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Box 1 : Recommendations to promote GS health research leadership

From: Barriers to sustainable health research leadership in the Global South: Time for a Grand Bargain on localization of research leadership?

To governments, national research bodies and donors in the GS

• Establish country-specific models to generate resources to support national research

• Strengthen in-country capacity by increasing spending to support institutional research programme-building and postgraduate research training [94, 95]

• Promote the retention of researchers through creation of research career pathways, availing career development opportunities and providing competitive salaries for researchers [50, 96]

• Encourage return of researchers undertaking advanced research training in GN institutions

• Protect academic freedom

• Implement a reward system for publication [97] and for research translation activities

• Build political will and recognize the value of GS health research [58]

• Implement and support strengthening of a national health research system [62]

To research institutions in the GS

• Simultaneously drive research and teaching agendas

• Encourage diverse partnerships and networks between researchers and disciplines in the same university, nationally, regionally and internationally and implement a coordination framework to ensure sustainability [54]

• Create an enabling environment for conducting research and innovation, which may include providing necessary physical, human and financial resources

• Establish mentorship programs and standards for mentorship and scientific development [11], and provide sufficient and sustainable research training and mentoring opportunities [93]

• Incorporate research leadership capacity development into institutional strategic plans

• Identify and address barriers related to institutional policies, procedures or cultures

• Cultivate both research leadership and leadership in research management [17, 58]

To global health and research governance partners

• Establish indicators to monitor GS research leadership, including capacity and funding flow to GS investigators and institutions.

• Consider drafting a “Grand Bargain” for research leadership and encourage signatories to commit to strengthening research localization.

• Promote equitable partnership models and culturally sensitive guidelines for GN–GS collaboration.

To research funders

• Fund and create more doctoral and postdoctoral research education opportunities in the GS for promising researchers from the GS

• Earmark specific funding to GS countries for research leadership capacity development activities and track the impact of such funding [98]

• Ensure sufficient funding of overhead costs for GS partner institutions, and incorporate support for fiscal and administrative capacity-building [68] and to support physical infrastructures [96]

• Encourage and incentivize equitable GS–GS partnerships and networks [50, 96]

• Coordinate with other donors [95]

To research institutions in the GN

• Ensure that GS health research leadership capacity strengthening, with priorities defined locally, is a priori an integral component of any international research collaboration involving GS researchers and institutions

• Recognize the value of capacity exchange, and respect the knowledge and expertise of GS partners

• Commit to equitable roles and responsibilities among GN and GS partners in international collaborative research projects

• Consider the role that diaspora researchers may play in helping bridge the GN–GS divide

To international/global health journals

• Improve GS representation on editorial boards towards a 50–50 GN–GS balance

• Establish regional editorial offices in the GS [43] which are run in partnership with local institutions in order to ensure sustainability

• Actively commission work from GS countries [43]

• Devote space regularly to promote GS health research leadership

• Waive publication charges for authors from the GS, particularly low- and low-middle income countries [99]

• Provide editorial support to researchers who are not native English speakers

• Support editors of GS journals to improve quality of publications and increase visibility of research from the GS