Sexual Health

Impact of a comprehensive two-year research capacity intervention with sexual and reproductive health researchers in Sub-Saharan Africa.

TL;DR

A two-year research capacity intervention with faculty members and clinicians in Uganda and Rwanda significantly improved research competence on nearly every item of the CRAI-12 scale, with the exception of confidence in asking staff to leave the project team and locating appropriate grant application forms.

Key Findings

The research training intervention significantly improved participants' self-efficacy in designing and collecting data (Factor 1 of the CRAI-12 scale).

  • Pre-post intervention design was employed using the Clinical Research Appraisal Inventory (CRAI)-12 scale
  • 84 participants had complete baseline data and 77 had complete endline data
  • Participants were faculty members and clinicians from Uganda and Rwanda
  • Improvement was statistically significant (p < 0.05)

Participants showed significant improvements in Reporting, Interpreting and Presenting research findings (Factor 2 of the CRAI-12 scale) after the intervention.

  • Assessed using the CRAI-12 scale pre- and post-intervention
  • Statistically significant improvement (p < 0.05)
  • Descriptive statistics, chi-squared and Kruskal Wallis tests were used to analyze data
  • Data interpretation was guided by the Social Cognitive Career Theory

Significant improvements were observed in Conceptualizing and Collaborating (Factor 3 of the CRAI-12 scale) following the training program.

  • Improvement was statistically significant (p < 0.05)
  • Participants included faculty members and clinicians from Uganda and Rwanda
  • The intervention was a comprehensive two-year program focused on sexual and reproductive health research

Setting Expectations for Research Staff (part of Factor 4) improved significantly, but Confidence in Asking Staff to Leave the Project Team (also part of Factor 4) did not improve significantly.

  • Setting Expectations for Research Staff showed p < 0.05
  • Confidence in Asking Staff to Leave the Project Team was one of only two items that did not show significant improvement
  • This divergence within the same factor suggests differential responsiveness to training across management-related competencies

Describing the Funding Process (part of Factor 5) improved significantly, but Locating the Appropriate Grant Application Forms (also part of Factor 5) did not improve significantly.

  • Describing the Funding Process showed p < 0.05
  • Locating the Appropriate Grant Application Forms was one of only two items that did not show statistically significant improvement
  • These were the only two CRAI-12 items that failed to show significant improvement across the entire intervention

Protecting Study Participants (Factor 6 of the CRAI-12 scale) showed significant improvement after the research training program.

  • Statistically significant improvement (p < 0.05)
  • This finding is particularly relevant for sexual and reproductive health research contexts in Sub-Saharan Africa
  • All six factors showed at least partial significant improvement

Analyses revealed significant improvements in nearly every item on the CRAI-12 scale after the research training program.

  • 84 participants had complete baseline data while 77 had complete endline data
  • Only two items did not improve significantly: Confidence in Asking Staff to Leave the Project Team and Locating the Appropriate Grant Application Forms
  • The sample consisted of faculty members and clinicians from Uganda and Rwanda
  • The intervention was a comprehensive two-year research capacity program focused on sexual and reproductive health

The authors proposed a conceptual framework outlining hypothesized pathways through which training and skill development influence research-related career planning and progression, guided by Social Cognitive Career Theory.

  • The framework addresses self-efficacy, outcome expectations (anticipations about career-related consequences), and research-related career goals
  • Social Cognitive Career Theory was used to guide data interpretation
  • The framework hypothesizes connections between training, skill development, and career planning
  • Authors recommend future longitudinal assessments to explore sustained changes in self-efficacy and career goal development

What This Means

This research suggests that a structured two-year training program in research skills can meaningfully improve the confidence and abilities of healthcare workers and university faculty in Uganda and Rwanda to conduct scientific research. The study measured participants' research competence before and after the program using a standardized 12-item questionnaire called the CRAI-12, which covers areas like study design, data collection, reporting results, collaborating with others, managing research staff, securing funding, and protecting research participants. Out of the 12 competency areas measured, all but two showed statistically significant improvement after the training. The two areas that did not improve significantly were the ability to ask underperforming staff to leave a research project, and knowing how to locate the correct grant application forms. This research suggests these specific skills may require different or additional types of training beyond what was offered. The findings also highlight that practical, hands-on research training embedded within existing institutional structures can be both an effective and cost-efficient way to build local research capacity in low-resource settings. This research matters because strengthening the ability of local healthcare professionals and researchers in Sub-Saharan Africa to conduct high-quality research on sexual and reproductive health is critical for addressing health challenges that are specific to their communities. The authors also proposed a theoretical framework connecting training and skill-building to longer-term career development, and they call for future studies to track whether these improvements are maintained over time and whether the approach works in other settings or with different populations.

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Citation

Buser J, Tengera O, Jiang C, Kumakech E, Gray R, Mukeshimana M, et al.. (2025). Impact of a comprehensive two-year research capacity intervention with sexual and reproductive health researchers in Sub-Saharan Africa.. Reproductive health. https://doi.org/10.1186/s12978-025-02047-5