Sharing power in global health research : An ethical toolkit for designing priority-setting processes that meaningfully include communities
Journal article
Pratt, Bridget. (2021). Sharing power in global health research : An ethical toolkit for designing priority-setting processes that meaningfully include communities. International Journal for Equity in Health. 20, p. Article 127. https://doi.org/10.1186/s12939-021-01453-y
Authors | Pratt, Bridget |
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Abstract | To promote social justice and equity, global health research should meaningfully engage communities throughout projects: from setting agendas onwards. But communities, especially those that are considered disadvantaged or marginalised, rarely have a say in the priorities of the research projects that aim to help them. So far, there remains limited ethical guidance and resources on how to share power with communities in health research priority-setting. This paper presents an “ethical toolkit” for academic researchers and their community partners to use to design priority-setting processes that meaningfully include the communities impacted by their projects. An empirical reflective equilibrium approach was employed to develop the toolkit. Conceptual work articulated ethical considerations related to sharing power in g0l0o0bal health research priority-setting, developed guidance on how to address them, and created an initial version of the toolkit. Empirical work (51 in-depth interviews, 1 focus group, 2 case studies in India and the Philippines) conducted in 2018 and 2019 then tested those findings against information from global health research practice. The final ethical toolkit is a reflective project planning aid. It consists of 4 worksheets (Worksheet 1- Selecting Partners; Worksheet 2- Deciding to Partner; Worksheet 3- Deciding to Engage with the Wider Community; Worksheet 4- Designing Priority-setting) and a Companion Document detailing how to use them. Reflecting on and discussing the questions in Worksheets 1 to 4 before priority-setting will help deliver priority-setting processes that share power with communities and projects with research topics and questions that more accurately reflect their healthcare and system needs. |
Keywords | ethics; power; social justice; health research; engagement; involvement; community |
Year | 2021 |
Journal | International Journal for Equity in Health |
Journal citation | 20, p. Article 127 |
Publisher | Biomed Central Ltd |
ISSN | 1475-9276 |
Digital Object Identifier (DOI) | https://doi.org/10.1186/s12939-021-01453-y |
Scopus EID | 2-s2.0-85106887031 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 1-11 |
Funder | Australian Research Council (ARC) |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 25 May 2021 |
Publication process dates | |
Accepted | 20 Apr 2021 |
Deposited | 28 Oct 2021 |
ARC Funded Research | This output has been funded, wholly or partially, under the Australian Research Council Act 2001 |
Grant ID | ARC/DE170100414 |
https://acuresearchbank.acu.edu.au/item/8wxy8/sharing-power-in-global-health-research-an-ethical-toolkit-for-designing-priority-setting-processes-that-meaningfully-include-communities
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Publisher's version
OA_Pratt_2021_Sharing_power_in_global_health_research.pdf | |
License: CC BY 4.0 | |
File access level: Open |
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