Grounding global health in care: connecting decoloniality and migration through racialization

Global Public Health, Journal Year: 2025, Volume and Issue: 20(1)

Published: March 24, 2025

Recent academic and activist critiques raise important points about the ways in which coloniality, migration racialization are often overlooked global health research practice. In particular, these highlight how such structural forces perpetuate inequalities exclusions, as well processes of epistemic violence health. While agreeing with critical interventions, this paper argues for a focus on care importance that concrete acts systems postcolonial, migratory racialized contexts have suffering vulnerability individuals communities. Drawing case studies from multiple different geographic social contexts, we argue perspective can multi-layered healthcare shaped by intertwined coloniality migration; thereby explaining contextual, specific groups people to certain conditions their exclusion adequate resources. We scientists scholars practitioners play central role bringing three strands – into conversation explore potential jointly advancing well-being communities geographical contexts.

Language: Английский

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Why Achieving Health Equity for Indigenous Peoples Requires Indigenizing the Social Determinants of Health

American Journal of Public Health, Journal Year: 2025, Volume and Issue: 115(5), P. 643 - 645

Published: April 9, 2025

Language: Английский

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Identifying Settler Colonial Determinants of Health (SCDH) as the Upstream Cause of Palestinian Ill Health Is Both Incorrect and Harmful

Rambam Maimonides Medical Journal, Journal Year: 2025, Volume and Issue: 16(2), P. e0009 - e0009

Published: April 29, 2025

Extremism, displacement, and ongoing conflict have affected Palestinians Israelis personally collectively, endangering their health lives. A theory circulating in public publications posits that settler colonial determinants of (SCDH) are the root cause inequities region. We argue this assertion is misleading, ignores key facts, exacerbates polarization, thus harming health. Public an evidence-based, scientific discipline based on hypotheses, research, analysis. Throughout process, careful assessments bias essential. Knowledge subsequently translated into policy action. The SCDH rejects approach as tainted by "colonialism." also concept, applied to disparities Israel-Palestine, ideologically driven search evidence. Rather than developing testable promoters use selective evidence support its relevance collapses when examined against relevant facts related regional history status Palestinians. It invokes one-sided racism a driver context-inappropriate manner, many upstream including actions Palestinian leadership, role drivers denigrates peace-building collaboration which future wellbeing region, proven record improving outcomes. call professionals distance themselves from unfounded rhetoric polarizes communities, undermines discipline's integrity, while contributing nothing promote

Language: Английский

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Building a framework to decolonize global emergency medicine

AEM Education and Training, Journal Year: 2024, Volume and Issue: 8(3)

Published: May 16, 2024

Global emergency medicine (GEM) is situated at the intersection of global health and (EM), which built upon a history colonial systems institutions that continue to reinforce inequities between high-income countries (HICs) low- middle-income (LMICs) today. These power imbalances yield disparities in GEM practice, research, education. The Emergency Medicine Academy (GEMA) Society for Academic formed Decolonizing Working Group 2020, now includes over 100 worldwide members. mission address legacies catalyze sustainable changes recommendations toward decolonization individual institutional levels. To develop decolonize GEM, group conducted nonsystematic review existing literature on decolonizing health, followed by in-depth discussions academics from LMICs HICs explore implications challenges specific GEM. We then synthesized actionable solutions provide Despite rapidly expanding body there little guidance relatively new field By applying principles we suggest key priorities improving equity academic GEM: (1) reframing partnerships place LMIC positions expertise power, (2) redirecting research funding LMIC-driven projects investigators, (3) creating more equitable practices establishing authorship, (4) upholding education EM trainees HICs. Understanding roots will allow us look critically current identify inequitable institutionalized within our profession uphold these misguided concepts. A decolonized future depends recognition rectification colonial-era shape structural determinants care delivery scientific advancement.

Language: Английский

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Indigenous sovereignty in research and epistemic justice: Truth telling through research

Global Public Health, Journal Year: 2024, Volume and Issue: 20(1)

Published: Dec. 11, 2024

Indigenous ways of knowing, being and doing are based on embodied sovereignty, relationality countless generations knowledge sharing. We call for epistemic justice in which systems recognised valued research-related contexts. draw attention to how colonial silence, delegitimise devalue specific knowers – through truth telling. This includes (1) the extent educational systems, research, practices, decisions, reported outcomes whitewashed a process structural systemic discrimination, racism, exclusion that actively alters or omits non-Euro-Western contributions perspectives fit Euro-Western norms (2) racialised logic scientific research claims be open, collaborative transparent. Whitewashing not only obscures history peoples communities but also reinforces biases inequities. assert need public health research. Epistemic calls sovereignty self-determination made visible. It may involve policies, protocols, regulations connected everyday lived inequities communities, families individuals. Ultimately, is inherent peoples' wellness, sovereignty.

Language: Английский

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