Low-and Middle-Income Countries (LMICs) in the Middle East and North Africa (MENA) region are facing increasing global health challenges with a reduced ability to manage them. Global Health Capacity Building (GHCB) initiatives have the potential to improve health workforce performance and health outcomes, however little is known about the GHCB topics and approaches implemented in this region. This is the first systematic review of GHCB initiatives among LMICs in the MENA region. An academic database search of Medline (OVID), PubMed, Scopus, Embase.com , and Open Grey was conducted for articles published between January 2009 and September 2019 in English. Next, a grey literature search following a recommended search framework was conducted. Reviewed records addressed a global health topic, had a capacity building component, looked at specific learning outcomes, and reflected an LMIC in the MENA. Primary outcomes included country, topic, modality, pedagogy, and population. Reports of GHCB initiatives were retrieved from grey sources (73.2%) and academic sources (26.8%). Most GHCB initiatives were mainly conducted face-to-face (94.4%) to professional personnel (57.5%) through a theoretical pedagogical approach (44.3%). Dominant global health themes were non-communicable diseases (29.2%), sexual and reproductive health (18.4%), and mental health (14.5%). When matched against the Global Burden of Disease data, important gaps were found regarding the topics of GHCB initiatives in relation to the region’s health needs. There were limited reports of GHCB initiatives addressing conflict and emergency topics, and those addressing non-communicable disease topics were primarily reported from Egypt and Iran. Innovative and practicum-based approaches are needed for GHCB initiatives among LMICs in the MENA region, with a focus on training community workers. Regional and country-specific analyses of GHCB initiatives relative to their health needs are discussed in the manuscript based on the results of this review.

中文翻译：

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对中东和北非地区中低收入国家的全球卫生能力建设计划进行了系统的审查。

中东和北非（MENA）地区的低收入和中等收入国家（LMIC）面临着日益严重的全球卫生挑战，其应对能力也有所下降。全球卫生能力建设（GHCB）计划具有改善卫生人力绩效和健康结果的潜力，但是对于该地区实施的GHCB主题和方法知之甚少。这是中东和北非地区中低收入国家对GHCB举措的首次系统评价。对Medline（OVID），PubMed，Scopus，Embase.com和Open Grey的学术数据库进行了搜索，以查找2009年1月至2019年9月之间以英语发布的文章。接下来，按照推荐的搜索框架进行了灰色文献搜索。审查的记录涉及一个全球卫生主题，具有能力建设要素，研究了特定的学习成果，并在中东和北非地区反映了LMIC。主要结果包括国家，主题，方式，教学法和人口。从灰色来源（73.2％）和学术来源（26.8％）检索了GHCB计划的报告。大多数GHCB举措主要是通过理论教学方法（44.3％）与专业人员（57.5％）进行面对面交流（94.4％）。全球主要的健康主题是非传染性疾病（29.2％），性健康和生殖健康（18.4％）以及精神健康（14.5％）。当与全球疾病负担数据相匹配时，发现在与该地区的健康需求相关的GHCB计划主题方面存在重大差距。关于预防冲突和紧急情况的GHCB倡议的报道很少，涉及非传染性疾病的报告主要来自埃及和伊朗。在中东和北非地区的中低收入国家中，GHCB计划需要采用基于实践的创新方法，重点是培训社区工作者。根据本次审查的结果，在稿件中讨论了GHCB举措与其健康需求相关的区域和国家特定分析。