Faure Marlyn C, Munung Nchangwi S, Ntusi Ntobeko A B, Pratt Bridget, de Vries Jantina
Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Division of Human Genetics, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Int J Equity Health. 2021 Jan 9;20(1):28. doi: 10.1186/s12939-020-01350-w.
Whilst global health research often involves international collaborations, achieving or promoting equity within collaborations remains a key challenge, despite established conceptual approaches and the development of frameworks and guidelines to promote equity. There have also been several empirical studies documenting researchers' experiences of inequity and views on what is required to advance equity in global health collaborations. While these empirical studies provide critical insights, there has been no attempt to systematically synthetize what constitutes equity and how it can be achieved. To address this gap, we conducted a scoping review of qualitative studies, opinion and editorial pieces about what equity is and how it can be promoted in international collaborations.
We conducted a scoping review to explore domains of equity in international health collaborations. This review included qualitative studies and opinion pieces or editorial pieces on equity in international health collaborations. We mapped the data and identified common themes using a thematic analysis approach.
This initial search retrieved a total of 7611 papers after removing duplicates. A total of 11 papers were included in this review, 10 empirical studies and 1 editorial piece. We conducted our search between October - November 2019. We identified 10 key domains which are important for promoting equity in international collaborations: funding; capacity building; authorship; sample ownership and export; trust; research agreement; acknowledging inequality; recognition and communication.
Our findings suggest that for international collaborations to be considered more equitable, it must at least consider the 10 domains we highlighted. The 10 domains map onto five key aspects of social justice theory, namely avoiding unequal power relations like subordination, group recognition and affirmation, promoting the well-being of all, inclusion in decision-making and ensuring self-development.
虽然全球卫生研究通常涉及国际合作，但尽管已有既定的概念方法以及促进公平的框架和指南的制定，在合作中实现或促进公平仍然是一项关键挑战。也有几项实证研究记录了研究人员遭遇不公平的经历以及他们对推动全球卫生合作公平性所需条件的看法。虽然这些实证研究提供了重要见解，但尚未有人尝试系统地综合公平的构成要素以及如何实现公平。为填补这一空白，我们对关于公平的定义以及如何在国际合作中促进公平的定性研究、观点和社论文章进行了范围综述。
我们进行了一项范围综述，以探索国际卫生合作中的公平领域。该综述包括关于国际卫生合作公平性的定性研究、观点文章或社论文章。我们使用主题分析方法对数据进行映射并确定共同主题。
在去除重复项后，此次初步检索共获得7611篇论文。本综述共纳入11篇论文，其中10篇实证研究和1篇社论文章。我们在2019年10月至11月期间进行了检索。我们确定了10个对促进国际合作公平性很重要的关键领域：资金；能力建设；署名权；样本所有权和输出；信任；研究协议；承认不平等；认可和沟通。
我们的研究结果表明，要使国际合作被认为更公平，至少必须考虑我们所强调的10个领域。这10个领域对应社会正义理论的五个关键方面，即避免如从属关系等不平等权力关系、群体认可和肯定、促进所有人的福祉、参与决策以及确保自我发展。
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