Considering equity in global health collaborations: A qualitative study on experiences of equity.

International collaborations have become the standard model for global health research and often include researchers and institutions from high income countries (HICs) and low- and middle-income countries (LMICs). While such collaborations are important for generating new knowledge that will help ad...

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Autores principales:	Marlyn C Faure, Nchangwi S Munung, Ntobeko A B Ntusi, Bridget Pratt, Jantina de Vries
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bb2fb36f0d304c35a1039cc5d6886a78
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spelling	oai:doaj.org-article:bb2fb36f0d304c35a1039cc5d6886a782021-12-02T20:13:46ZConsidering equity in global health collaborations: A qualitative study on experiences of equity.1932-620310.1371/journal.pone.0258286https://doaj.org/article/bb2fb36f0d304c35a1039cc5d6886a782021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258286https://doaj.org/toc/1932-6203International collaborations have become the standard model for global health research and often include researchers and institutions from high income countries (HICs) and low- and middle-income countries (LMICs). While such collaborations are important for generating new knowledge that will help address global health inequities, there is evidence to suggest that current forms of collaboration may reproduce unequal power relations. Therefore, we conducted a qualitative study with scientists, researchers and those involved in research management, working in international health collaborations. Interviews were conducted between October 2019 and March 2020. We conducted 13 interviews with 15 participants. From our findings, we derive three major themes. First, our results reflect characteristics of equitable, collaborative research relationships. Here we find both relational features, specifically trust and belonging, and structural features, including clear contractual agreements, capacity building, inclusive divisions of labour, and the involvement of local communities. Second, we discuss obstacles to develop equitable collaborations. These include exclusionary labour practices, donor-driven research agendas, overall research culture, lack of accountability and finally, the inadequate financing of indirect costs for LMIC institutions. Third, we discuss the responsibilities for promoting science equity of funders, LMIC researchers, LMIC institutions, and LMIC governments. While other empirical studies have suggested similar features of equity, our findings extend these features to include local communities as collaborators in research projects and not only as beneficiaries. We also suggest the importance of funders paying for indirect costs, without which the capacity of LMIC institutions will continually erode. And finally, our study shows the responsibilities of LMIC actors in developing equitable collaborations, which have largely been absent from the literature.Marlyn C FaureNchangwi S MunungNtobeko A B NtusiBridget PrattJantina de VriesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258286 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Marlyn C Faure Nchangwi S Munung Ntobeko A B Ntusi Bridget Pratt Jantina de Vries Considering equity in global health collaborations: A qualitative study on experiences of equity.
description	International collaborations have become the standard model for global health research and often include researchers and institutions from high income countries (HICs) and low- and middle-income countries (LMICs). While such collaborations are important for generating new knowledge that will help address global health inequities, there is evidence to suggest that current forms of collaboration may reproduce unequal power relations. Therefore, we conducted a qualitative study with scientists, researchers and those involved in research management, working in international health collaborations. Interviews were conducted between October 2019 and March 2020. We conducted 13 interviews with 15 participants. From our findings, we derive three major themes. First, our results reflect characteristics of equitable, collaborative research relationships. Here we find both relational features, specifically trust and belonging, and structural features, including clear contractual agreements, capacity building, inclusive divisions of labour, and the involvement of local communities. Second, we discuss obstacles to develop equitable collaborations. These include exclusionary labour practices, donor-driven research agendas, overall research culture, lack of accountability and finally, the inadequate financing of indirect costs for LMIC institutions. Third, we discuss the responsibilities for promoting science equity of funders, LMIC researchers, LMIC institutions, and LMIC governments. While other empirical studies have suggested similar features of equity, our findings extend these features to include local communities as collaborators in research projects and not only as beneficiaries. We also suggest the importance of funders paying for indirect costs, without which the capacity of LMIC institutions will continually erode. And finally, our study shows the responsibilities of LMIC actors in developing equitable collaborations, which have largely been absent from the literature.
format	article
author	Marlyn C Faure Nchangwi S Munung Ntobeko A B Ntusi Bridget Pratt Jantina de Vries
author_facet	Marlyn C Faure Nchangwi S Munung Ntobeko A B Ntusi Bridget Pratt Jantina de Vries
author_sort	Marlyn C Faure
title	Considering equity in global health collaborations: A qualitative study on experiences of equity.
title_short	Considering equity in global health collaborations: A qualitative study on experiences of equity.
title_full	Considering equity in global health collaborations: A qualitative study on experiences of equity.
title_fullStr	Considering equity in global health collaborations: A qualitative study on experiences of equity.
title_full_unstemmed	Considering equity in global health collaborations: A qualitative study on experiences of equity.
title_sort	considering equity in global health collaborations: a qualitative study on experiences of equity.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/bb2fb36f0d304c35a1039cc5d6886a78
work_keys_str_mv	AT marlyncfaure consideringequityinglobalhealthcollaborationsaqualitativestudyonexperiencesofequity AT nchangwismunung consideringequityinglobalhealthcollaborationsaqualitativestudyonexperiencesofequity AT ntobekoabntusi consideringequityinglobalhealthcollaborationsaqualitativestudyonexperiencesofequity AT bridgetpratt consideringequityinglobalhealthcollaborationsaqualitativestudyonexperiencesofequity AT jantinadevries consideringequityinglobalhealthcollaborationsaqualitativestudyonexperiencesofequity
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Considering equity in global health collaborations: A qualitative study on experiences of equity.

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