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What is Global Health Equity? A Proposed Definition
Ella August1, Lia Tadesse2, Marie S O'Neill1
1University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, Michigan, US.
Global health equity is defined as mutually beneficial, power-balanced partnerships and processes that result in equitable health outcomes worldwide. This definition emphasizes combating racism and supremacy in global health initiatives.
Area of Science:
- Global Health
- Health Equity Studies
- Social Determinants of Health
Background:
- The term "global health equity" lacks a formal, widely accepted definition.
- Increased visibility of the term necessitates a clear conceptual framework.
- Existing discourse often overlooks the structural power dynamics inherent in global health.
Purpose of the Study:
- To address the definitional gap for "global health equity."
- To propose a formal definition grounded in equitable partnerships and processes.
- To highlight the importance of addressing racism and supremacy in global health.
Main Methods:
- Conceptual analysis and literature review to identify the need for a definition.
- Development of a proposed definition based on key principles.
- Illustrative examples of equitable partnerships and outcomes.
Main Results:
- A proposed definition of global health equity: mutually beneficial and power-balanced partnerships and processes leading to equitable human and environmental health outcomes on a global scale.
- Emphasis on partnerships actively working against racism and supremacy.
- Identification of equitable "products" such as technology access and context-specific interventions.
Conclusions:
- A formal definition of global health equity is crucial for advancing the field.
- Equitable partnerships and processes are essential for achieving global health equity.
- Addressing power imbalances and systemic inequities, including racism, is fundamental to equitable global health outcomes.
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