Barriers to nursing research in the developing world/ resource poor environments.

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I blogged in November 2010 about an infection control project I was launching in Nepal. The project was voluntary and looked at modifying the Aseptic non-touch technique (ANTT) guidelines advocated by the EPIC 2 study, Pratt et al 1997, for the resource poor environment. This ANTT guideline is used as a main stay for practice in many health care trusts across the UK and has been adopted as the national guideline in Australia. I saw the huge benefit it could have if modified for resource poor countries (developing countries). As such with the support of UK based colleagues I modified the guideline for Nepal and launched it in Feb 2011. This launch was undertaken with the full support of my Nepali nursing colleagues and medical professionals on the infection control team at the hospital concerned.
In addition to the launch I attempted to do a basic audit of infection control rates in the hospital prior to the intervention and was hoping to collect audit style data post the intervention too. However after three years in country I have left and the agreement I had with the hospital to provide me with the sats has been revoked. In order to make my intervention worthwhile I am attempting to write up an article about the barriers to research in the developing world. However there is very little literature on this subject. Themes I identified informally are; Firstly perceived(perceived by the local population) lack of understanding by the outsider of the restrictions to the health care environment, financial and ideological. The second theme surrounds suspicion of the motives of the outsider and the possible exploitation of the country or individual concerned. Third is a lack of research and or evidence base generated in developing countries and thus information developed outside does not suit the different health care environment. I'm looking for research to back up these themes. Any help would be gratefully received.