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Decolonising global health through implementation science: defining the path to equity and structural transformation
Deena Mehjabeen1, Kyle Patel2, Rahul M Jindal3,4,5
1Translational Health Research Institute, Campbelltown Campus, Western Sydney University, Campbelltown, New South Wales, Australia.
BMJ Open
|May 27, 2026
Summary
Decolonising global health requires integrating decolonisation principles into implementation science. This involves locally driven approaches, participatory methods, and expanded metrics for equitable and socially just interventions.
Area of Science:
- Global Health
- Implementation Science
- Health Equity
Background:
- Colonial legacies and power imbalances persist in global health research and practice.
- Rethinking evidence generation, valuation, and application is crucial for decolonisation.
Purpose of the Study:
- To examine how decolonisation principles can be integrated into implementation science.
- To propose conceptual shifts for transforming implementation science.
Main Methods:
- Scoping review of existing literature.
- Synthesis of findings to identify integration strategies.
Main Results:
- Three conceptual shifts proposed: 1. Locally driven intervention approaches. 2. Participatory, equity-focused methodologies redistributing authority. 3. Expanded metrics for power, authorship, adaptability, and legitimacy.
- These shifts reposition implementation science as a transformative practice supporting structural change.
Conclusions:
- Operationalising shifts through policy-aligned, locally led research, equitable mentorship, and co-designed technologies.
- Provides a framework for researchers, funders, and policymakers to embed decolonisation.
- Ensures interventions are contextually relevant, equitable, and socially just.
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