Environmental resource management · Geography · Political science · Public relations · Stakeholder · Stakeholder engagement · Ethics in Clinical Research · Health Policy Implementation Science · Health Systems, Economic Evaluations, Quality of Life · Medicine

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Unique citing works3
Citations per year1
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3
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