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

Journal article

Faure, Marlyn C., Munung, Nchangwi S., Ntusi, Ntobeko A. B., Pratt, Bridget and de Vries, Jantina. (2021). Mapping experiences and perspectives of equity in international health collaborations : A scoping review. International Journal for Equity in Health. 20, p. Article 28. https://doi.org/10.1186/s12939-020-01350-w
AuthorsFaure, Marlyn C., Munung, Nchangwi S., Ntusi, Ntobeko A. B., Pratt, Bridget and de Vries, Jantina
Abstract

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.

Keywordsequity; international health collaborations; global health; scoping review
Year2021
JournalInternational Journal for Equity in Health
Journal citation20, p. Article 28
PublisherBiomed Central Ltd
ISSN1475-9276
Digital Object Identifier (DOI)https://doi.org/10.1186/s12939-020-01350-w
Scopus EID2-s2.0-85098964374
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-13
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online09 Jan 2021
Publication process dates
Accepted09 Dec 2020
Deposited26 Oct 2021
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