Decolonizing global health: what should be the target of this movement and where does it lead us?

Decolonizing global health: what should be the target of this movement and where does it lead us?
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DOI:
10.1186/s41256-022-00237-3
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发表时间:
2022-01-24
影响因子:
8.7
通讯作者:
Li H
Li H
中科院分区:
医学4区
文献类型:
--
作者:
Kwete X;Tang K;Chen L;Ren R;Chen Q;Wu Z;Cai Y;Li H

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当前全球卫生运动的非殖民化要求我们从后殖民视角研究和实践全球卫生,当代学者和倡导者重新定义了全球卫生领域,目的是促进公平和正义。在本文中,我们总结了2021年7月在中国武汉召开的由全球健康研究与政策编辑委员会组织的研讨会的讨论要点。参加专题讨论会的专家讨论了全球卫生非殖民化的含义、如何实现非殖民化以及在衡量其完成情况时应采用何种标准。会议达成了共识,即全球卫生的现状仍然充满各种形式的殖民主义残余--意识形态和做法,要使全球卫生完全非殖民化,必须针对全球卫生的基本假设进行系统改革:对全球卫生的投资是否会带来社会经济发展,或者反过来?提出了全球卫生中的三个层次的殖民遗迹,并在思考解决办法时提出了一项指导原则。需要探讨更多的理论讨论,以指导全球卫生非殖民化的实践。
The current decolonizing global health movement is calling us to take a post-colonial perspective at the research and practice of global health, an area that has been re-defined by contemporary scholars and advocates with the purpose of promoting equity and justice. In this article, we summarize the main points of discussion from the Symposium organized by the editorial board of Global Health Research and Policy, convened in July 2021 in Wuhan, China. Experts participating in the symposium discussed what decolonizing global health means, how to decolonize it, and what criteria to apply in measuring its completion. Through the meeting, a consensus was reached that the current status quo of global health is still replete with various forms of colonial vestiges–ideologies and practices–, and to fully decolonize global health, systemic reforms must be taken that target the fundamental assumptions of global health: does investment in global health bring socioeconomic development, or is it the other way around? Three levels of colonial vestiges in global health were raised and one guiding principle was proposed when thinking of solutions for them. More theoretical discussion needs to be explored to guide practices to decolonize global health.
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