Follow the stories of academics and their research expeditions
1. Introduction
Designing a robust
research proposal is a crucial milestone for graduate students (Master’s and
PhD) in the medical and healthcare disciplines. A well-prepared proposal not
only contributes to securing approval from a thesis committee or institutional
review board (IRB) but also often forms the basis of funding applications,
ethical clearance and project planning (Upington & Co., 2020; “How to
prepare a research proposal in the health science?”, 2021). globalhealthtrials.tghn.org+3University of Pretoria+3ScienceDirect+3
In a globalised world,
healthcare research increasingly involves interdisciplinary teams,
cross-national collaboration, and addressing issues that span high-, middle-
and low-income contexts. This guide adopts an international perspective,
recognising diverse settings (e.g., sub-Saharan Africa, Latin America, South
East Asia, Europe) and encourages you to tailor your proposal to your context
while drawing on standard best practices.
In what follows you
will find a step-by-step manual, divided into major headings: from topic
and question formulation, through literature review, methodology, ethical and
logistical planning, to budget/timeline and writing strategy. Within each
section I provide case-studies/scenarios illustrating applications in
medical/healthcare research, followed by curated, free online resources with
working URLs (templates, toolkits, examples). Where possible I refer to
accessible globally-available materials so that readers from Kenya (for
example) or other countries can access them without paywalls.
The manual follows APA
style for citations and references. At the end you will find a reference list
and a directory of the curated resources.
2. Understanding
the Purpose of a Research Proposal
A research proposal
serves multiple overlapping purposes:
In medical/healthcare
contexts, additional imperatives apply, including ethical considerations
(participant safety, data confidentiality), regulatory compliance (IRB/ethics
committees, clinical trial registries), and alignment with health systems or
policy priorities (e.g., patient outcomes, service delivery, epidemiology) (The
Neuron, 2024). The Neuron
Scenario 2.1: A Master’s student in public health in Kenya
is interested in the prevalence of hypertension among adults in rural Machakos
County and wants to assess an intervention in community health clinics. A solid
research proposal will allow her to justify the topic (hypertension burden in
Kenya), review existing interventions, define her research question (e.g.,
effect of health-education plus screening on blood pressure control), propose
design (cluster‐randomised trial, perhaps), estimate sample size, ethical issues
(screening + referral), timeline and budget.
Key takeaway: The proposal is both your pitch and your plan.
It must be compelling, clear, rigorous and feasible.
3. Selecting a
Topic & Formulating the Research Question
3.1 Topic Selection
Selecting a topic is
often the first challenge. Especially in healthcare research, you’ll want to
choose a topic that:
Scenario 3.1: A PhD student in nursing in India wants to
study nurse burnout in COVID-19-era ICUs. This is clinically relevant (pandemic
context), timely, but she assesses feasibility: will she get access to ICUs?
Are there enough nurses to sample? Is measurement feasible? Can her
institution’s ethics committee approve a sensitive topic?
3.2 Narrowing the
Topic to a Research Question
The transition from
broad topic to specific research question is crucial. You may start with
“hypertension management in rural Kenya” but refine to something like:
“What is the effect
of community health worker-led education on systolic blood pressure reduction
among adults aged 45–65 years in Machakos County, Kenya, compared to usual care
over 12 months?”
Key elements in a
strong research question:
This is often called
PICO (Population, Intervention, Comparison, Outcome) in quantitative clinical
research. For qualitative or mixed methods you may use other formats (e.g.,
“How do…, what are the experiences of…, what factors influence…”).
Scenario 3.2: A qualitative PhD researcher studying
maternity care in Zambia defines her question as:
“How do midwives
working in district hospitals in Northern Zambia perceive the barriers and
facilitators to implementation of the WHO Safe Birth checklist?”
Here the population: midwives; context: district hospitals; phenomenon:
barriers/facilitators; intervention: WHO Safe Birth checklist.
3.3 Defining
Objectives & Aims
From your research
question derive overall aim and specific objectives. The aim is
broad; objectives are measurable and often linked to outcomes.
Example:
In qualitative or
mixed method studies, objectives may include exploration of themes,
comparisons, or development of frameworks.
3.4 Framing the
Research Gap & Significance
You must articulate why
this study matters: the gap in knowledge, the practical relevance, and how your
study will contribute. This sets the stage for your introduction and literature
review (see Section 4).
Tip: Try to answer:
4. Literature
Review & Theoretical/Conceptual Framework
4.1 Purpose of the
Literature Review
A literature review
does more than summarise what’s been done: it critically analyses what’s known,
identifies gaps, helps you position your research and justify methodology.
“What has previous research found out about the problem? … What are your main variables
of interest?” (APA template) APA
In healthcare it also
helps demonstrate you understand the clinical/health-systems context. For
example, if your study is about nurse burnout, you’ll review workload, staffing
ratios, shift patterns, burnout scales, existing interventions, etc.
4.2 Structure/focus
of the Review
Plan your review in
thematic or methodological blocks (not just a chronological list). Typical
headings may include:
4.3
Theoretical/Conceptual Framework
In many
health-scientific proposals you’ll include a conceptual framework (for
quantitative) or grounded theory/methodological model (for qualitative). This
anchors your research design and data analysis. Example: in studying nurse
burnout, you might use the Job-Demand–Control model as the theoretical lens.
4.4 Example
Scenario: Literature Review in Practice
Scenario 4.1: The Master’s student in Machakos County
reviews literature on hypertension in sub-Saharan Africa: prevalence,
interventions (education, screening, medication adherence). She notes many
studies in urban Kenya but few in rural Machakos; many focus on pharmacists but
few involve CHWs. She builds a gap: CHW-led education in rural Kenya is
under-studied. She then frames her conceptual model: CHW education → improved
adherence & screening → BP reduction.
4.5 Free Online
Resources for Literature Review
You should bookmark
these and refer to them while drafting your review section.
5. Designing Your
Methodology
The methodology
section is among the most scrutinised parts of a proposal. It demonstrates how
you will carry out your study in a rigorous, ethical, feasible manner.
5.1 Overview: What
to include
As the “Components of
a Proposal” guide by Yale University notes: Title page, abstract, introduction,
description of the project (specific aims, methodology), references and
appendices. Research Support
Key methodological
subsections often include:
5.2 Study Design
Select a design that
aligns with your question. For example:
Scenario 5.2: The Machakos hypertension study may use a
cluster-randomised controlled trial: CHW-led education in intervention clinics
vs usual care in control clinics. Rationale: to test the effect of
intervention.
Ensure you justify
your choice (why not cross-sectional? Because you want causal inference). The
guide “How to write a research proposal – step-by-step” explains this. Research Method+1
5.3 Population,
Setting & Sampling
Define: target
population, inclusion/exclusion criteria, sampling frame, sample size
calculation (for quantitative), or sampling strategy (purposeful/snowball for
qualitative).
Sample size/power
calculation
In healthcare research
you should show you have considered sample size and power (if applicable). For
example, look at “Powering population health research” for considerations of
effect sizes. arXiv
5.4 Data‐collection
Methods & Instruments
Detail the methods
(survey, interview, clinical measurement, lab test). Include instrument
descriptions, validity/reliability, pilot testing. For example, in nursing
burnout study you might specify the Maslach Burnout Inventory (MBI)
questionnaire, translation/validation process.
5.5 Variables &
Measurement
List key variables
(independent, dependent, covariates), how they’ll be operationalised,
measurement tools, scale (nominal, ordinal, interval).
5.6 Data Analysis
Plan
Quantitative:
statistical tests, software, handling missing data, confounders, effect
modification.
Qualitative: coding, thematic analysis, software (NVivo, Atlas.ti), reliability
(inter-rater).
Mixed methods: integration strategy (convergent parallel, explanatory
sequential).
5.7 Validity,
Reliability & Bias Mitigation
Discuss
internal/external validity, validity threats (selection bias, measurement
error), reliability (consistency), generalisability. Provide mitigation plans
(blinding, training, quality control).
5.8 Ethical
Considerations
In healthcare research
you must address: informed consent, confidentiality, risk/benefit, IRB/ethics
committee approval, data security, vulnerable populations. The “How to write a
winning medical research proposal” article emphasises this. The Neuron
5.9
Logistical/Feasibility Considerations
Address: timeline,
personnel, equipment, data management, dissemination. Demonstrate you can do
the study in your resource/context.
Scenario 5.9: In the midwife‐safe checklist Zambia study:
set out interviews/focus groups over 3 months, transcription and thematic
analysis over 2 months, write-up over 1 month; show you have access to district
hospitals and permission from hospital management.
5.10 Limitations
and Assumptions
A strong proposal
acknowledges limitations (e.g., single-centre study, potential loss to
follow-up), and how you will manage or interpret them.
6. Budget, Timeline
and Resources
While some proposals
focus solely on the scientific plan, many health-research funding applications
require a detailed budget, timeline (Gantt chart) and resource
plan.
6.1 Budget
Include: personnel
costs (salary/time of investigator, assistants), equipment (if any),
consumables, data collection costs (travel, printing, survey), software
licenses, participant reimbursement (if allowed), dissemination (conference,
publication). Provide justification for each item. When preparing for a
university submission rather than grant, it may be simplified but still
realistic.
6.2 Timeline
Present a Gantt chart
or table mapping each stage: e.g., literature review (month 1–2), ethics
approval (month 2–3), data collection (month 4–8), data analysis (month 9–10),
write-up (month 11–12). Ensure your timeline aligns with your institution’s
programme length (e.g., 24 months for PhD) and resource availability.
6.3 Resource Plan
Indicate what
institutional support you have: supervisor(s), lab access, clinic access, data
management systems, software, library access. This enhances feasibility in
reviewers’ eyes.
7. Ethical, Legal
and Dissemination Considerations
In the healthcare
context, ethical considerations go beyond the usual academic ones: you deal
with human participants, possibly vulnerable groups, clinical data,
interventions, and must follow local/international guidelines.
7.1 Ethical
Approval & Regulation
You should indicate
your plan for obtaining institutional/college/university ethics committee
approval (and if applicable national regulatory body or IRB). Mention consent
process, anonymity/pseudonymity, data storage/security, plans for adverse
events (in intervention studies). The “How to write a research proposal in the
health science?” article emphasises the logistic and ethical aspects. ScienceDirect
7.2 Data Protection
& Confidentiality
Especially relevant
for digital data, identifiable personal information, health records, mobile
data collection. Indicate how you will store and destroy data, coded IDs,
secure servers. Mention local regulation (for example Kenya’s Data Protection
Act) if applicable.
7.3 Equity,
Inclusivity & Context
In global health
research you should reflect on equity, diversity, inclusion of
under-represented populations, patient/public involvement (PPI), cultural
relevance, translation/linguistic issues. This demonstrates ethical depth.
7.4 Dissemination
Plan
How will findings be
shared? Publications in peer-review journals, conference presentations, policy
briefs, local stakeholder meetings (clinicians, service users), open-access
deposits. For healthcare-research proposals especially highlight potential impact
on practice/policy.
Scenario 7.4: The nurse burnout study includes dissemination
to hospital management in the form of a workshop, publication in an open-access
nursing journal, and a policy brief for the Ministry of Health.
8. Writing the
Proposal: Structure, Style and Tips
8.1 Typical
Structure & Headings
While disciplines
vary, a typical health-science proposal may include:
8.2 Abstract
Although it appears at
the beginning, many draft it last. Make it succinct, capturing the problem,
objective, methodology, expected significance.
8.3 Style &
Formatting
Use academic, formal
style; avoid jargon (or define it). In medical/healthcare proposals make sure
you use correct terminology but remain clear for interdisciplinary committee
members. Include sub-headings, page numbering, consistent formatting. Use APA style
for references (7th edition).
8.4 Reviewers’
Perspective
Reviewers will assess:
originality, relevance, feasibility, appropriateness of design, ethical
soundness, clarity of writing, adequacy of budget/timeline, and research
team/institutional support. The WCHRI guide emphasises this reviewer mindset:
“By the time I finish reading this, I should be convinced that this is the MOST
important study in the world.” WCHRI
8.5 Common Mistakes
to Avoid
8.6 Example
Mini-Proposal Outline (Scenario)
Using our Kenya
hypertension example:
9. Case Studies
& Scenarios in Medical/Healthcare Fields
Here are three
illustrative case studies (scenarios) across different healthcare research
areas: descriptive, interventional and qualitative/mixed methods. You may adapt
components accordingly.
9.1 Case Study A:
Descriptive Prevalence Study
Context: A Master’s student in Uganda wants to
determine the prevalence of depression among chronic kidney disease (CKD)
patients undergoing haemodialysis.
9.2 Case Study B:
Interventional Study (Clinical Trial)
Context: A PhD student in Brazil aims to evaluate a
mobile-health (mHealth) SMS-reminder intervention for improving medication
adherence in hypertensive patients in primary care.
9.3 Case Study C:
Qualitative/Mixed Methods Study
Context: A PhD nurse researcher in South Africa wishes
to explore the experiences of newly-qualified nurses in rural hospital wards
and how organisational culture influences their integration and retention.
These case studies
illustrate how you should tailor your proposal to your context, resources and
research type.
10. Curated Free
Online Resources (Accessible & Up-to-date)
Below is a list of key
free resources, grouped by type, with direct URLs. These are meant to support
your proposal development.
10.1 Toolkits &
Guides
10.2 Templates
& Examples
10.3 Topic Ideas
& Healthcare Specific
10.4 Ethical/Health
Science Context
Tip: Bookmark these resources and revisit them as
you draft each section. They are especially useful for templates, examples,
guidance and topic ideas.
11. Checklist for
Finalising Your Proposal
Before submission, run
through the following checklist:
12. Conclusion
Writing a compelling
research proposal in the medical and healthcare field is a demanding but
achievable task. This manual has provided you with a step-by-step structure,
tailored to Masters/PhD level, international healthcare context, and includes
case studies and curated free resources.
Remember: your
proposal is not just a formality—it is the blueprint for your whole research
project, the document that convinces reviewers you are asking an important
question, using the right methods, able to do it, and with a meaningful impact.
Invest time in refining your question, aligning it with feasible methods, and
anticipating ethical/logistical issues.
By following this
guide and using the resources listed, you’ll be well positioned to draft a
high-quality proposal that will stand up to academic, clinical and ethical
scrutiny.
Good luck with your
research journey!
References
Hassan, M. (2024,
March 25). How To Write A Research Proposal – Step-by-Step [Template].
ResearchMethod.net. https://researchmethod.net/how-to-write-a-research-proposal/ Research Method
“How to prepare a
research proposal in the health science?” (2021). ScienceDirect. https://www.sciencedirect.com/science/article/pii/S2444382421002133 ScienceDirect
Penaranda, M. E.,
López López, L., Arbelaez-Montoya, M. P., Rumi, M., & Herring-Hall, S.
(2023, February 20). Research Proposal Writing (PDF). The Global Health
Network. https://media.tghn.org/medialibrary/2023/03/Research_Proposal_WritingFULL.pdf media.tghn.org+1
“Research Proposal
Format Example” (n.d.). American Psychological Association. https://www.apa.org/pubs/books/supplemental/Designing-Proposing-Research-Project/research_proposal.pdf APA
Yale University,
Office of Sponsored Projects, Research Support. (n.d.). Components of a
Proposal. https://research-support.yale.edu/sponsored-projects/office-of-sponsored-projects/proposals/components-of-a-proposal Research Support
“Writing an Effective
Research Proposal.” (n.d.). WCHRI. https://wchri.org/wp-content/uploads/2020/06/How-to-Write-a-Research-Proposal-Ali-WCHRI-Oct-2021.pdf WCHRI
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