“The global health enterprise has improved the well-being of people. However, structural inequities persist within the sector. This contributes to inequality and wholly insufficient impacts to address the Sustainable Development Goals.
Power imbalances are embedded across funding, political power, management capacity and technical capabilities The current pandemic which has highlighted, not created these inequities, is an opportunity to truly acknowledge these gaps and build forward better to rectify them. This must include ensuring that partnerships between institutions in high income countries (HICs) and those in low and low middle-income countries (LLMICs) are equitable, effective, and that most of the benefits from those arrangements accrue to the LLMIC institution. Collaborations rooted in respect, honesty, equity, and commitment to outcomes that are aligned with the needs of the LLMIC partners are essential to reforming global health. Such partnerships, across sectors, will be much more effective in addressing the development challenges before us.
We the undersigned support the following actions the global health community should collaborate on to improve the health of people and the planet in an equitable and sustainable manner:
HIC institutions should provide free access to their academic libraries to their LLMIC partners
HICs should share their curricula with LLMIC partners, free of charge
Where possible, HICs should provide to their LLMIC partners free compatible computers, software and affordable, and reliable 3G broadband as requested
When students from HICs are participating in experiential learning opportunities in an LLMIC institution, agreements should be in place that provide tangible benefits sought the host institution. Host institutions should be compensated for any human resources and other assets utilized by hosting the HIC students. HIC institutions could provide their own trainers to build capacity in the host institution as directed by the host. This includes strengthening LLMIC management capacity.
Staff in LLMIC should be fully compensated for training students from HICs or supporting HIC led research projects
HIC institutions should provide training and mentorship in grant writing and grant applications
Research questions must be co-created in collaboration with the host institution/community/country.
HIC institutions should provide training in article writing and ensure fair and equitable authorship of research papers between the scientists from LLMICs and HICs who participated in the project
Research findings must be shared with equity, fairness and respect of the work provided between all collaborators from LLMICs and HICs who participate in the research
A plan to disseminate the research findings should be part of the design of the study proposal….”