Table 5.

Ranked context-specific issues

Rank	Context-specific issue	Score	Frequency in first rank
1	Economic evaluations not included as a part of the decision-making process	26	39%
2	Limited local capacity to conduct or contextualise research	19	29%
3	Lack of funding for the necessary research	10	15%a
4	Misunderstandings and communications weaknesses between researchers, academia and end-users of the evidence	10	15%
5	Absence of local journal with a high-quality reviewing processes	1	2%

^aThe rank takes account of frequencies in the regional analysis