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非洲国际卫生研究合作中的公平性:非洲研究人员的看法与期望

Equity in international health research collaborations in Africa: Perceptions and expectations of African researchers.

作者信息

Munung Nchangwi Syntia, Mayosi Bongani M, de Vries Jantina

机构信息

Department of Medicine, University of Cape Town, Cape Town, South Africa.

Groote Schuur Hospital, Cape Town, South Africa.

出版信息

PLoS One. 2017 Oct 16;12(10):e0186237. doi: 10.1371/journal.pone.0186237. eCollection 2017.

Abstract

INTRODUCTION AND METHOD

Africa is currently host to a number of international genomics research and biobanking consortia, each with a mandate to advance genomics research and biobanking in Africa. Whilst most of these consortia promise to transform the way international health research is done in Africa, few have articulated exactly how they propose to go about this. In this paper, we report on a qualitative interviewing study in which we involved 17 genomics researchers in Africa. We describe their perceptions and expectations of international genomics research and biobanking initiatives in Africa.

RESULTS

All interviewees were of the view that externally funded genomics research and biobanking initiatives in Africa, have played a critical role in building capacity for genomics research and biobanking in Africa and in providing an opportunity for researchers in Africa to collaborate and network with other researchers. Whilst the opportunity to collaborate was seen as a benefit, some interviewees stressed the importance of recognizing that these collaborations carry mutual benefits for all partners, including their collaborators in HICs. They also voiced two major concerns of being part of these collaborative initiatives: the possibility of exploitation of African researchers and the non-sustainability of research capacity building efforts. As a way of minimising exploitation, researchers in Africa recommended that genuine efforts be made to create transparent and equitable international health research partnerships. They suggested that this could be achieved through,: having rules of engagement, enabling African researchers to contribute to the design and conduct of international health projects in Africa, and mutual and respectful exchange of experience and capacity between research collaborators. These were identified as hallmarks to equitable international health research collaborations in Africa.

CONCLUSION

Genomics research and biobanking initiatives in Africa such as H3Africa have gone some way in defining aspects of fair and equitable research collaborations in Africa. However, they will need to strive at achieving equitable health research collaborations if they truly aim at setting a gold standard for how international health research should be conducted in Africa.

摘要

引言与方法

非洲目前是多个国际基因组学研究和生物样本库联盟的所在地,每个联盟都肩负着推动非洲基因组学研究和生物样本库发展的使命。虽然这些联盟大多承诺改变在非洲开展国际卫生研究的方式,但很少有联盟明确说明他们打算如何实现这一目标。在本文中,我们报告了一项定性访谈研究,该研究涉及17位非洲基因组学研究人员。我们描述了他们对非洲国际基因组学研究和生物样本库倡议的看法和期望。

结果

所有受访者都认为,非洲由外部资助的基因组学研究和生物样本库倡议,在建设非洲基因组学研究和生物样本库能力以及为非洲研究人员提供与其他研究人员合作和建立网络的机会方面发挥了关键作用。虽然合作机会被视为一项益处,但一些受访者强调,必须认识到这些合作对所有合作伙伴都有互利之处,包括他们在高收入国家的合作者。他们还表达了参与这些合作倡议的两大担忧:非洲研究人员可能受到剥削,以及研究能力建设努力的不可持续性。为了尽量减少剥削,非洲的研究人员建议做出切实努力,建立透明和公平的国际卫生研究伙伴关系。他们建议可以通过以下方式实现这一目标:制定参与规则,使非洲研究人员能够参与非洲国际卫生项目的设计和实施,以及研究合作者之间相互尊重地交流经验和能力。这些被确定为非洲公平国际卫生研究合作的标志。

结论

非洲的基因组学研究和生物样本库倡议,如“人类健康非洲计划”(H3Africa)在界定非洲公平研究合作的某些方面已经取得了一定进展。然而,如果它们真的旨在为在非洲开展国际卫生研究树立一个黄金标准,就需要努力实现公平的卫生研究合作。

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