Oncology, Rwanda Military Hospital, Kigali, Rwanda
Oncology, Queen's University, Kingston, Ontario, Canada.
BMJ Glob Health. 2023 Feb;8(2). doi: 10.1136/bmjgh-2022-011338.
Disparities in cancer research persist around the world. This is especially true in global health research, where high-income countries (HICs) continue to set global health priorities further creating several imbalances in how research is conducted in low and middle-income countries (LMICs). Cancer research disparities in Africa can be attributed to a vicious cycle of challenges in the research ecosystem ranging from who funds research, where research is conducted, who conducts it, what type of research is conducted and where and how it is disseminated. For example, the funding chasm between HICs and LMICs contributes to inequities and parachutism in cancer research. Breaking the current cancer research model necessitates a thorough examination of why current practices and norms exist and the identification of actionable ways to improve them. The cancer research agenda in Africa should be appropriate for the African nations and continent. Empowering African researchers and ensuring local autonomy are two critical steps in moving cancer research towards this new paradigm.
癌症研究方面的差距在全球范围内依然存在。在全球卫生研究中尤其如此,高收入国家(HICs)继续设定全球卫生重点,这进一步导致在中低收入国家(LMICs)开展研究的方式出现了多种不平衡。非洲癌症研究方面的差距可以归因于研究生态系统中存在的一系列挑战,这些挑战包括谁为研究提供资金、在哪里进行研究、由谁进行研究、进行哪种类型的研究以及在哪里以及如何传播研究。例如,高收入国家和中低收入国家之间的资金鸿沟导致癌症研究中的不平等和空降现象。打破当前的癌症研究模式需要彻底审查当前的实践和规范存在的原因,并确定可行的改进方法。非洲的癌症研究议程应该适合非洲国家和非洲大陆。赋予非洲研究人员权力并确保地方自主权是将癌症研究推向这一新范式的两个关键步骤。