Globalization and funding imperatives drive many universities to internationalize through global health programmes. University-based global health researchers, advocates and programmes often stress the importance of addressing health inequity through partnerships. However, empirical exploration of perspectives on why universities engage in these partnerships and the benefits of them is limited. To analyse who in international partner universities initiated the partnerships with four East African universities, why the partnerships were initiated, and what the international partners value about the partnerships. Fifty-nine key informants from 26 international universities partnering with four East African universities in medicine, nursing and/or public health participated in individual in-depth interviews. Transcripts were analysed thematically. We then applied Burton Clark’s framework of “entrepreneurial” universities characterized by an “academic heartland”, “expanded development periphery”, “managerial core” and “expanded funding base”, developed to examine how European universities respond to the forces of globalization, to interpret the data through a global health lens. Partnerships that were of interest to universities’ “academic heartland” - research and education - were of greatest interest to many international partners, especially research intensive universities. Some universities established and placed coordination of their global health activities within units consistent with an expanded development periphery. These units were sometimes useful for helping to establish and support global health partnerships. Success in developing and sustaining the global health partnerships required some degree of support from a strengthened steering or managerial core. Diversified funding in the form of third-stream funding, was found to be essential to sustain partnerships. Social responsibility was also identified as a key ethos required to unite the multiple elements in some universities and sustain global health partnerships. Universities are complex entities. Various elements determine why a specific university entered a specific international partnership and what benefits it accrues. Ultimately, integration of the various elements is required to grow and sustain partnerships potentially through embracing social responsibility as a common value.

中文翻译：

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东非卫生专业项目的国际合作大学：他们为什么这样做以及他们看重什么？


全球化和资金需求推动许多大学通过全球健康项目实现国际化。大学的全球健康研究人员、倡导者和项目经常强调通过伙伴关系解决健康不平等问题的重要性。然而，关于大学为何参与这些伙伴关系及其好处的实证探索是有限的。分析国际合作大学中哪些人发起了与四所东非大学的合作伙伴关系、为什么发起合作伙伴关系以及国际合作伙伴对合作伙伴关系的重视程度。来自与四所东非医学、护理和/或公共卫生领域的四所大学合作的 26 所国际大学的 59 名关键信息人士参加了个人深度访谈。对成绩单进行了主题分析。然后，我们应用伯顿克拉克的“创业型”大学框架，其特征是“学术中心地带”、“扩大的发展外围”、“管理核心”和“扩大的资金基础”，该框架旨在研究欧洲大学如何应对全球化的力量，通过全球健康视角解读数据。大学“学术中心”（研究和教育）感兴趣的合作伙伴关系是许多国际合作伙伴，尤其是研究密集型大学最感兴趣的。一些大学在与扩大的发展外围相一致的单位内建立并安排了其全球卫生活动的协调。这些单位有时有助于帮助建立和支持全球卫生伙伴关系。成功发展和维持全球卫生伙伴关系需要加强指导或管理核心的一定程度的支持。 人们发现，以第三流资金形式提供的多元化资金对于维持伙伴关系至关重要。社会责任也被认为是一些大学团结多种要素并维持全球卫生伙伴关系所需的关键精神。大学是复杂的实体。有多种因素决定了特定大学为何加入特定的国际合作伙伴关系以及它能带来什么好处。最终，需要整合各种要素，通过将社会责任视为共同价值观来发展和维持伙伴关系。