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Striving towards true equity in global health: A checklist for bilateral research partnerships

Interest in “global health” among schools of medicine, public health, and other health disciplines in high-income countries (HIC) continues to rise. Persistent power imbalances, racism, and maintenance of colonialism/neocolonialism plague global health efforts, including global health scholarship. S...

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Autores principales: Hodson, Daniel Z., Etoundi, Yannick Mbarga, Parikh, Sunil, Boum, Yap
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021183/
https://www.ncbi.nlm.nih.gov/pubmed/36963065
http://dx.doi.org/10.1371/journal.pgph.0001418
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author Hodson, Daniel Z.
Etoundi, Yannick Mbarga
Parikh, Sunil
Boum, Yap
author_facet Hodson, Daniel Z.
Etoundi, Yannick Mbarga
Parikh, Sunil
Boum, Yap
author_sort Hodson, Daniel Z.
collection PubMed
description Interest in “global health” among schools of medicine, public health, and other health disciplines in high-income countries (HIC) continues to rise. Persistent power imbalances, racism, and maintenance of colonialism/neocolonialism plague global health efforts, including global health scholarship. Scholarly projects conducted in low- and middle-income countries (LMIC) by trainees at these schools in HIC often exacerbate these problems. Drawing on published literature and shared experiences, we review key inequalities within each phase of research, from design through implementation and analysis/dissemination, and make concrete and practical recommendations to improve equity at each stage. Key problems facing global health scholarship include HIC-centric nature of global health organizations, paucity of funding directly available for LMIC investigators and trainees, misplaced emphasis on HIC selected issues rather than local solutions to local problems, the dominance of English language in the scientific literature, and exploitation of LMIC team members. Four key principles lie at the foundation of all our recommendations: 1) seek locally derived and relevant solutions to global health issues, 2) create paired collaborations between HIC and LMIC institutions at all levels of training, 3) provide funding for both HIC and LMIC team members, 4) assign clear roles and responsibilities to value, leverage, and share the strengths of all team members. When funding for global health research is predicated upon more ethical and equitable collaborations, the nature of global health collaborations will evolve to be more ethical and equitable. Therefore, we propose the Douala Equity Checklist as a 20-item tool HIC and LMIC institutions can use throughout the conduct of global health projects to ensure more equitable collaborations.
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spelling pubmed-100211832023-03-17 Striving towards true equity in global health: A checklist for bilateral research partnerships Hodson, Daniel Z. Etoundi, Yannick Mbarga Parikh, Sunil Boum, Yap PLOS Glob Public Health Review Interest in “global health” among schools of medicine, public health, and other health disciplines in high-income countries (HIC) continues to rise. Persistent power imbalances, racism, and maintenance of colonialism/neocolonialism plague global health efforts, including global health scholarship. Scholarly projects conducted in low- and middle-income countries (LMIC) by trainees at these schools in HIC often exacerbate these problems. Drawing on published literature and shared experiences, we review key inequalities within each phase of research, from design through implementation and analysis/dissemination, and make concrete and practical recommendations to improve equity at each stage. Key problems facing global health scholarship include HIC-centric nature of global health organizations, paucity of funding directly available for LMIC investigators and trainees, misplaced emphasis on HIC selected issues rather than local solutions to local problems, the dominance of English language in the scientific literature, and exploitation of LMIC team members. Four key principles lie at the foundation of all our recommendations: 1) seek locally derived and relevant solutions to global health issues, 2) create paired collaborations between HIC and LMIC institutions at all levels of training, 3) provide funding for both HIC and LMIC team members, 4) assign clear roles and responsibilities to value, leverage, and share the strengths of all team members. When funding for global health research is predicated upon more ethical and equitable collaborations, the nature of global health collaborations will evolve to be more ethical and equitable. Therefore, we propose the Douala Equity Checklist as a 20-item tool HIC and LMIC institutions can use throughout the conduct of global health projects to ensure more equitable collaborations. Public Library of Science 2023-01-18 /pmc/articles/PMC10021183/ /pubmed/36963065 http://dx.doi.org/10.1371/journal.pgph.0001418 Text en © 2023 Hodson et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Review
Hodson, Daniel Z.
Etoundi, Yannick Mbarga
Parikh, Sunil
Boum, Yap
Striving towards true equity in global health: A checklist for bilateral research partnerships
title Striving towards true equity in global health: A checklist for bilateral research partnerships
title_full Striving towards true equity in global health: A checklist for bilateral research partnerships
title_fullStr Striving towards true equity in global health: A checklist for bilateral research partnerships
title_full_unstemmed Striving towards true equity in global health: A checklist for bilateral research partnerships
title_short Striving towards true equity in global health: A checklist for bilateral research partnerships
title_sort striving towards true equity in global health: a checklist for bilateral research partnerships
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021183/
https://www.ncbi.nlm.nih.gov/pubmed/36963065
http://dx.doi.org/10.1371/journal.pgph.0001418
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