scholarly journals Global health enabling systems

2018 ◽  
Vol 5 (2) ◽  
Author(s):  
Johanna T. Crane
Keyword(s):  
Global Health ◽  
Low Income ◽  
Global Health Research ◽  
Political Climate ◽  
Research Partnerships ◽  
Building Capacity ◽  
Daily Work ◽  
Administrative Control ◽  
Creative Accounting ◽  
Self Image

This think piece argues for the importance of administrative and bureaucratic labor –‘mundane’ things – in maintaining US-African global health research partnerships and the power relations within them. The daily work of accounting, compliance, and risk management undertaken by global health ‘enabling systems’ created by US universities contrasts with global health’s heroic self-image and conjures up negative imaginaries of intransigent African bureaucracies, crumbling communication infrastructure, and corruption. These negative imaginaries help to authorize forms of US fiscal and administrative control that may contradict global health’s ethic of partnership and its related goal of ‘building capacity’ in low-income partner nations, as well as feed ‘creative accounting’ practices by both partner entities. Critiquing these inequalities may seem risky in an era of ‘America First’ and threatened cuts to global health funding. In fact, advocating for equity in global health partnerships and prioritizing the building of African institutional capacity are only made more urgent by the current political climate.

scholarly journals Global health research partnerships in the context of the Sustainable Development Goals (SDGs)

2020 ◽  
Vol 16 (11) ◽  
pp. 1614-1618 ◽  
Author(s):  
Joyce Addo-Atuah ◽  
Batoul Senhaji-Tomza ◽  
Dipan Ray ◽  
Paramita Basu ◽  
Feng-Hua (Ellen) Loh ◽  
...  
Keyword(s):  
Sustainable Development ◽  
Global Health ◽  
Health Research ◽  
Sustainable Development Goals ◽  
Global Health Research ◽  
Research Partnerships ◽  
The Sustainable Development ◽  
Development Goals

scholarly journals The contribution of Dutch doctors in Global Health and Tropical Medicine to research in global health in low- and middle-income countries: an exploration of the evidence

2019 ◽  
Vol 50 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Rob Mooij ◽  
Esther MJ Jurgens ◽  
Jeroen van Dillen ◽  
Jelle Stekelenburg
Keyword(s):  
Global Health ◽  
Low Income ◽  
Tropical Medicine ◽  
Low Income Countries ◽  
Global Health Research ◽  
Medical Doctors ◽  
Middle Income ◽  
Middle Income Countries ◽  
Phd Thesis ◽  
Low And Middle Income

Results from medical research from high-income countries may not apply to low- and middle-income countries. Some expatriate physicians combine clinical duties with research. We present global health research conducted by Dutch medical doctors in Global Health and Tropical Medicine in low- and middle-income countries and explore the value of their research. We included all research conducted in the last 30 years by medical doctors in Global Health and Tropical Medicine in a low- and middle-income country, resulting in a PhD thesis. Articles and co-authors were found through Medline. More than half of the 18 identified PhD theses concerned maternal health and obstetrics, and the majority of the research was conducted in low-income countries, mostly in rural hospitals. Over 70 local co-authors were involved. Different aspects of these studies are discussed.

scholarly journals Addressing power imbalances in global health: Pre-Publication Support Services (PREPSS) for authors in low-income and middle-income countries

2020 ◽  
Vol 5 (2) ◽  
pp. e002323
Author(s):  
Clara Busse ◽  
Ella August
Keyword(s):  
Global Health ◽  
Low Income ◽  
Health Research ◽  
Research Process ◽  
Support Service ◽  
Global Health Research ◽  
Contextual Knowledge ◽  
Middle Income ◽  
Middle Income Countries ◽  
Structural Inequities

The contextual knowledge and local expertise that researchers from low-income and middle-income countries (LMICs) contribute to studies in these settings enrich the research process and subsequent publications. However, health researchers from LMICs are under-represented in the scientific literature. Distally, power imbalances between LMICs and high-income countries, which provide funding and set priorities for research in LMICs, create structural inequities that inhibit these authors from publishing. More proximally, researchers from LMICs often lack formal training in research project management and in publishing peer-reviewed research. Though academic journals may value research from LMICs conducted by local researchers, they have limited time and financial resources to support writing, causing them to reject manuscripts with promising results if they lack development. Pre-Publication Support Service (PREPSS) is a non-profit, non-governmental organisation that works to meet this need. PREPSS provides onsite training, peer-review and copy editing services to researchers in LMICs who wish to publish their health research in peer-reviewed journals. Authors are not charged for these services. After receiving PREPSS services, authors submit their manuscript to a peer-reviewed journal. The PREPSS model is one of many interventions necessary to restructure global health research to better support health researchers in LMICs and reduce current power imbalances.

scholarly journals Decolonising global health: transnational research partnerships under the spotlight

2020 ◽  
Vol 12 (6) ◽  
pp. 518-523 ◽  
Author(s):  
David S Lawrence ◽  
Lioba A Hirsch
Keyword(s):  
Global Health ◽  
Active Role ◽  
Global Health Research ◽  
Colonial Power ◽  
Critical Perspective ◽  
Research Partnerships ◽  
Health Movement ◽  
Participant Experience ◽  
Core Components

Abstract There are increasing calls to decolonise aspects of science, and global health is no exception. The decolonising global health movement acknowledges that global health research perpetuates existing power imbalances and aims to identify concrete ways in which global health teaching and research can overcome its colonial past and present. Using the context of clinical trials implemented through transnational research partnerships (TRPs) as a case study, this narrative review brings together perspectives from clinical research and social science to lay out specific ways in which TRPs build on and perpetuate colonial power relations. We will explore three core components of TRPs: participant experience, expertise and infrastructure, and authorship. By combining a critical perspective with recently published literature we will recommend specific ways in which TRPs can be decolonised. We conclude by discussing decolonising global health as a potential practice and object of research. By doing this we intend to frame the decolonising global health movement as one that is accessible to everyone and within which we can all play an active role.

scholarly journals Research capacity of global health institutions in China: a gap analysis focusing on their collaboration with other low-income and middle-income countries

2021 ◽  
Vol 6 (7) ◽  
pp. e005607
Author(s):  
Xiaoxiao Kwete ◽  
Kun Tang ◽  
Feng Cheng ◽  
Yingyao Chen ◽  
Yuan-Tao Hao ◽  
...  
Keyword(s):  
Global Health ◽  
Bibliometric Analysis ◽  
Low Income ◽  
Gap Analysis ◽  
Mainland China ◽  
Research Capacity ◽  
Academic Community ◽  
Global Health Research ◽  
Middle Income ◽  
Health Institutions

IntroductionThis paper presented qualitative and quantitative data collected on the research capacity of global health institutions in China and aimed to provide a landscaping review of the development of global health as a new discipline in the largest emerging economy of the world.MethodsMixed methods were used and they included a bibliometric analysis, a standardised survey and indepth interviews with top officials of 11 selected global health research and educational institutions in mainland China.ResultsThe bibliometric analysis revealed that each institution had its own focus areas, some with a balanced focus among chronic illness, infectious disease and health systems, while others only focused on one of these areas. Interviews of key staff from each institution showed common themes: recognition that the current research capacity in global health is relatively weak, optimism towards the future, as well as an emphasis on mutual beneficial networking with other countries. Specific obstacles raised and the solutions applied by each institution were listed and discussed.ConclusionGlobal health institutions in China are going through a transition from learning and following established protocols to taking a more leading role in setting up China’s own footprint in this area. Gaps still remain, both in comparison with international institutions, as well as between the leading Chinese institutions and those that have just started. More investment needs to be made, from both public and private domains, to improve the overall capacity as well as the mutual learning and communication within the academic community in China.

scholarly journals How global is global health research? A large-scale analysis of trends in authorship

2021 ◽  
Vol 6 (1) ◽  
pp. e003758
Author(s):  
Michelle C Dimitris ◽  
Matthew Gittings ◽  
Nicholas B King
Keyword(s):  
Global Health ◽  
Low Income ◽  
Health Research ◽  
Large Scale ◽  
Health Science ◽  
Global Health Research ◽  
Middle Income ◽  
Middle Income Countries ◽  
Income Status ◽  
Over Time

Many have called for greater inclusion of researchers from low- and middle-income countries (LMICs) in the conduct of global health research, yet the extent to which this occurs is unclear. Prior studies are journal-, subject-, or region-specific, largely rely on manual review, and yield varying estimates not amenable to broad evaluation of the literature. We conducted a large-scale investigation of the contribution of LMIC-affiliated researchers to published global health research and examined whether this contribution differed over time. We searched titles, abstracts, and keywords for the names of countries ever classified as low-, lower middle-, or upper middle-income by the World Bank, and limited our search to items published from 2000 to 2017 in health science-related journals. Publication metadata were obtained from Elsevier/Scopus and analysed in statistical software. We calculated proportions of publications with any, first, and last authors affiliated with any LMIC as well as the same LMIC(s) identified in the title/abstract/keywords, and stratified analyses by year, country, and countries’ most common income status. We analysed 786 779 publications and found that 86.0% included at least one LMIC-affiliated author, while 77.2% and 71.2% had an LMIC-affiliated first or last author, respectively; however, analagous proportions were only 58.7%, 36.8%, and 29.1% among 100 687 publications about low-income countries. Proportions of publications with LMIC-affiliated authors increased over time, yet this observation was driven by high research activity and representation among upper middle-income countries. Between-country variation in representation was observed, even within income status categories. We invite comment regarding these findings, particularly from voices underrepresented in this field.

scholarly journals OC 8360 GLOBAL HEALTH RESEARCH AND ITS ROLE IN IMPROVING HEALTH AND HEALTH EQUITY IN AFRICA

2019 ◽  
Vol 4 (Suppl 3) ◽  
pp. A3.3-A4
Author(s):  
Nchangwi Syntia Munung ◽  
Jantina De Vries ◽  
Bridget F Pratt
Keyword(s):  
Global Health ◽  
Health Equity ◽  
Health Research ◽  
Ethical Issues ◽  
High Income ◽  
Global Health Research ◽  
African Countries ◽  
Research Partnerships ◽  
Capacity Strengthening ◽  
Improve Health

BackgroundHealth research has the potential to generate knowledge that may be used to improve health and health equity. This has led to calls for African governments to dedicate at least 2% of their national budgets to heath research, but such resource allocations have never been achieved. Rather, most of health research in Africa continues to be funded by high-income countries (HICs) and involves collaborative partnerships between researchers in high-income countries and those in Africa. These research partnerships have many benefits, but they also raise ethical issues related to justice and fairness in global health research.MethodsThe ‘Research for Health Justice Framework’ makes recommendations on how global health research partnerships may foster the ideals of justice through their selection of research populations and questions, research capacity strengthening, delivery of ancillary care and the provision of post-trial benefits. We applied these criteria to collaborative genomics research consortia in Africa (an example of global health research in Africa).ResultsThe results show that the lack of national health research priorities in most African countries hinders the intention of global health actors to use global health research as a means of promoting global health equity. Furthermore, capacity building efforts need to be more coordinated and monitored. The responsibility for this lies with several actors.ConclusionThe potential for global health research to improve the health capability of countries in Africa will require that attention is paid to research that improves the health of people in Africa and that global health research partnerships identify, first and foremost, what kind of capacity strengthening is required and who is responsible for this activity. African governments and research institutions can play a role to help global health research improve health and health equity in Africa, in ways that are sustainable.

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