Bridging the biostatistics gap in African health research: An urgent call to action.

The shortage of biostatisticians across Africa continues to hinder the quality, transparency, and reproducibility of health research on the continent. Drawing on documented regional initiatives and published literature, this Letter to the Editor highlights the ongoing gap in biostatistical capacity and proposes three practical recommendations to address it. These include the organization of structured training through pan-African institutions, the promotion of existing statistical reporting guidelines such as SAMPL, and the integration of applied biostatistics into doctoral and medical education. Strengthening statistical competence through these scalable approaches could support researchers, improve the quality of published research, and foster more rigorous scientific practice throughout Africa.