Reciprocal innovation: a new approach to equitable and mutually beneficial global health research and partnerships

Sors, Thomas G.; Wools‐Kaloustian, Kara; O'Brien, Rishika Chauhan; Bermel, Li Yuan; Chikowe, Ibrahim; Gardner, Adrian; Kiplagat, Jepchirchir; Lieberman, Marya; Moe, Sharon M.; Morales-Soto, Nydia; Nyandiko, Winstone; Plater, David; Rono, Betsy Cheriro; Scanlon, Michael; Tierney, William I.; Vreeman, Rachel C.; Wiehe, Sarah E.; Litzelman, Debra K.

doi:10.1016/s2214-109x(22)00159-0

Cited by 7 publications

(7 citation statements)

References 24 publications

(24 reference statements)

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“…Reciprocal innovation challenges the notion that only higher income settings will produce groundbreaking solutions and highlights the ability to utilize concepts, innovations, and research from lower income settings for application in higher income settings. 23 Building on the concept of reciprocal innovation, the fellowship design utilized the previously developed mission, vision, and values from the PKP in combination with the American College of Clinical Pharmacy (ACCP) Global Health Practice and Research Network's (GHPRN) seminal work entitled, "Pillars for global health engagement and key engagement strategies for pharmacists," to create the core guiding tenets of this fellowship. 16,18 The PKP core values were developed through a strategic planning retreat where both Kenyan and U.S. programmatic leaders collaboratively developed a set of beliefs to direct future initiatives, funding, and scholarship.…”

Section: Fellowship Guiding Tenetsmentioning

confidence: 99%

“…In identifying the guiding tenets, the fellowship relied on past experiences of developing ethical and sustainable programs in global health and the concept of reciprocal innovation, which has recently been adopted in global health. Reciprocal innovation challenges the notion that only higher income settings will produce groundbreaking solutions and highlights the ability to utilize concepts, innovations, and research from lower income settings for application in higher income settings 23 . Building on the concept of reciprocal innovation, the fellowship design utilized the previously developed mission, vision, and values from the PKP in combination with the American College of Clinical Pharmacy (ACCP) Global Health Practice and Research Network's (GHPRN) seminal work entitled, “Pillars for global health engagement and key engagement strategies for pharmacists,” to create the core guiding tenets of this fellowship 16,18 .…”

Section: Constructing the Fellowshipmentioning

confidence: 99%

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Implementation of a Global Health Equity fellowship established in partnership between an academic institution and governmental agency

Karwa

Schellhase

Malati

et al. 2022

J Am Coll Clin Pharm

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Health disparities exist globally in high‐income and low‐ and middle‐income countries. They are driven by social determinants of health (SDOH). While a role for pharmacists in addressing SDOH exists, a lack of structured postgraduate training limits pharmacists from being equipped to build innovative programs and contribute to health policy on SDOH in an impactful way. Postgraduate training, specifically, fellowships provides opportunities for pharmacists to develop the needed skills for working with SDOH. The Purdue University College of Pharmacy (PUCOP)‐United States Agency for International Development (USAID) Global Health Equity Fellowship was developed to meet this training need. This 2‐y fellowship represents a partnership between USAID and PUCOP. During the fellowship, time is split between USAID in Washington DC, PUCOP in Indianapolis, Indiana, and the Purdue Kenya Partnership (PKP) in Eldoret, Kenya. The fellowship was developed with a foundation of core values, the creation of a logic model, strategic partnerships, maintaining an adaptable structure, and intentional partner communication. Fellow outcomes were evaluated in three categories: engagement, education, and scholarship. Fellows completed 10 experiential opportunities between three sites and participated in the development of new and supported ongoing care programs and policy implementation in both local and international settings. Fellows completed the following educational outcomes: completed an online Master of Public Health (MPH) through Purdue Global, provided 13 educational presentations and lectures at various sites, and precepted a total of 12 PUCOP advanced pharmacy practice experience (APPE) students and 16 Kenyan pharmacy interns and Master of Pharmacy (MPharm) students. Fellows completed three publications and two abstracts at international conferences. This established training model provides pharmacists with a structured path to gain the knowledge, skills, and attitudes to be leaders in addressing Global Health Equity.

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Section: Fellowship Guiding Tenetsmentioning

confidence: 99%

Section: Constructing the Fellowshipmentioning

confidence: 99%

Implementation of a Global Health Equity fellowship established in partnership between an academic institution and governmental agency

Karwa

Schellhase

Malati

et al. 2022

J Am Coll Clin Pharm

View full text Add to dashboard Cite

show abstract

“…This approach has been defined as involving ‘(1) global health partnership rooted in the values of reciprocity, mutual learning and equity across partner institutions in HICs and LMICs; (2) a bi-directional and co-constituted approach to identifying shared health challenges across settings in long-term engagements; and (3) identification of high-quality innovations from global health partnerships for demonstration, replication, and dissemination in diverse settings’. 11 12 …”

Section: Introductionmentioning

confidence: 99%

“…GHRI is a more formalised approach to adapting innovations from LMICs for use in HICs or developing innovations in LMICs and HICs in research studies. 11 12 Proposed only recently, GHRI builds on existing approaches that emphasise the potential benefits for HICs from adapting ‘frugal’ innovations from LMICs 18 or ‘reversing’ the otherwise dominant transfer of health innovations from HICs to LMICs. 19 However, GHRI goes beyond these existing approaches by emphasising the potential benefits for HICs as well as LMICs when investigators from both settings build equitable partnerships to study innovations that can be used across LMICs and HICs.…”

Section: Introductionmentioning

confidence: 99%

“… 19 However, GHRI goes beyond these existing approaches by emphasising the potential benefits for HICs as well as LMICs when investigators from both settings build equitable partnerships to study innovations that can be used across LMICs and HICs. 11 12 As such, GHRI is also closely related to discussions about ‘global learning’. 20 21 …”

Section: Introductionmentioning

confidence: 99%

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Global health reciprocal innovation: ethical, legal and regulatory considerations

Rid,

Aguilera,

Banda

et al. 2024

BMJ Glob Health

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Global health reciprocal innovation (GHRI) is a recent and more formalised approach to conducting research that recognises and develops innovations (eg, medicines, devices, methodologies) from low- and middle-income countries (LMICs). At present, studies using GHRI most commonly adapt innovations from LMICs for use in high-income countries (HICs), although some develop innovations in LMICs and HICs. In this paper, we propose that GHRI implicitly makes two ethical commitments: (1) to promote health innovations from LMICs, especially in HICs, and (2) to conduct studies on health innovations from LMICs in equitable partnerships between investigators in LMICs and HICs. We argue that these commitments take a significant step towards a more equal global health research enterprise while helping to ensure that populations and investigators in LMICs receive equitable benefits from studies using GHRI. However, studies using GHRI can raise potential ethical concerns and face legal and regulatory barriers. We propose ethical, legal and regulatory considerations to help address these concerns and barriers. We hope our recommendations will allow GHRI to move the global health research enterprise forward into an era where all people are treated equally as knowers and learners, while populations in both LMICs and HICs benefit equitably from studies using GHRI.

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Bringing Generalists to Global Health: a Missed Opportunity and Call to Action

Heller,

Hudspeth,

Kishore

et al. 2023

J GEN INTERN MED

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Reciprocal innovation: a new approach to equitable and mutually beneficial global health research and partnerships

Cited by 7 publications

References 24 publications

Implementation of a Global Health Equity fellowship established in partnership between an academic institution and governmental agency

Implementation of a Global Health Equity fellowship established in partnership between an academic institution and governmental agency

Global health reciprocal innovation: ethical, legal and regulatory considerations

Bringing Generalists to Global Health: a Missed Opportunity and Call to Action

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