Priorities for COVID-19 research response and preparedness in low-resource settings
12 May, 2021COVID-19 poses particular threats in low-resource
settings, which typically have underfunded health-care
systems and insufficient influence on the global health
research agenda. Leadership and coordination have been
shown in COVID-19 research in such settings, particularly
across Africa, building on earlier experience from research
on diseases such as Ebola virus disease and HIV. However, global coordination to achieve a coherent research
response and ensure sufficient context-specific research
has been challenging.
As funders and researchers, we recognised the need to
facilitate collective efforts in low-income and middleincome countries (LMICs) early in the pandemic. The
Global Research Collaboration for Infectious Disease
Preparedness (GloPID-R)1
and the UK Collaborative on
Development Research (UKCDR) are both collaborative
groups of research funders. Each has working groups
specific to research on epidemic preparedness and
response in LMICs; together they established the
COVID-19 Research Coordination and Learning Initiative
(COVID CIRCLE)2
to align and strengthen their response
in, with, and for LMICs. The COVID-19 Clinical Research
Coalition3
hosted by the Drugs for Neglected Diseases
initiative (DNDi) was established to facilitate and
accelerate COVID-19 research in LMICs, ensure that the
needs of LMICs are considered, and strive for equitable
access to solutions. Within the context of these groups,
the initiatives have sought to support a cohesive research
response by aligning funders to joint principles;2
mapping
research to ensure visibility and improve coherence;4–7
supporting development of locally identified, contextspecific research priorities;8,9 and supporting researcher
interaction and collaboration through working groups.
Funding by global research funders for COVID-19,
as captured in the UKCDR and GloPID-R COVID-19
project tracker, has plateaued in the past 4 months.7
In
March, 2021, the COVID-19 Clinical Research Coalition,
GloPID-R, UKCDR, and partners held a consultative
meeting for researchers and funders to review and
discuss COVID-19 research in LMICs.
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