Considering equity in global health collaborations: A qualitative study on experiences of equity.
Considering equity in global health collaborations: A qualitative study on experiences of equity.
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DOI：
10.1371/journal.pone.0258286
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
de Vries J
中科院分区：
文献类型：
--
作者：
Faure MC;Munung NS;Ntusi NAB;Pratt B;de Vries J
国际合作已成为全球卫生研究的标准模式，通常包括来自高收入国家（HIC）和中低收入国家（LMIC）的研究人员和机构。虽然这种合作对于产生有助于解决全球卫生不平等问题的新知识很重要，但有证据表明，目前的合作形式可能重现不平等的权力关系。因此，我们与科学家，研究人员和参与研究管理的人员进行了定性研究，在国际卫生合作中工作。访谈于2019年10月至2020年3月期间进行。我们对15名参与者进行了13次采访。从我们的研究结果中，我们得出三个主要主题。首先，我们的研究结果反映了公平，合作研究关系的特点。在这里，我们发现了关系特征，特别是信任和归属感，以及结构特征，包括明确的合同协议，能力建设，包容性的劳动分工，以及当地社区的参与。第二，我们讨论发展公平合作的障碍。这些问题包括排斥性的劳工做法、捐助者驱动的研究议程、总体研究文化、缺乏问责制，以及最后，对低收入国家机构间接费用的供资不足。第三，我们讨论了促进科学公平的资助者，LMIC研究人员，LMIC机构，LMIC政府的责任。虽然其他实证研究提出了类似的公平特征，我们的研究结果扩展了这些特征，包括当地社区作为研究项目的合作者，而不仅仅是受益者。我们还建议资助者支付间接成本的重要性，没有间接成本，LMIC机构的能力将不断受到侵蚀。最后，我们的研究显示了LMIC参与者在发展公平合作方面的责任，这在很大程度上是文献中所没有的。
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.
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影响因子：
3.3
作者：
Godoy-Ruiz P;Cole DC;Lenters L;McKenzie K
通讯作者：
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影响因子：
2.7
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Simbayi L
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4.8
作者：
Faure MC;Munung NS;Ntusi NAB;Pratt B;de Vries J
通讯作者：
de Vries J
影响因子：
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作者：
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通讯作者：
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