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      Research capacity strengthening in South Asia: based on the experience of South Asian Hub for Advocacy, Research and Education on Mental Health (SHARE)

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          Abstract

          The South Asian Hub for Advocacy, Research and Education (SHARE) was a five-year National Institute of Mental Health (NIMH)-funded program that aimed to stimulate the research base for task-shifting mental health interventions to address the mental health treatment gap in low and middle-income countries. During its 5 years (2011–2016) SHARE made notable accomplishments, including providing 20 studentships for short courses and ten fellowships to conduct mentored study, developing a new humanitarian research training course, implementing distance learning courses, creating an online repository of training materials, creation of a network of public health researchers at different career stages in South Asia, strengthening of partnerships amongst institutions of SHARE network and supporting its member's to produce peer reviewed publications. Furthermore, additional research capacity building and research grants leveraged on SHARE network were secured. The salient lessons learned in the 5-year program were that research capacity-building opportunities need to be tailored to the local context, as SHARE sought to develop and support courses that can build the capacities in specific areas identified as weak in the South Asian region. Mentoring was recognized as a critical component for which innovative and effective models of mentoring in the region need to be developed. Diverse platforms and mediums ought to be utilized to deliver the research training programs. Finally, research capacity-building program requires collaborative efforts of multiple stakeholders working locally, nationally and globally to attain the maximum impact in a region.

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          Most cited references9

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          The metrics of the physician brain drain.

          There has been substantial immigration of physicians to developed countries, much of it coming from lower-income countries. Although the recipient nations and the immigrating physicians benefit from this migration, less developed countries lose important health capabilities as a result of the loss of physicians. Data on the countries of origin, based on countries of medical education, of international medical graduates practicing in the United States, the United Kingdom, Canada, and Australia were obtained from sources in the respective countries and analyzed separately and in aggregate. With the use of World Health Organization data, I computed an emigration factor for the countries of origin of the immigrant physicians to provide a relative measure of the number of physicians lost by emigration. International medical graduates constitute between 23 and 28 percent of physicians in the United States, the United Kingdom, Canada, and Australia, and lower-income countries supply between 40 and 75 percent of these international medical graduates. India, the Philippines, and Pakistan are the leading sources of international medical graduates. The United Kingdom, Canada, and Australia draw a substantial number of physicians from South Africa, and the United States draws very heavily from the Philippines. Nine of the 20 countries with the highest emigration factors are in sub-Saharan Africa or the Caribbean. Reliance on international medical graduates in the United States, the United Kingdom, Canada, and Australia is reducing the supply of physicians in many lower-income countries. Copyright 2005 Massachusetts Medical Society.
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            Capacity Building in Global Mental Health Research

            Research-generated information about mental disorders is crucial in order to establish the health needs in a given setting, to propose culturally apt and cost-effective individual and collective interventions, to investigate their implementation, and to explore the obstacles that prevent recommended strategies from being implemented. Yet the capacity to undertake such research in low- and middle-income countries is extremely limited. This article describes two methods that have proved successful in strengthening, or that have the potential to strengthen, mental health research capacity in low-resource settings. We identify the central challenges to be faced, review current programs offering training and mentorship, and summarize the key lessons learned. A structured approach is proposed for the career development of research staff at every career stage, to be accompanied by performance monitoring and support. A case example from the Mental Health and Poverty Project in sub-Saharan Africa illustrates how this approach can be put into practice—in particular, by focusing upon training in core transferrable research skills. (harv rev psychiatry 2012;20:13–24.)
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              International representation in psychiatric literature: survey of six leading journals.

              Despite the growing recognition of the global burden of psychiatric disease, there are questions about the strength of the evidence base from non-Western societies. To compare the contribution of Euro-American countries and the rest of the world (RoW) to psychiatric literature. Survey of the country of origin of papers submitted to and published in six leading psychiatric journals over a 3-year period (1996-1998). Only 6% of the literature is published from regions of the world that account for over 90% of global population. The three journals published in Europe had a significantly higher proportion of international articles when compared to the three American journals. Less than 1% of all published articles described mental health interventions in the ROW: Acceptance rates were significantly lower for papers submitted from the ROW: There is a gross under-representation of research from the ROW: This has implications for the development of a truly international psychiatry.
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                Author and article information

                Journal
                Glob Ment Health (Camb)
                Glob Ment Health (Camb)
                GMH
                Global Mental Health
                Cambridge University Press (Cambridge, UK )
                2054-4251
                2017
                16 May 2017
                : 4
                : e9
                Affiliations
                [1 ]Center for Chronic Conditions and Injuries, Public Health Foundation of India , New Delhi, India
                [2 ]Institute of Psychiatry, WHO Collaborating Center for Research and Training in Mental Health , Pakistan
                Author notes
                [* ]Address for correspondence: M. Sharma, Center for Chronic Conditions and Injuries, Public Health Foundation of India , New Delhi, India. (Email: mona.sharma@ 123456phfi.org )
                Article
                S205442511700005X 00005
                10.1017/gmh.2017.5
                5454785
                28596910
                56bb86ab-9d7f-4af5-8d36-5b6c2511577a
                © The Author(s) 2017

                This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 15 February 2016
                : 13 February 2017
                : 27 February 2017
                Page count
                Tables: 1, References: 12, Pages: 10
                Categories
                Teaching and Learning
                Collaborative Hubs for International Research
                Brief Report

                capacity-building outcomes,low- and middle-income countries,research capacity building,south asia,teaching and learning

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