Leveling the Research Playing Field: Decolonizing Global Health Research Through Web-Based Platforms

J Med Internet Res. 2023 Oct 31:25:e46897. doi: 10.2196/46897.

Abstract

Global health research has traditionally been rooted in colonialism, with some investigators in high-income countries leading and managing research and investigators in low- and middle-income countries serving as implementing partners. The Community Health Worker-Led Intervention for Vaccine Information and Confidence (CIVIC) Project, conducted in India and led jointly by India- and US-based investigators, leveraged web-based platforms to facilitate a more horizontal, inclusive, and balanced approach to partnerships between researchers and the community. Using web-based platforms to conduct research was found to be an effective strategy to engage researchers at all levels and combat systemic barriers associated with in-person activities such as power, economic, social, and gender dynamics. Connecting online for research meetings created a more equitable environment for community members to engage meaningfully with research. Further, by conducting research through web-based platforms, we found that we were able to strengthen the diversity of participants, provide a space for more marginalized groups to speak up, and minimize logistical barriers to attendance. Harnessing web-based approaches in research provides a pathway toward opportunities to promote equity and contribute to the decolonization of global health spaces.

Keywords: community; community engagement; decolonization; diversity; equity; health equity; health research; marginalized; online; online platform; promote; research; systemic barrier; vaccination; web-based platform.

MeSH terms

  • Community Health Workers*
  • Global Health*
  • Humans
  • Income
  • India
  • Internet