Centre for Health Equity, School of Population and Global Health, University of Melbourne, Victoria, Australia.
Mahidol Oxford Tropical Medicine Research Unit (MORU), Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Am J Bioeth. 2020 Jun;20(5):43-56. doi: 10.1080/15265161.2020.1745930.
Community engagement (CE) is gaining prominence in global health research. A number of ethical goals-spanning the instrumental, intrinsic, and transformative-have been ascribed to CE in global health research. This paper draws attention to an additional transformative value that CE is not typically linked to but that seems very relevant: . Both are concerned with building relationships and connecting parties that are distant from one another. This paper first argues that furthering solidarity should be recognized as another ethical goal for CE in global health research. It contends that, over time, CE can build the bases of solidaristic relationships-moral imagination, recognition, understanding, empathy-between researchers and community members. Applying concepts from existing accounts of solidarity, the paper develops preliminary ideas about who should be engaged and how to advance solidarity. The proposed approach is compared to current CE practice in global health research. Finally, the paper briefly considers how solidaristic CE could affect how global health research is performed.
社区参与（CE）在全球健康研究中越来越受到重视。全球健康研究中的 CE 被赋予了许多伦理目标，包括工具性的、内在的和变革性的。本文提请注意 CE 通常不涉及但似乎非常相关的另一个变革性价值：团结。两者都致力于建立关系和联系彼此疏远的各方。本文首先认为，在全球健康研究中，促进团结应该被视为 CE 的另一个伦理目标。它认为，随着时间的推移，CE 可以在研究人员和社区成员之间建立团结关系的基础——道德想象力、认可、理解、同理心。本文运用团结现有概念，提出了关于应该参与的人和如何推进团结的初步想法。所提出的方法与全球健康研究中的当前 CE 实践进行了比较。最后，本文简要考虑了团结的 CE 如何影响全球健康研究的进行。
