Original title: Shifting power in global health research: a checklist for research funders
Ramya Kumar, David McCoy · September 2026
Global health research still suffers from colonial legacies. These past habits determine who gets to make decisions, who leads projects, and who actually benefits. Because research funders decide which problems, places, and methods get money, they hold immense power over this system. To fix these unfair power balances, researchers created a new checklist for funding agencies. It works by guiding funders across six key areas. These include sharing power, making health equity a priority, fixing past underinvestment, handling conflicts of interest, sharing research outputs fairly, and reporting on real-world impact. The authors acknowledge that true decolonization ultimately demands dismantling the entire current aid and funding system. However, this tool places immediate responsibility on funders to address structural inequities. While the checklist still needs real-world testing and refinement, true change also requires broader social, political, and knowledge-based transformations across the field.
Imagine a group of friends planning a potluck dinner. The person who owns the biggest kitchen decides what everyone brings, even though some friends have family recipes that are just as good. The result is a meal that reflects only one person's taste. In this paper, the checklist asks the person with the biggest kitchen—the research funder—to let others choose dishes too, invest in their cooking skills, and make sure everyone gets to eat the food they helped prepare.
Global health research is still shaped by colonial dynamics, with funders in wealthy countries deciding what gets studied and who leads. This checklist gives those funders a practical tool to rebalance power, prioritize equity, and invest in historically neglected systems. If adopted, it could shift billions in research funding toward communities that have been systematically excluded.
The checklist requires piloting and further refinement. The paper acknowledges that full decolonization would require dismantling the existing aid/funding system, so the checklist is an incremental step within that system. It does not provide evidence of effectiveness or implementation strategies. Broader social, political, and epistemic transformations are needed beyond what the checklist can achieve.
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Shifting power in global health research: a checklist for research funders — Ramya Kumar, David McCoy — Global health action — doi:10.1080/16549716.2026.2728852
Abstract licence: CC BY
Explanation generated by Synthesis from the abstract — it is not the original paper.