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Table 4 Influencing Factors on Health Research Capacity Strengthening

From: A narrative review of health research capacity strengthening in low and middle-income countries: lessons for conflict-affected areas

Domain Positive Influences Negative Influences
Financing & Sustainability Access to Funding [28, 32, 38, 95] Inability to access funding [25, 31, 38, 89, 94, 96,97,98,99]
Continuity of funding [28, 30, 31, 38,39,40, 89, 97] Short-term research funding [30, 99, 100]
Resources Adequate and appropriate infrastructure [23, 28, 30, 31, 38, 39, 46, 74, 94, 95, 99, 101, 102] Demands of clinical service delivery limiting staff participation in research [38, 39, 89, 92, 96, 103]
Stewardship & Leadership North-South Partnerships [24,25,26, 28, 34, 39, 46, 88, 91,92,93,94, 102, 104,105,106] Weak scientific leadership [39, 40, 92, 96, 99, 102]
Capable leadership [23, 30, 39, 71, 95] Integrating new initiatives into existing systems [25, 107]
   Strong external (political) influence on institutions [39, 72, 94, 108]
Mentorship Sustained mentorship [24, 25, 30, 38,39,40, 44, 73, 89, 101, 105, 109] Absent mentorship [76, 96, 99]
Partnerships Creating networking opportunities [25, 94, 110,111,112] Differing expectations of partners [33]
Equity in collaboration/shared decision-making [2, 3, 23, 26, 30, 33, 37, 39, 45, 88, 106, 111, 113,114,115]
Sustained collaboration over time [114]
History of collaboration/pre-existing relationships [23, 33, 114]
Production & Utilisation of Research Ability to attract young dedicated scientists [24, 39] Poor incentives to conduct research [24, 39, 91, 116, 117]
Research addressing policy gaps and local needs [23, 24, 28, 30, 46, 92, 93, 102, 104, 114] Culture/attitude barriers [38, 117, 118]
Local leadership and claim-making [23, 26, 28, 45, 46, 69, 88, 93, 102, 114] Difficulty publishing in international journals/scarcity of local journals [38, 44, 119]
Research governance structures [23, 28, 30, 89, 91,92,93, 114, 120] Low staff and stakeholder retention [25, 30, 102, 108]
Favourable political conditions [24, 28, 30, 39, 117] Neglect of skills [25, 99]
   Failure to link research to policy [26, 102, 116, 121]