Canadian Association for Global Health (formerly Canadian Coalition for Global Health Research), Ottawa, Canada.
Department of Epidemiology, Biostatistics and Occupational Health, School of Population and Global Health, Faculty of Medicine and Health Sciences, McGill University, Montréal, Canada.
Glob Health Sci Pract. 2022 Apr 29;10(2). doi: 10.9745/GHSP-D-21-00316. Print 2022 Apr 28.
Global health partnerships (GHPs) involve complex relationships between individuals and organizations, often joining partners from high-income and low- or middle-income countries around work that is carried out in the latter. Therefore, GHPs are situated in the context of global inequities and their underlying sociopolitical and historical causes, such as colonization. Equity is a core principle that should guide GHPs from start to end. How equity is embedded and nurtured throughout a partnership has remained a constant challenge. We have developed a user-friendly tool for valuing a GHP throughout its lifespan using an equity lens. The development of the EQT was informed by 5 distinct elements: a scoping review of scientific published peer-reviewed literature; an online survey and follow-up telephone interviews; workshops in Canada, Burkina Faso, and Vietnam; a critical interpretive synthesis; and a content validation exercise. Findings suggest GHPs generate experiences of equity or inequity yet provide little guidance on how to identify and respond to these experiences. The EQT can guide people involved in partnering to consider the equity implications of all their actions, from inception, through implementation and completion of a partnership. When used to guide reflective dialogue with a clear intention to advance equity in and through partnering, this tool offers a new approach to valuing global health partnerships. Global health practitioners, among others, can apply the EQT in their partnerships to learning together about how to cultivate equity in their unique contexts within what is becoming an increasingly diverse, vibrant, and responsive global health community.
全球卫生伙伴关系（GHPs）涉及个人和组织之间的复杂关系，通常将来自高收入和低收入/中等收入国家的合作伙伴聚集在一起，共同在后者开展工作。因此，GHPs 处于全球不平等及其潜在的社会政治和历史原因的背景下，例如殖民化。公平是从开始到结束都应指导 GHPs 的核心原则。在整个伙伴关系中，公平是如何嵌入和培养的，这一直是一个挑战。我们开发了一个易于使用的工具，用于通过公平视角评估整个生命周期中的 GHP。EQT 的开发受到 5 个不同元素的启发：对已发表的同行评议科学文献进行范围审查；在线调查和后续电话访谈；在加拿大、布基纳法索和越南举办的研讨会；批判性解释性综合；和内容验证练习。研究结果表明，GHPs 产生公平或不公平的体验，但几乎没有指导如何识别和应对这些体验。EQT 可以指导参与合作的人员考虑从合作开始到实施和完成的所有行动的公平影响。当用于指导具有明确促进合作中的公平意图的反思性对话时，该工具为评估全球卫生伙伴关系提供了一种新方法。全球卫生从业人员以及其他人员可以在其合作关系中应用 EQT，共同了解如何在日益多样化、充满活力和响应迅速的全球卫生社区中，在其独特的背景下培养公平。
