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Outline
RESEARCH METHODOLOGY
• Introduction for Research
FOR MASTERS OF PUBLIC HEALTH STUDENTS
• Literature Review
By Dejene S
• Objective
Assistant Professor of Epidemiology
Email: sdejene1@gmail.com
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Introduction
• It is a mental road map that must answer these questions for the
Writing an introduction for a research readers:
• The introduction serves as the purpose of leading the reader from a general
subject area to a particular field of research. • What is this?
• It states the purpose of the work in the form of the hypothesis, question, or • How will this study advance our knowledge?
research problem, and briefly explaining the rationale of the study.
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• A well-written introduction is important because, you might not get a • Add a relevant quotation or surprising story to the beginning of your
second chance to make a good impression. introduction, this technique will hold the interest of your reader.
• Be concise.
• The opening paragraph of your paper will provide your readers with
their initial impressions about the logic of your argument, your - Research papers may cover complex topics.
writing style, the overall quality of your research, and, ultimately, the - try to write as clearly as possible.
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• Think of the structure of the introduction as an • An introduction of research often written after
inverted triangle of information. literature and method parts
- present more general aspect of the topic early
• it has three sub areas
- then narrow toward specific and contextual
information
i. Background Information
- finally arriving at your statement of purpose
ii. Statement of the Problem
and rationale.
iii. Significance of the Study
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- Its effects/impact on the health service programs - Identification of key concepts and terms
- Being a problem which concerns the planners, policy makers and the - Conveyance of the study's importance, benefits, and justification
communities at large.
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• After reading the problem statement, the reader will know why you Importance of problem statement
are doing this study & be convinced of its importance. • Get to answers faster
• The fact that nothing like this has ever been done before might • Use time and resources more efficiently
A Problem Statement Must Pass ROC Test. Show the Study Is:
- It is the foundation for further development of the research proposal
(research objectives, methodology, work plan, budget, etc.). • Researchable:- the problem can be answered by collecting and
analyzing data. (Doable)
- This is the place where most committee members go first to
understand and assess the merits of a proposal.
• Original:- Has not been done previously and creates new knowledge.
- It is important to highlight when you present your project to (Can be a repetitive study with new population/passage of time).
community members, health staff, relevant ministries and donor
agencies who need to support your study or give their consent. • Contributory:- Make a difference in profession. Or In society
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Examples: - Statement of the Research Problem: • There are no studies that have examined the factors contributing to
unattended delivery despite high overall service coverage and antenatal
• ANC coverage of the city is estimated at 86% ,,,,,,,,, (with ref). Despite care coverage in city. Many health institutions attempt to improve the
this high coverage of ANC only 56% of pregnant women give birth in situation through training of traditional birth attendants, expanding health
education and community mobilization activities,,,,,,,, (with ref).
health institutions ,,,,,,,,, (with ref), while the remaining 44% deliver
elsewhere, including unattended home deliveries. Unattended deliveries • However, these efforts are not based on systematic evidence into possible
determinants of the prevailing practice. The present study is intended to
are known to be associated with maternal and perinatal morbidity and contribute a bridging the information gap, and subsequently the coverage
mortality, such as antepartum hemorrhage (APH), postpartum of unattended deliveries in the city.
hemorrhage (PPH), birth trauma, infection, and fistula ,,,,,,,,, (with ref). • What could be the title for the above description?
Title: magnitude of unattended delivery and its associated factors among women
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delivered
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in last 12 months in ….. Dejene S 20
will benefit from it. • To develop strategies for inventing, organizing, and drafting a
literature review.
• The significance of the study, also known as the rationale of the study, is
• To help you cite sources appropriately.
important to convey the reader why the research work is important.
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Literature Review
Here are some of the most commonly used databases for health research:
• Article: - A scholarly paper written by an expert in the field and often peer- - EMBASE – owned by Elsevier with over 29 million records.
reviewed by other experts before publication. - MEDLINE – contains more than 22 million biomedical published articles
These databases are commonly used by credible medical search engines. You
• Database: - A searchable collection of articles from thousands of scholarly
journals and other sources. can use them to find articles and reports on various public health topics.
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• Scopus and Science Direct are also other research databases. Here are some of the world's top medical journals according to Health Writer
Hub:
• Scopus is the largest abstract and citation database of peer-reviewed 1. New England Journal of Medicine (NEJM)
literature. 2. Nature
3. The Lancet
4. The British Medical Journal (BMJ)
• ScienceDirect is a full-text scientific database that offers journal articles
5. Annals of Internal Medicine
and book chapters from more than 3,800 peer-reviewed journals and 6. The Journal of the American Medical Association (JAMA)
more than 35,000 book titles.
• You can also check out Scimago Journal & Country Rank for more journal
rankings on health science. Scimago Journal & Country Rank (scimagojr.com)
Here are some more medical journals you can check out:
Here are some reputable public health journals:
1. Annals of Anatomy
1. American Journal of Public Health
2. Indian Pediatrics
3. European journal of plant pathology 2. Annual Review of Public Health
4. American Journal of Ophthalmology 3. BMC Public Health
5. The Journal of Pediatrics 4. Bulletin of the World Health Organization
6. American Journal of Obstetrics and Gynecology 5. International Journal of Public Health
7. JAMA Ophthalmology 6. Journal of Epidemiology and Community Health
8. Public Health Reports
7. Journal of Public Health Policy
9. The Lancet Neurology
8. The Lancet Public Health
10. Nature Cancer
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2. High impact factor • It includes reports, policy literature, working papers, government
3. High circulation rate documents, white papers, urban plans, and more.
4. High rejection rate • Grey literature is produced by organizations "on the ground" and is often
5. Clear editorial policies and guidelines more current than literature in scholarly journals.
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Research4Life
• Research4Life is a program that provides institutions in lower- and middle- Predatory journals (Publishing)
income countries with online access to academic and professional peer- • Predatory journals are those that charge authors fees to publish their work
reviewed content. without providing the editorial and publishing services that reputable journals
• The program aims to improve teaching, research and policy-making in health, provide.
agriculture, the environment and other life, physical and social sciences.
• They often have low standards for peer review and may publish articles
Hinari: https://portal.research4life.org/
without proper review.
User Name: ETH120 & Password: 86226
• Reputable journals, on the other hand, have a rigorous editorial process and
provide high-quality peer review.
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Literature Review
• LR is an overview of previous researches on your research topic,
‘A researcher cannot perform significant research without first • It is a comprehensive review of all published research that is relevant
understanding the literature in the field’ (Boote and Beile, 2005: 3)
to your proposed investigation and guided by the research objectives
• The literature review is an integral part of the entire research process • It demonstrates to your readers how your research fits into the larger
and makes a valuable contribution to almost every operational step.
field of study.
• A literature review surveys scholarly articles, books and other
• A literature review may consist of both summary and synthesis.
sources relevant to a particular issue, area of research, or theory, and
- A summary is a recap of the important information of the source, but
• It provides a description, summary, and critical evaluation of these
- A synthesis is a re-organization, or a reshuffling, of that information
works.
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•6/30/2023
Locates your own research withinDejene
the S
context of existing literature 36
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• Review results
• Synthesis results
• Analyze results
• Write up
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Research Process Reality
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• Read, read and read some more! • Take discussion with a grain of salt; (Edges are smoothed out, Pay
attention to limitations)
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Review results
• After you have a broad understanding of the 10 to 15 papers, you can Review results cont.…
start to see patterns:
•Keep a record of the literature you collect
- Groups of scientists argue or disagree with other groups. For
example, Some researchers think x causes y, others that x is only • Record where and when you retrieved the information
a moderating variable
• Use a citation manager software like Zotero, or RefWorks or EndNote
• Once you have familiarised yourself with the literature, annotate the
bibliography. Annotation is a brief summary of the main point/s of • Better to record too many references, hence spend hours trying to
each article.
relocate documents
• Produce a bibliography which will also act as your reading list.
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• What are the relationships between these key concepts, factors/variables? • In the notes include: (purpose of study reviewed, synopsis of content,
• What are the existing theories? research design, and brief review of findings)
• Where are the inconsistencies or other shortcomings in our knowledge? • Once notes complete, organize common themes together. Some people do
• What views need to be (further) tested? this in a word document, others use index cards so they can shuffle them.
• What evidence is lacking, inconclusive, contradictory or too limited? • Some people construct a table of info to make it easier to organize their
thoughts.
• Why study (further) the research problem?
• What contribution can the present study be expected to make? • As you organize your review, integrate findings produced from note taking
• What research designs or methods seem unsatisfactory? or table making process.
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Writing Your Literature Review • Use Quotes rarely: - Some short quotes are okay if you want to
• Once you've settled on how to organize your literature review, you're ready emphasize a point, or if what the author said just cannot be rewritten in
to write each section. When writing your review, keep in mind these issues. your own words
• Use Evidence: - A literature review in this sense is just like any other
• Summarize and Synthesize: - Remember to summarize and synthesize
academic research paper. Your interpretation of the available sources must
be backed up with evidence to show that what you are saying is valid. your sources within each paragraph as well as throughout the review.
• Be Selective:- Select only the most important points in each source to • Use Caution When Paraphrasing: - When paraphrasing a source that is
highlight in the review. The type of information you choose to mention not your own, be sure to represent the author's information or opinions
should relate directly to the research problem, whether it is thematic,
accurately.
methodological, or chronological.
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Write up cont.…
Structure and Writing Style
Introduction to the L review
• The structure of a literature review should include the following: ▪ Content - what is covered
▪ Structure - how it is organized
• An overview of the issue, along with the objectives of the literature review, ▪ Boundaries - what is outside of its scope
SECTION 2 ADDITIONAL
• Division of works under review into themes or categories Body of the L Review
The next most important SECTIONS
SECTION 1
topic or a key concept ▪ Follow the
The most important topic or a key concept
• An explanation of how each work is similar to and how it varies from the ▪ discussed and evaluated same pattern
▪ discussed and evaluated
▪ summarized and related
others, ▪ summarized and related to your research to your research project
Conclusion
• Conclusions about which parts of their argument are most effective, which From each of the section summaries,
▪ highlight the most relevant points
support their arguments the best, and which are most useful for ▪ relate these back to the need for research
▪ reiterate what these mean for the
understanding and furthering their field of study. research design
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Ways to Organize Your Literature Review The analytical features of a literature review:
• Chronological: - depending on the nature of your literature and development of ideas, a • Give a new interpretation of old material or combine new with old
chronological approach will present the development of a key trend or progressions over interpretations,
time
• By Publication: - Order your sources by publication chronology, then, only if the order • Trace the intellectual progression of the field, including major debates,
Common Mistakes to Avoid: - These are the most common mistakes made in
reviewing research literature. Characteristics of Effective Literature Reviews
• Sources in your literature review do not clearly relate to the research problem;
• Outlining important research trends
• You do not take sufficient time to define and identify the most relevant;
• Uncritically accepts another researcher's findings and interpretations as valid, • Assessing the strengths and weaknesses of existing research
rather than examining critically all aspects of the research design and analysis;
• Identifying potential gaps in knowledge
• Does not describe the search procedures that were used in the literature review;
• Establishing a need for current and/or future research projects
• Only includes research that validates assumptions and does not consider contrary
findings and alternative interpretations found in the literature.
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• Reader can locate for further information if required • Shows writing based on knowledge by appropriate academic reading
• Validate arguments, Universal applicability
• Enables person reading your work to trace source used/give credit for
• Making a system faithful to its objectives, whatever they may be.
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effort/quality
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Your benefit
• To show off! Plagiarism includes
• To add authority to your argument
1. Using another writer’s words without proper citation
• To add credibility to your information
Reader’s benefit 2. Using another writer’s ideas without proper citation
• To understand the context of your work
3. Citing a source but reproducing the exact word without quotation marks
• To allow your reader to track down your research
Ethical reasons: 4. Borrowing the structure of another author’s phrases/sentences without
• Intellectual integrity giving the source
• To distinguish between:
5. Borrowing all or part of another student’s paper
• Your ideas or Someone else’s ideas
• Intellectual property issues 6. Using paper-writing service or having a friend write the paper
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Conceptual framework should cover Where does the conceptual framework fit in - Research?
- Research problem:
- Establishment of the tentative relationships between the dependent and
- Aims and objectives:
independent variables included in the study.
- Literature review:
- Visualizing conceptual causal threads to form a representation of inter- - Research questions:
relatedness among the identified issues or variables. - Data collection and analysis:
- Interpretation of the results:
- Identification of possible answers to the research questions - Evaluation of the research:
- How are the possible answers to the question explained and defended? - Provides structure for the whole study based on literature and
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personal experience.
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Research Objective
What is Research Objective
• Research objective is a statement that clearly depicts the goal to be
Learning Objective achieved by a research project.
At the end of the session participants should be able to
• The objectives of a research project summarize what to be achieved by
• Define & describe the difference between general & specific objectives the study.
• Describe why & when a research objective should be developed
• Discuss the characteristics of a good research objective
• The formulation of study objectives is an essential step in the planning
of a study.
• Define what a research hypothesis is
• It is said that “a question well-stated is a question half-answered”, but a
question that is poorly stated/unstated is unlikely to be answered at all.
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• Specific:- Goals should be simplistically written and clearly define what • Realistic/Relevant:-Will this objective have an effect on the desired goal
you are going to do, What Why, and How? or strategy? Goals should measure outcomes, not activities.
• Measurable:- Goals should be measurable, so that you have tangible • Time-bound:- Goals should be linked to a time frame that creates a
evidence that you have accomplished the goal. practical sense of urgency, or results intension between the current
• Attainable/Achievable:- Can we get it done in the proposed time frame reality and the vision of the goal.
with the resources and support we have available?
• Properly formulated, Objectives will facilitate the development of your
• You must possess the appropriate knowledge, skills, and abilities
research methodology and will help to orient the collection, analysis,
needed to achieve the goal.
interpretation and utilization of data.
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E.g. if the research question is “what is the level of COVID-19 vaccine E.g. A researcher wants to assess hindering factors for first-line anti-retroviral
acceptance and related factors” treatment failure among adult HIV patients on ART in a given zone or region.
General Objective
General objective
• To assess determinant factors for First-line anti-retroviral treatment failure among
• To assess the prevalence of COVID-19 vaccination uptake and its associated
Adult HIV positive patients on ART
factors among households of a given community.
Specific Objectives
Specific Objectives • To identify medical factors contribute for first-line antiretroviral treatment failure
• To determine the prevalence of COVID-19 vaccination uptake among among adult HIV Patients on ART
households of a given community
• To identify patient related factors associated with first-line antiretroviral treatment
failure among adult HIV Patients on ART
• To identify factors associated with COVID-19 vaccination uptake among
households of a given community. • To identify drug related factors of first-line antiretroviral treatment failure among
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adult HIV Patients on ART
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Research objectives can be stated as: Exercise: if the researcher wanted to know the recovery time of under
five children from severe pneumonia and related factors.
• Questions - the objectives of this study are to answer ….
• Positive sentence - the objectives of this study are to find out, to establish, General objective
• To estimate median time to recovery and its predictors among under-
to determine, …
five children admitted with severe pneumonia
• Hypothesis - the objective of this study is to verify the following
Specific objectives
hypothesis…..
• To estimate median time to recovery from severe pneumonia among
• Based on the type of the study problem, it might be possible to develop under-five children admitted
explanations for the problem that can be tested. If so, we can formulate
• To identify predictors affecting recovery time among under-five
hypotheses in addition to the other study objectives. children admitted with severe pneumonia
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