Journal Article

Mapping experiences and perspectives of equity in international health collaborations: a scoping review

Pratt, Bridget, de Vries, Jantina, Faure, Marlyn C., Munung, Nchangwi S., Ntusi, Ntobeko A. B.

2021

Overview

Background 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. Methods 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. Results 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. Discussion 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.

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Authoring / Capacity Building - standards / Capacity development / Collaboration / Decision making / Demographic aspects / Domains / Empirical analysis / Equality and Human Rights / Equity / Global health / Global Health - standards / Health care disparities / Health disparities / Health Equity - standards / Health Policy / Health Promotion and Disease Prevention / Health Services Research / Health Status Disparities / Humans / International / International aspects / International Cooperation / International health collaborations / Medicine / Medicine & Public Health / Philosophy / Power / Public Health / Qualitative Research / Recognition / Researchers / Scoping review / Social aspects / Social Justice / Social Policy / Well being / World health / World Health Organization