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About the
Initiative

The Centres for Exchange (CfE) programme aims to foster a research ecosystem where community expertise drives knowledge creation, strengthens equity, and improves health outcomes.

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Vision & Mission

Vision

We envision a research ecosystem that is equitable and inclusive, where diverse communities play a meaningful and reciprocal role in shaping health research so that it is responsive to local socio-political contexts and needs.

Mission

Centres for Exchange works to advance this vision by supporting approaches to knowledge creation and exchange that centre community expertise, shift power in research processes, and strengthen reciprocal relationships between communities and researchers.

Through this work, CfE seeks to contribute to the following shifts in the research ecosystem:

  • More equitable and inclusive knowledge communities that foster the open exchange of diverse forms of knowledge
  • Greater visibility and recognition of community expertise within research systems
  • Increased support from funders and institutions for community-engaged research and knowledge exchange.

Rationale & Goals

The Centres for Exchange programme emerged from a recognition that while community engagement is widely valued in health research, there is less shared understanding of how equitable and reciprocal knowledge exchange is practiced in different contexts, and what conditions enable it to flourish.

Phase 1 2022-2024

Phase 1 focused on learning and design. Through landscaping and design activities, it examined how knowledge is produced, exchanged, and valued in health research, and how communities and researchers collaborate. Learning from existing models helped surface values-based approaches that enable research to be more reciprocal, equitable, and responsive to local contexts.

Phase 2 2025-2027

Phase 2 focuses on learning through practice. It supports community-rooted organisations to explore and strengthen approaches to equitable knowledge exchange within ongoing health research. Through project implementation, reflection, and cross-project learning, this phase generates insights into how power-shifting approaches are enacted, sustained, and constrained in diverse contexts.

Overall goals:

1

To centre the perspectives, priorities, and capabilities of the people and communities most affected by health challenges in the production of knowledge about health.

2

To foster collaborative, inclusive, and intersectional knowledge communities built through long-term relationships of care, particularly in the Global South.

3

To support, learn from, and connect transformative models of practice in health research.

Learning Domains

The following domains outline the Centres for Exchange programme’s strategic learning priorities. They build on shared inquiry areas that emerged from Phase 1 learning and design, early dialogues with knowledge communities across project geographies, and the evolving learning agendas of Phase 2 partners. Rather than fixed categories, the domains function as dynamic and flexible containers for linked questions and insights as learning develops over time. Each domain represents a distinct but interconnected dimension of CfE’s broader ambition to support more equitable, inclusive, and context-responsive health research.

Domain A

Knowledge Creation

Explores how research can be made more equitable, and how shifting who shapes research questions, methods, and interpretation changes the nature and value of what is produced.

Domain B

Institutional and Ecosystem-Level Transformation

Examines how participatory and community-led research can catalyse institutional and ecosystem level change, and how existing structures and processes enable or constrain more equitable research approaches.

Domain C

Knowledge Exchange

Focuses on what enables open, inclusive, and equitable knowledge exchange, and learning and insight move across projects, communities, institutions, and contexts to create change across different scales.

Rather than operating as prescriptive or siloed tracks, each domain holds a set of core and sub-questions to guide critical reflection. Together, they support project-level and programme-wide learning on how collaborative, participatory, and engaged research is practiced, enabled, and mobilised for change.

People and Organisations

Centres for Exchange is supported by a group of enabling partners who hold responsibility for programme design, learning, facilitation, and evidence-building across phases. The people featured here include team members involved in Phase 1 and Phase 2 of the initiative, representing organisations that have stewarded the programme’s learning, exchange, and coherence over time. Team members from funded projects are introduced within their respective project pages, where learning from practice is shared in context.

Phase 1 Team

Phase 1 was commissioned by Wellcome's Community Engagement team and led by Pivot Collective in collaboration with partners from Eh!woza, Fiocruz, Praxis Institute for Participatory Studies, Restless Development, and Vocal.

Phase 2 Team

In Phase 2, Pivot Collective serves as the Learning & Evidencing partner in collaboration with HEAL and Southern Hemisphere. Development Dynamics serves as the Network Facilitator.

Together, these enabling partners support learning through practice and cross-project exchange, generating insight into how equitable knowledge exchange is enacted, sustained, and constrained in diverse real-world contexts.

Learning and Evidencing Team

Lindsey Reynolds
Lindsey Reynolds
South Africa
Pivot Collective
Siphokazi Tau
Siphokazi Tau
South Africa
Pivot Collective
Anna Versfeld
Anna Versfeld
South Africa
Pivot Collective
Clémence Petit-Perrot
Clémence Petit-Perrot
France
Pivot Collective
Devaki Nambiar
Devaki Nambiar
India
HEAL
Prachee Agrawal
Prachee Agrawal
India
HEAL
Shweta Marathe
Shweta Marathe
India
HEAL
Carrie Ndoka
Carrie Ndoka
Kenya
Southern Hemisphere
Elena Mancebo
Elena Mancebo
South Africa
Southern Hemisphere
Wilma Wessels-Ziervogel
Wilma Wessels-Ziervogel
South Africa
Southern Hemisphere

The Network Facilitator Team

Mutile Mwongo
Mutile Mwongo
Kenya
Development Dynamics
MaqC Eric Gitau
MaqC Eric Gitau
Kenya
Development Dynamics
Phelsia Achieng Kojwang
Phelsia Achieng Kojwang
Kenya
Development Dynamics

The Wellcome Trust

Haidee Bell
Haidee Bell
UK
Ruwa Mahdi
Ruwa Mahdi
UK
Duncan Collins-Adams
Duncan Collins-Adams
UK
Bella Starling
Bella Starling
UK
Beenish Shayk
Beenish Shayk
UK

Phase 1 Team

Lindsey Reynolds
Lindsey Reynolds
South Africa
Pivot Collective
Clémence Petit-Perrot
Clémence Petit-Perrot
France
Pivot Collective
Gustavo Matta
Gustavo Matta
Brazil
FioCruz
Sarah Hyder Iqbal
Sarah Hyder Iqbal
India
Independent
Pradeep Narayanan
Pradeep Narayanan
India
Praxis
Maria Malomalo
Maria Malomalo
Zimbabwe
Restless Development
Tasha Koch
Tasha Koch
South Africa
Eh!Woza
Renata Cortez-Gómez
Renata Cortez-Gómez
Mexico
FioCruz
Adalton Fonseca
Adalton Fonseca
Brazil
FioCruz
Bella Starling
Bella Starling
UK
Vocal
Raíza Tourinho
Raíza Tourinho
Brazil
FioCruz
Mariana Sebastião
Mariana Sebastião
Brazil
FioCruz
Denise Pimenta
Denise Pimenta
Brazil
FioCruz