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

AFRICA

197

International collaboration and citation impact

Table 4 presents the 10-year trend in bibliometric outcomes

for publications in CVR with authorship involving SSA. The

table also compares research output and citation impact for

publications with single-country authorship (SCP) and those

with multi-country authorship (MCP). Overall, there was a

consistent increase in the total number of publications and total

number of citations each year from 2005 to 2014. The total

number of publications over the 10-year period was similar for

SCP and MCP, as shown by the publication ratio, with a slight

increase from 0.7 in 2005 to 1.2 in 2014. Total citations rose from

20 in 2005 to 2 973 in 2014.

There were substantial differences between the SCP and

MCP in the citation frequency and citation rate (CR, number of

citations per publication) throughout the period of analysis. On

average, the annual citation frequency for MCP was 3.4 times

higher than the annual citation frequency for SCP. Over 10 years,

the total number of citations for the MCP was 10 116, compared

to 3 117 for the SCP. Comparisons of citation rates for the two

categories using the annual CR ratio showed that the CR for

MCP was on average 3.6 times higher than that for SCP.

Discussion

This study provides a 10-year picture of the range, volume

and scientific impact of international collaboration in

cardiovascular research in sub-Saharan Africa. The absence

of published literature on this issue suggests that this is the

first study that evaluates the comparative output of SSA

countries in cardiovascular research and examines the patterns

of co-authorship involving country-level affiliations within and

outside SSA.

A study in 2005 on estimates of the global production in

CVR showed that the scientific productivity of Africa (which

included SSA and countries in North Africa) over the period

1995 to 2002 was the lowest of all the world regions, accounting

for 0.3% of the global output in the field.

18

Over the eight-year

period, Africa produced 212 articles in the 38 journals included

in the study, with a fairly constant average annual output of 27

articles per year.

In the present study, the annual output for SSA increased

constantly from 88 in 2005 to 225 in 2014. The higher annual

output in this study may be due to the difference in search

methodology, in which published articles were not restrictively

drawn from the 38 journals in the ‘Cardiac and Cardiovascular

Systems’ category of ‘Journal Citation Report’ as was done in

the study mentioned above.

18

In general, there appears to be a

gradual increase in research output in this field in SSA, although

the contribution of the region to the global output remains very

low.

Some of the reasons for the lower research productivity in

SSA were mentioned above – lack of resources for research,

the fewer number of research institutions, weak government

support, and the dearth of skilled researchers in many fields of

Table 4. Comparison of annual count and citations for single-country (SSA) authored and multi-country (international) authored cardiovascular

research publications

All publications

Single-country publications (SCP)

Multi-country publications* (MCP)

Comparisons (MCP/SCP)

Year

Total

publications

Total

citations Publications Citations

Citation rate

(CR) Publications Citations

Citation rate

(CR)

Publication

ratio

Citation

ratio

CR ratio

2005

88

20

51

4

0.1

37

16

0.4

0.7

4.0

5.5

2006

101

247

55

52

0.9

46

195

4.2

0.8

3.8

4.5

2007

108

547

58

122

2.1

50

425

8.5

0.9

3.5

4.0

2008

149

702

66

150

2.3

83

552

6.7

1.3

3.7

2.9

2009

156

1008

88

231

2.6

68

777

11.4

0.8

3.4

4.4

2010

163

1247

84

325

3.9

79

922

11.7

0.9

2.8

3.0

2011

164

1762

82

425

5.2

82

1337

16.3

1.0

3.1

3.1

2012

197

2104

96

498

5.2

101

1606

15.9

1.1

3.2

3.1

2013

218

2623

105

581

5.5

113

2042

18.1

1.1

3.5

3.3

2014

225

2973

101

729

7.2

124

2244

18.1

1.2

3.1

2.5

Total

1569

13233

786

3117

4.0

783

10116

12.9

1.0

3.2

3.3

Average

157

1,323

79

312

3.5

78

1012

11.1

1.0

3.4

3.6

*This refers to all multi-country publications that included at least one SSA country among the author affiliations.

Table 3. Number of instances of cardiovascular research collaboration between the top 10 countries in sub-Saharan Africa, 2005–2014

South Africa

(%)

Nigeria

(%)

Cameroon

(%)

Uganda

(%)

Zimbabwe

(%)

Mozambique

(%)

Kenya

(%)

Ghana

(%)

Tanzania

(%)

Senegal

(%)

All SSA

(%)

South Africa

15 (27)

5 (9)

2 (4)

8 (15)

8 (15)

3 (5)

6 (11)

1 (2)

1 (2)

55

Nigeria

15 (58)

2 (8)

1 (4)

1 (4)

1 (4)

1 (4)

2 (8)

26

Cameroon

5 (16)

2 (6)

1 (3)

1 (3)

3 (9)

1 (3)

4 (13)

32

Uganda

2 (17)

1 (8)

1 (8)

1 (8)

1 (8)

1 (8)

12

Zimbabwe

8 (50)

1 (6)

1 (6)

1 (6)

1 (6)

16

Mozambique

8 (89)

9

Kenya

3 (30)

1 (10)

2 (20)

10

Ghana

6 (38)

1 (6)

3 (19)

2 (13)

16

Tanzania

1 (13)

1 (13)

1 (13)

1 (13)

1 (13)

8

Senegal

1 (7)

2 (14)

4 (29)

14

Numbers in parentheses are row percentages using the total number of instances of collaboration with all countries in SSA as denominator.