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RIR-3061 · Logged 14 October 2026

Do Cochrane research gaps on HIV, TB and maternal health lead to new trials in Southern Africa?

Systematic reviews end with implications for research, but these statements are often vague, and it is rarely checked whether anyone acts on them. The idea links research needs stated in Cochrane reviews on HIV, tuberculosis and maternal health to later registered trials in Southern Africa, and tests whether specifically worded needs are taken up more often.

Open to researchQuality 84/100Prior-standard auditP4 provenance
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In plain words

Large health reviews end by listing what we still do not know. This study would follow those lists for HIV, tuberculosis and mothers' health, and see whether anyone in Southern Africa then ran the trials they called for.

Primary research question

To what extent are the research needs stated in Cochrane reviews on HIV, tuberculosis and maternal health followed by registered trials in Southern Africa, and are specifically worded needs taken up more often than general ones?

Knowledge gap

What remains worth asking

Clarke et al. (2007) found that almost all Cochrane reviews call for more research but few specify it fully. Later audits, including two with South African authors (Mbuagbaw et al., 2016; Ruzive et al., 2024), assess how these statements are written, but not whether they lead to trials in the region.

Potential contribution

Why it may matter

Knowing which kinds of stated research need lead to trials would help review authors write recommendations that local researchers and funders can act on.

Academic placement

Academic fields and topic tags

Public healthEvidence synthesisHealth research policy

Study frame: Cochrane reviews on HIV, tuberculosis and maternal health over a defined period, linked to trials in the Pan African Clinical Trials Registry and other registries. · Method signals: Document analysis, Trial-registry linkage, Descriptive statistics

Possible study pathways

One question, different levels

Honours

Take one disease area and check a sample of review recommendations against the Pan African Clinical Trials Registry.

Research master’s

Compare uptake across the three areas and test whether specific recommendations are taken up more often.

Doctoral

Add interviews with trialists and funders on how review recommendations shape their agendas.

originality
Moderate
methodology
Moderate
Data access
Accessible
ethics
Accessible

Quality and audit

84/100 quality

Safeguard-based audit was not recorded under the prior standard.

  • Builds on, and is distinct from, existing audits
  • Accessible public data
  • Direct regional relevance
Current safeguards were not recorded

This older record can be checked against the current standard on request. It changes only if every academic gate and independent safeguard passes.

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Provenance

Research Idea curation

  • DOI and bibliographic metadata independently resolved through Crossref
  • The abstract reports how often reviews specify research needs
  • The uptake study is an inferred direction

The public contributor code contains no name or account email.

APA 7 source

Clarke, L., Clarke, M., & Clarke, T. (2007). How useful are Cochrane reviews in identifying research needs? Journal of Health Services Research & Policy, 12(2), 101–103. https://doi.org/10.1258/135581907780279648

Abstract: results on implications for research

This is an AI-inferred direction. The source authors did not state it as a recommendation.

Open source ↗

This registered research direction is a starting point for academic work. It does not claim to be a completed proposal or to establish novelty.

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