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Box 1 Identified challenges pertaining to research response to the Zika epidemic in the Dominican Republic affecting its ability to join international collaborative research efforts

From: Ethical challenges for international collaborative research partnerships in the context of the Zika outbreak in the Dominican Republic: a qualitative case study

Governance of health research  
Institutionalisation and formalisation of scientific activity  
Trained and skilled human resources  
Access to research funds  
Cultural aspects affecting collaboration dynamics