Mayor Alfredo, Golassa Lemu, Natama Hamtandi Magloire, Garcia-Basteiro Alberto L, Nhampossa Tacilta
ISGlobal, Barcelona, Spain
Centro de Investigação em Saúde de Manhiça (CISM), Manhiça, Maputo, Mozambique.
BMJ Glob Health. 2025 Apr 10;10(4):e017602. doi: 10.1136/bmjgh-2024-017602.
Research partnerships are a key entry point for addressing the asymmetries that pervade global health. However, highly competitive and fast-paced science limits the kind of innovation and transformative change needed to reduce the imbalances that undermine the independence and academic freedom of research partners. The goal of this piece is to present a transformative lens for partnerships in which participating research organisations are willing to be mutually influenced through genuine collaborative efforts. In contrast to transactional partnerships, a transformative collaboration identifies a set of goals toward which the partnership wishes to work and agrees on the process for achieving them together. First, reflexivity and awareness of positionality are needed to recognise the power relations embedded in research and how these relations may not serve all people equally. Second, solidarity and togetherness create an interconnected view that transcends differences. Third, collective reflection on how and why the desired changes will occur is needed to guide the planning of 'who will do what, how and when' to advance equity-centred actions. Finally, shared responsibility for actions and outcomes will ensure mutual trust and a productive working relationship among partners. Implementing these principles requires some partners to relinquish control and step back when necessary, others to take ownership and greater leadership, and all partners to act with solidarity, accountability and trust. These complementary attitudes underpin the success of transformative partnerships in realising the full societal value of global health research.
研究伙伴关系是解决全球卫生领域普遍存在的不对称问题的关键切入点。然而，竞争激烈且节奏快速的科研限制了实现减少破坏研究伙伴独立性和学术自由的不平衡所需的那种创新和变革性变化。本文的目的是为伙伴关系提供一个变革性视角，在这种伙伴关系中，参与的研究组织愿意通过真诚的合作努力相互影响。与交易性伙伴关系不同，变革性合作确定了伙伴关系希望为之努力的一系列目标，并就共同实现这些目标的过程达成一致。首先，需要反思性和对自身定位的认识，以识别研究中固有的权力关系以及这些关系可能如何不平等地服务于所有人。其次，团结和凝聚创造一种超越差异的相互关联的观点。第三，需要集体思考期望的变化将如何以及为何发生，以指导“谁将做什么、如何做以及何时做”的规划，以推进以公平为中心的行动。最后，对行动和结果的共同责任将确保伙伴之间的相互信任和富有成效的工作关系。实施这些原则要求一些伙伴在必要时放弃控制权并退后一步，另一些伙伴承担责任并发挥更大的领导作用，所有伙伴都要以团结、问责和信任的态度行事。这些互补的态度是变革性伙伴关系成功实现全球卫生研究全部社会价值的基础。
