Related Experiment Video
Updated: Jun 6, 2025
14:43
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
11.7K
Revealing disparities in representation in knowledge generation and guideline development
Carlos P B Almeida1,2, Afom T Andom3,4, Alain Casseus4,5
1Universidade Federal Do Sul E Sudeste Do Pará, Marabá, Brazil.
BMC Health Services Research
|November 30, 2024
Summary
Global health experts from low- and lower-middle-income countries (LLMICs) are underrepresented in developing multidrug-resistant tuberculosis (MDR/RR-TB) guidelines and research. This knowledge gap impacts guideline relevance and can worsen health inequalities.
Area of Science:
- Global Health
- Infectious Disease Epidemiology
- Health Policy and Research
Background:
- Multidrug-resistant tuberculosis (MDR/RR-TB) poses a significant global health threat, predominantly impacting low- and lower-middle-income countries (LLMICs).
- The World Health Organization (WHO) provides crucial guidance for addressing MDR/RR-TB, yet the origin of this guidance and associated knowledge requires examination.
- This study investigates the representation of experts from high-burden countries in knowledge generation within the context of decolonizing global health.
Purpose of the Study:
- To assess the extent to which global health guidance and related knowledge on MDR/RR-TB are generated by experts from the most affected countries.
- To analyze the geographical distribution of experts involved in WHO MDR/RR-TB Guideline Development Groups (GDGs) and related peer-reviewed publications.
- To contextualize findings within the broader movement towards decolonizing global health and addressing epistemic injustice.
Main Methods:
- Examined the composition of WHO MDR/RR-TB treatment Guideline Development Groups (GDGs) between 2016 and 2022.
- Classified GDG members and authors of guideline-related publications (2016-2023) based on the MDR/RR-TB burden and World Bank income level of their affiliated countries.
- Searched PubMed for peer-reviewed publications derived from individual-patient-data meta-analyses relevant to WHO guideline reviews.
Main Results:
- During 2016-2022, 72.1% of the 33 high-burden MDR/RR-TB countries were LLMICs, with none being high-income.
- Only 30.3% of WHO GDG members and 10.4% of authors of related publications were from LLMICs.
- Representatives from high-burden MDR/RR-TB countries constituted 34.3% of WHO GDG members and 14.7% of publication authors.
Conclusions:
- A significant imbalance exists between the geographical distribution of MDR/RR-TB burden and the involvement of experts in knowledge and guidance generation.
- This disparity can lead to guideline rejection, funding issues, and exacerbated health inequalities due to a mismatch with local disease epidemiology.
- Reforms such as mandatory LLMIC participation in research funding and broader inclusion in guideline committees are proposed to address epistemic injustice and improve relevance.
Related Concept Videos
01:21Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
01:11Guidelines for Writing Outcome
2.7K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.7K
01:26Guidelines for Nursing Documentation II
1.0K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.0K
01:30Guidelines for Nursing Documentation I
1.0K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.0K
01:18Guidelines and Strategies for Safe Computer Charting
797
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
797
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
522
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
522