2026/03/11 by Michelle Lokot, Agata Pacho, Thurayya Zreik +3 · 1 voice
Medicine · Social Sciences · #Global Health and Surgery #Participatory Visual Research Methods #Qualitative Research Methods and Ethics
paper · pdf · doi:10.1371/journal.pgph.0006048
openalex publication_date 2026/03/11 · openalex created_date 2026/03/13 · openalex updated_date 2026/07/31
Despite increasing focus on the broad topic of power hierarchies within research partnerships, scholarly analysis and guidance within global health tends to focus on partnership-building, governance structures and authorship, while the interactions occurring between researchers in settings where a project or community are located, often referred to as the "field", remains a neglected topic. This study applies an intersectional lens to explore how to tackle power hierarchies (including race, gender, age, education/expertise) during visits in the "Global South", based on a case study of an academic institution in the United Kingdom. It involves interviews with staff and research degree students, as well as research partners, and feedback workshops. The study finds that positionality influences how participants view the role of power hierarchies in shaping research dynamics. Senior staff tended to be less critical of power hierarchies, while early-career researchers were more inclined to feel power hierarchies needed to be challenged. Across multiple types of research relationships we find that seniority is a powerful dynamic that shapes interactions during visits. Institutional power is also an overarching force that often limits individual researcher efforts to shift power. Our study identifies five key recommendations for Northern-based institutions in particular: 1) challenge extractive practices and assumptions associated with research in the "field"; 2) advocate for more equitable institutional policies and practices on contracting and budgeting in Northern institutions that constrain efforts to shift power; 3) build in time for ongoing reflection on power and positionality within research teams; 4) ensure visits to "the field" are planned with Global South partners; 5) conduct further research on power hierarchies to tackle specific dimensions of power.