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Global Health's Evolution and Search for Identity.

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    Global health priorities are shaped by Northern funding, not global needs, challenging governance. Reconceptualizing global health is crucial for its relevance, focusing on equity and transnational threats.

    Keywords:
    Keywords: global healthSustainable Development Goalsdecolonizing global healthdevelopment assistanceinternational healthpublic healthtropical medicine

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    Area of Science:

    • Global Health
    • Public Health Policy
    • Health Systems Research

    Background:

    • The definition and priorities of global health are ill-defined, influenced by high-income country funding rather than global health trends.
    • Decolonizing global health movements challenge existing governance and resource allocation structures.
    • Historical evolution from tropical medicine and international health, alongside rising noncommunicable diseases, creates inherent contradictions.

    Purpose of the Study:

    • To analyze the challenges and contradictions within the discipline of global health.
    • To propose a reconceptualization of global health priorities in light of evolving global trends and the Sustainable Development Goals.
    • To address the tension between global health security and health equity.

    Main Methods:

    • Conceptual analysis of global health's historical evolution and current challenges.
    • Review of demographic, socioeconomic, and epidemiologic transitions impacting global health.
    • Examination of the influence of funding from high-income countries on global health priorities.

    Main Results:

    • Global health priorities are disproportionately influenced by funding from the Global North.
    • Demographic and epidemiological shifts, including the rise of noncommunicable diseases, have blurred the lines between developed and developing countries.
    • A conflict exists between the goals of global health security and health equity.

    Conclusions:

    • Global health requires reconceptualization to maintain relevance, shifting focus towards vulnerable populations, transnational issues like climate change and migration, and epidemic preparedness.
    • Addressing funding disparities and decolonizing global health are essential for equitable resource allocation.
    • A renewed focus on health equity and transnational challenges is necessary as the 2030 Sustainable Development Goals deadline approaches.