I loved your comments, Laura. My brain is now whirling.
My two cents:
I think the global research community (and this includes national governments!) must do a better job of supporting researchers from low and middle income countries to design and conduct their own trials– although, I acknowledge that externally sponsored trials can and do strengthen capacity. I agree that some of the most meaningful and pragmatic protocol development occurs at a very local level–and this approach, as you say, eliminates buy-in! The research is owned and the benefits are understood….
Good food for thought, but I may have digressed 🙂
