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Governance of global health research consortia: Sharing sovereignty and resources within Future Health Systems

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  • Pratt, Bridget
  • Hyder, Adnan A.

Abstract

Global health research partnerships are increasingly taking the form of consortia that conduct programs of research in low and middle-income countries (LMICs). An ethical framework has been developed that describes how the governance of consortia comprised of institutions from high-income countries and LMICs should be structured to promote health equity. It encompasses initial guidance for sharing sovereignty in consortia decision-making and sharing consortia resources. This paper describes a first effort to examine whether and how consortia can uphold that guidance. Case study research was undertaken with the Future Health Systems consortium, performs research to improve health service delivery for the poor in Bangladesh, China, India, and Uganda. Data were thematically analysed and revealed that proposed ethical requirements for sharing sovereignty and sharing resources are largely upheld by Future Health Systems. Facilitating factors included having a decentralised governance model, LMIC partners with good research capacity, and firm budgets. Higher labour costs in the US and UK and the funder's policy of allocating funds to consortia on a reimbursement basis prevented full alignment with guidance on sharing resources. The lessons described in this paper can assist other consortia to more systematically link their governance policy and practice to the promotion of health equity.

Suggested Citation

  • Pratt, Bridget & Hyder, Adnan A., 2017. "Governance of global health research consortia: Sharing sovereignty and resources within Future Health Systems," Social Science & Medicine, Elsevier, vol. 174(C), pages 113-121.
    • Handle: RePEc:eee:socmed:v:174:y:2017:i:c:p:113-121
    DOI: 10.1016/j.socscimed.2016.11.039
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    References listed on IDEAS

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    1. Lairumbi, Geoffrey Mbaabu & Molyneux, Sassy & Snow, Robert W. & Marsh, Kevin & Peshu, Norbert & English, Mike, 2008. "Promoting the social value of research in Kenya: Examining the practical aspects of collaborative partnerships using an ethical framework," Social Science & Medicine, Elsevier, vol. 67(5), pages 734-747, September.
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    Cited by:

    1. Jane Wardani & Joannette J. (Annette) Bos & Diego Ramirez‐Lovering & Anthony G. Capon, 2022. "Enabling transdisciplinary research collaboration for planetary health: Insights from practice at the environment‐health‐development nexus," Sustainable Development, John Wiley & Sons, Ltd., vol. 30(2), pages 375-392, April.
    2. Lopreite, Milena & Puliga, Michelangelo & Riccaboni, Massimo & De Rosis, Sabina, 2021. "A social network analysis of the organizations focusing on tuberculosis, malaria and pneumonia," Social Science & Medicine, Elsevier, vol. 278(C).
    3. Nchangwi Syntia Munung & Bongani M Mayosi & Jantina de Vries, 2017. "Equity in international health research collaborations in Africa: Perceptions and expectations of African researchers," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-17, October.

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