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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 27, No 3, May/June 2016

196

AFRICA

outside SSA. Eight of the 10 SSA countries had international

collaborations on more than 50% of their publications. South

Africa had the largest output over the decade with 1 016

publications, which was more than all the other SSA countries

combined. Collaboration with other countries accounted for

50% of the output from South Africa, compared with 23% from

Nigeria, which was the lowest in SSA. All of the publications

from Zimbabwe involved collaboration with other countries.

International collaboration in CVR in sub-Saharan

Africa

Table 2 presents the extent of collaboration in CVR between

the countries in SSA and the most frequent partner countries

outside the region. The data reflect instances of collaboration

between pairs of countries based on their co-occurrence in the

author affiliations of a given publication. In network analysis

terms, this is equivalent to the number of edges that any two

countries share. The numbers in parentheses represent the

percentage of the SSA country’s total instances of collaboration

that involved the non-SSA country or all of SSA.

South Africa recorded the highest instances of collaboration

in SSA, with 15% of those occurring with the USA. Countries

in SSA accounted for 4% of South Africa’s instances of

collaboration in CVR. Nigeria had the second highest instances

of collaboration in CVR, with the majority of these occurring

with the USA. Cameroon and Senegal had most of their

collaborations outside SSA with France, and the two countries

also had the highest percentages of collaboration instances with

SSA, at 37 and 41%, respectively.

Table 3 presents the instances of collaboration between the top

10 SSA countries in CVR. The numbers in parentheses represent

the percentage of an SSA country’s collaborations within SSA

that occurred with the paired SSA country. The highest number

of instances of collaboration occurred between South Africa

and Nigeria,

15

and this accounted for 27% of South Africa’s SSA

collaborations and 58% of Nigeria’s SSA collaborations. South

Africa accounted for the majority of instances of collaboration

for eight of the countries, with the exception of Senegal, which

collaborated mostly with Cameroon.

The network of collaboration in CVR between countries in

SSA can be visualised in Fig. 2. The network is based on the

subset of publications in which more than one SSA country was

present from authors’ affiliations. A total of 34 SSA countries

were involved in at least one instance of collaboration out of the

47 countries in the region. The size of any vertex is proportional

to the degree centrality, i.e. the number of countries with which

that country has an instance of collaboration.

Cameroon had the highest degree centrality

18

and eigenvector

centrality (0.087), indicating a high degree of collaboration

with other countries in the region, and playing a role as a

boundary spanner linking the French-speaking countries with

most of the English-speaking countries. The width of the edges

connecting pairs of countries is proportional to the frequency

of co-authorship or collaboration between these countries.

The thickest edge occurs between South Africa and Nigeria,

indicating the highest level of collaboration in CVR in the

region. South Africa also has strong collaboration in CVR with

Zimbabwe, Ghana and Mozambique.

Table 1. Number of cardiovascular research publications by

the top 10 countries in sub-Saharan Africa, 2005–2014

Country

Total number

of articles

published

Number of articles

that involved

international

collaboration

Percentage of

articles that involved

international

collaboration

South Africa

1016

507

50

Nigeria

228

52

23

Kenya

46

27

59

Cameroon

45

35

78

Uganda

37

30

81

Mozambique

35

31

89

Ghana

29

23

79

Senegal

29

13

45

Tanzania

17

15

88

Zimbabwe

12

12

100

Total

1494

745

50

Table 2. Number of instances of cardiovascular research collaboration

between the top 10 countries in sub-Saharan Africa and the most

frequent non-SSA partner countries, 2005–2014

Total

USA

(%)

England

(%)

Italy

(%)

France

(%)

Germa-

ny (%)

Canada

(%)

SSA

(%)

South Africa 1379 208 (15) 116 (8) 78 (6) 56 (4)

84 (6) 52 (4) 55 (4)

Nigeria

112 16 (14) 8 (7)

2 (2) 2 (2)

4 (4) 2 (2) 26 (23)

Cameroon

87 7 (8)

3 (3)

4 (5) 9 (10) 5 (6)

– 32 (37)

Uganda

82 17 (21) 10 (12) 7 (9) 4 (5)

3 (4) 3 (4) 12 (15)

Zimbabwe

76 1 (1)

5 (7)

2 (3) 1 (1)

– 4 (5) 16 (21)

Mozambique 61 5 (8)

6 (10)

– 14 (23) 1 (2) 2 (3)

9 (15)

Kenya

54 15 (28) 7 (13) 1 (2) 1 (2)

2 (4) 1 (2) 10 (19)

Ghana

51 8 (16) 4 (8)

– 2 (4)

5 (10) – 16 (31)

Tanzania

36 4 (11) 6 (17) 1 (3) 1 (3)

– 8 (22)

Senegal

34 2 (6)

1 (3)

– 8 (24)

– 14 (41)

The numbers in parentheses represent the percentage of the SSA country’s total

instances of collaboration that involved a non-SSA country or all of SSA.

Guinea

Benin

Togo

Congo

Zambia

Mauritius

Madagascar

Namibia

Ethiopia

Eritrea

Angola

Sudan

DR Congo

Seychelles

Chad

Gabon

Burkina Faso

Cote Ivoire

Mauritania

Mali

Botswana

Senegal

Nigeria

Ghana

Uganda

Tanzania

Cameroon

South Africa

Mozambique

Zimbabwe

Kenya

Malawi

Gambia

Rwanda

Fig. 2.

Network of cardiovascular research collaboration

among countries in SSA. The 10 countries in red

are those with the highest number of publications in

cardiovascular research from 2005 to 2014. The width

of the edges between countries reflects the extent of

collaboration between the pair based on co-authorship.