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Decolonizing HIV Nursing for Health Equity: Challenges, Strategies, and Paths Forward
1Noriel P. Calaguas, PhD, MSHSA, RN, ACRN, is an Associate Professor, School of Nursing and Allied Medical Sciences, Holy Angel University, Angeles City, Philippines; and Trustee, Philippine Society of Sexual and Reproductive Health Nurses, Inc., Quezon City, Philippines; and is a Co-Chair, Association of Nurses in AIDS Care-Global Committee, Washington, District of Columbia, USA.
Abstract:
This commentary explores the imperative of decolonizing HIV nursing within the global context of HIV care. Acknowledging historical colonial influences, it examines persistent disparities and challenges in current HIV nursing practice, emphasizing the need for transformative approaches that center marginalized voices and challenge hegemonic structures. Drawing on frameworks such as critical race theory and postcolonial perspectives, it advocates for culturally responsive care models and community-led initiatives to address health inequities. Case studies from diverse global settings illustrate successful decolonized approaches, highlighting the impact of inclusive policies and partnerships in improving health outcomes. Recommendations include reframing cultural competency training in nursing education, promoting diverse health care leadership, and prioritizing research on intersectional health disparities. By embracing decolonization, nurses can lead efforts toward a more equitable and effective global HIV response, ensuring dignity and empowerment for all affected communities.
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