Abstract:
BACKGROUND:Despite the recognition of power as being central to health research collaborations between high income countries and low and middle income countries, there has been insufficient detailed analysis of power within these partnerships. The politics of research in the global south is often considered outside of the remit of research ethics. This article reports on an analysis of power in north-south public health research, using Zambia as a case study. METHODS:Primary data were collected in 2011/2012, through 53 in-depth interviews with: Zambian researchers (n = 20), Zambian national stakeholders (n = 8) and northern researchers who had been involved in public health research collaborations involving Zambia and the global north (n = 25). Thematic analysis, utilising a situated ethics perspective, was undertaken using Nvivo 10. RESULTS:Most interviewees perceived roles and relationships to be inequitable with power remaining with the north. Concepts from Bourdieu's theory of Power and Practice highlight new aspects of research ethics: Northern and southern researchers perceive that different habituses exist, north and south - habituses of domination (northern) and subordination (Zambian) in relation to researcher relationships. Bourdieu's hysteresis effect provides a possible explanation for why power differentials continue to exist. In some cases, new opportunities have arisen for Zambian researchers; however, they may not immediately recognise and grasp them. Bourdieu's concept of Capitals offers an explanation of how diverse resources are used to explain these power imbalances, where northern researchers are often in possession of more economic, symbolic and social capital; while Zambian researchers possess more cultural capital. CONCLUSIONS:Inequities and power imbalances need to be recognised and addressed in research partnerships. A situated ethics approach is central in understanding this relationship in north-south public health research.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Walsh A,Brugha R,Byrne Edoi
10.1186/s12939-016-0488-4subject
Has Abstractpub_date
2016-12-12 00:00:00pages
204issue
1issn
1475-9276pii
10.1186/s12939-016-0488-4journal_volume
15pub_type
杂志文章abstract::Despite being the wealthiest and one of the most technologically advanced countries in the world, the United States has the greatest number of Covid-19 cases and deaths. What accounts for this failure? The dismantling of the country's public health infrastructure has crippled contact tracing and exacerbated inequality...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01354-6
更新日期:2021-01-04 00:00:00
abstract:BACKGROUND:Current evidence highlights that language discordant clinical encounters seriously compromise patient quality of care and health outcomes. We aimed to characterise patterns of interpreter service use in medical inpatient wards use and explore clinician experience of language discordance. METHODS:Participant...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0865-2
更新日期:2018-09-24 00:00:00
abstract::Connecting knowledge with action (KWA) for health equity involves interventions that can redistribute power and resources at local, national, and global levels. Although there is ample and compelling evidence on the nature, distribution, and impact of health inequities, advancing health equity is inhibited by policy a...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-019-1108-x
更新日期:2019-12-26 00:00:00
abstract:INTRODUCTION:A key element of the global drive to universal health coverage is ensuring access to needed health services for everyone, and to pursue this goal in an equitable way. This requires concerted efforts to reduce disparities in access through understanding and acting on barriers facing communities with the low...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-015-0181-z
更新日期:2015-06-09 00:00:00
abstract:OBJECTIVE:This narrative review aimed to identify and categorize the barriers and facilitators to the provision of brief intervention and behavioral change programs that target several risk behaviors among the Indigenous populations of Australia, Canada, and New Zealand. METHODS:A systematic database search was conduc...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-019-1059-2
更新日期:2019-11-05 00:00:00
abstract:BACKGROUND:Efficiency and equity are both important policy objectives in resource allocation. The discipline of health economics has traditionally focused on maximising efficiency, however addressing inequities in health also requires consideration. Methods to incorporate equity within economic evaluation techniques ra...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-34
更新日期:2009-10-07 00:00:00
abstract::BACKGROUND: The nurse-doctor relationship is historically one of female nurse deference to male physician authority. We investigated the effects of physicians' sex on female nurses' behaviour. METHODS: Nurses at an urban, university based hospital completed one of two forms of a vignette-based survey in January, 2000....
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-2-1
更新日期:2003-02-11 00:00:00
abstract:BACKGROUND:The 1986 Ottawa Charter for Health Promotion coincided with a preponderance of research, worldwide, on the social determinants of health and health inequities. Despite the establishment of a 'health inequities knowledge base', the precise roles for municipal governments in reducing health inequities at the l...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-9-13
更新日期:2010-05-25 00:00:00
abstract:BACKGROUND:The aims of this study were to examine indicators of socioeconomic deprivation among secondary school students and to determine associations between household poverty, neighbourhood deprivation and health indicators. METHODS:Data were from a nationally representative sample of 8500 secondary school students...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0398-5
更新日期:2016-07-16 00:00:00
abstract:BACKGROUND:This study aims at quantifying the level and changes over time of inequality in age-specific mortality and life expectancy between the 19 Norwegian counties from 1980 to 2014. METHODS:Data on population and mortality by county was obtained from Statistics Norway for 1980-2014. Life expectancy and age-specif...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0771-7
更新日期:2018-05-24 00:00:00
abstract:INTRODUCTION:Many countries from the European region, which moved from a government financed and provided health system to social health insurance, would have had the risk of moving away from universal health coverage if they had followed a "traditional" approach. The Eastern European high-income countries studied in t...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0295-y
更新日期:2016-01-15 00:00:00
abstract:OBJECTIVE:To report the extent of self-reported chronic diseases, self-rated health status (SRH) and healthcare utilization among residents in 1-2 room Housing Development Board (HDB) apartments in Toa Payoh. MATERIALS & METHODS:The study population included a convenience sample of residents from 931 housing developme...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-44
更新日期:2012-08-16 00:00:00
abstract:INTRODUCTION:We simulate and analyze Total Health Expenditure (THE) in financial sources and other economic indicators (such as THE per capita, GDP, etc.) in a province of China from 2002 to 2012 on System Dynamics. METHODS:Based on actual data and certain mathematical methods, we use system dynamic software to constr...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0203-x
更新日期:2015-08-27 00:00:00
abstract:BACKGROUND:Recently, cases of medical disputes and even acts of violence toward physicians by patients in China have been escalating. It remains unknown whether competition improves the patient-physician relationship. METHODS:This paper analyzes the relationship between hospital competition and the probability of medi...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0701-0
更新日期:2017-11-28 00:00:00
abstract:BACKGROUND:Latin America (LA) has experienced constant economic and political crises that coincide with periods of greater inequality. Between 1996 and 2007 Ecuador went through one of the greatest political and socio-economic crises in Latin America, a product of neo-liberal economic growth strategies. Between 2007 an...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01359-1
更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:Aging and the chronic non-communicable diseases (NCDs) challenge the Chinese government in the process of providing hospitalization services fairly and reasonably. The Chinese government has developed the basic medical insurance system to solve the problem of "expensive medical cost and difficult medical ser...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1117-9
更新日期:2020-01-06 00:00:00
abstract:BACKGROUND:The provision of insecticide-treated nets (ITNs) is widely accepted in Burkina Faso thanks to large-scale national distribution campaigns. However, household also use other methods of prevention. Thus far, there is little knowledge about the expenditures of these malaria prevention methods, particularly in c...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0108-0
更新日期:2014-11-07 00:00:00
abstract:UNLABELLED:BSTRACT: INTRODUCTION:Mexican-origin women in the U.S. living in colonias (new-destination Mexican-immigrant communities) along the Texas-Mexico border suffer from a high incidence of food insecurity and diet-related chronic disease. Understanding environmental factors that influence food-related behaviors ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-25
更新日期:2012-05-15 00:00:00
abstract:BACKGROUND:With the adoption of the Sustainable Development Goals (SDGs), there is a renewed commitment of tackling the varied challenges of undernutrition, particularly stunting (SDG 2.2). Health equity is also a priority in the SDG agenda and there is an urgent need for disaggregated analyses to identify disadvantage...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1046-7
更新日期:2019-10-15 00:00:00
abstract:BACKGROUND:An integrated and comprehensive hospital/community based health programme is presented, aimed at reducing maternal and child mortality and morbidity. It is run as part of a general programme of health care at a rural hospital situated in northern Tanzania. The purpose was through using research and statistic...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/1475-9276-8-27
更新日期:2009-07-30 00:00:00
abstract:BACKGROUND:Health sector priority setting in Low and Middle-Income Countries (LMICs) entails balancing between a high demand and low supply of scarce resources. Human Resources for Health (HRH) consume the largest allocation of health sector resources in LMICs. Health sector decentralization continues to be promoted fo...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01284-3
更新日期:2020-09-21 00:00:00
abstract:INTRODUCTION:It is well known that lower income is associated with poorer health, but poverty has several dimensions other than income. In the current study, we investigated the associations between multidimensional poverty and health variables. METHODS:Using micro data obtained from a nationwide population survey in ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0128-9
更新日期:2014-12-19 00:00:00
abstract:BACKGROUND:Effective implementation can maximise the beneficial impacts of health services. It is therefore important to review implementation in the context of Indigenous populations, who suffer some of the greatest disadvantage within developed countries. This paper analyses Aboriginal and Torres Strait Islander (her...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-016-0337-5
更新日期:2016-03-10 00:00:00
abstract:INTRODUCTION:The prevailing inequities in healthcare have been well addressed in previous research, especially screening program participation, but less attention has been paid to how to overcome these inequities. This paper explores a key factor of a successful improvement project: collaboration with local doulas to r...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0062-x
更新日期:2014-08-09 00:00:00
abstract:BACKGROUND:The concept of social capital has been extensively used to explain the relationship between socioeconomic status (SES) and adolescent health and well-being. Much less is known about the specific mechanism through which social capital impacts the relationship. This paper investigates whether an individual's p...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0490-x
更新日期:2016-12-12 00:00:00
abstract:BACKGROUND:Inequity in use of physician services has been detected even within health care systems with universal coverage of the population through public insurance schemes. In this study we analyse and compare inequity in use of physician visits (GP and specialists) in Norway based on data from the Surveys of Living ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-25
更新日期:2011-06-15 00:00:00
abstract:BACKGROUND:Despite recent progress in improving access to maternal health services, the utilization of these services remains inequitable among women in developing countries, and rural women are particularly disadvantaged. This study sought to measure i) disparities in the rates of institutional births between rural an...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1025-z
更新日期:2019-08-09 00:00:00
abstract:BACKGROUND:Family planning and maternal care services have become increasingly available in West Africa but the level of non-use remains high. This unfavorable outcome may be partly due to the unaffordability of reproductive health care services. METHODS:Using the Demographic Health Survey data from Burkina Faso, Nige...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01167-7
更新日期:2020-03-27 00:00:00
abstract:: Poverty is often identified as a major barrier to human development. It is also a powerful brake on accelerated progress toward the Millennium Development Goals. Poverty is also a major cause of maternal mortality, as it prevents many women from getting proper and adequate medical attention due to their inability to ...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/1475-9276-7-11
更新日期:2008-04-30 00:00:00
abstract::This article aims to clarify the moral underpinning of the policy framework of Healthy Ageing. It is a policy adopted by the World Health Organization designed to operate in alignment with the United Nations (UN) framework of the Sustainable Development Goals (SDGs) and the urgency given for the achievement of Univers...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-019-0997-z
更新日期:2019-09-05 00:00:00