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Decolonising global health research: Shifting power for transformative change
Ramya Kumar1,2, Rajat Khosla1, David McCoy1
1United Nations University-International Institute for Global Health, Kuala Lumpur, Malaysia.
PLOS Global Public Health
|April 24, 2024
Summary
Decolonizing global health research requires addressing power imbalances and knowledge hierarchies. This study proposes structural changes beyond equitable partnerships to achieve genuine decolonization in global health.
Area of Science:
- Global Health
- Medical Ethics
- Sociology of Science
Background:
- Decolonization debates highlight power asymmetries and knowledge hierarchies in global health research.
- Colonial legacies persist, influencing relationships and research practices within global health.
Purpose of the Study:
- To develop a structural understanding of decolonizing global health research.
- To analyze colonialism's intersecting dimensions within global health.
- To identify policy and action needs for equitable global health research.
Main Methods:
- Application of three intersecting dimensions of colonialism: within, of, and through global health.
- Critical analysis of existing guidelines and checklists for global health research equity.
Main Results:
- Existing equity guidelines inadequately address systemic power asymmetries and biases.
- Current approaches often fail to tackle deep-rooted colonial structures in global health research.
Conclusions:
- Decolonizing global health research necessitates a shift beyond equitable partnerships.
- Emphasize redistributing decision-making power and resources.
- Hold funders and power-holders accountable to affected communities and regions.
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