title: Developing a biostatistical support system in a resource-restricted academic institution in Africa: making it happen.
abstract: BACKGROUND
  In order to address and support biostatistics for health research, the Health Sciences Research Office of the University of the Witwatersrand sought to introduce training in biomedical statistics to sustain research and postgraduate education. The experiences encountered in setting up such statistical support in a limited resource, developing country are discussed here.
  
  
  METHODS
  Two cross-sectional surveys (a) statistical needs assessment (2009) and (b) feedback (2010-11) on the statistical support through biostatistics courses and consultations were conducted. These surveys were supplemented with information such as graduations, research publication output and costs of setting up the support.
  
  
  RESULTS
  Seventy-three percent of respondents favoured short courses with "hands-on" practice. Eighty-nine percent agreed that these courses should be run and coordinated by the Health Sciences Research Office instead of the departments. There was use of varied statistical packages requiring one package for standardised support. The numbers of postgraduate students attending short courses in statistics increased from 2010 to 2012 as did the numbers attending statistical consultations. Graduations and publication outputs increased over this period of time although this may not be directly linked solely to the biostatistical support system introduced.
  
  
  CONCLUSIONS
  There is a distinct need for biostatistics training in developing countries and the process described in this study could be replicated in any health sciences institution, especially in a resource-restricted environment.
authors.affiliation: Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa. tobias.chirwa@wits.ac.za.|Health Sciences Research Office, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa. tobias.chirwa@wits.ac.za.
authors.forename: Tobias
authors.initials: T
authors.lastname: Chirwa
authors.affiliation: Health Sciences Research Office, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa. Beverley.kramer@wits.ac.za.
authors.forename: Beverley
authors.initials: B
authors.lastname: Kramer
authors.affiliation: Health Sciences Research Office, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa. Elena.libhaber@wits.ac.za.|School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa. Elena.libhaber@wits.ac.za.
authors.forename: Elena
authors.initials: E
authors.lastname: Libhaber
mesh_terms: D000349:Africa; D035843:Biomedical Research / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D056808:Biostatistics / Q000379:methods*; D003430:Cross-Sectional Studies; D004503:Education, Medical, Graduate / Q000379:methods / Q000592:standards*; D006801:Humans; D020380:Needs Assessment; D011795:Surveys and Questionnaires