非洲的实施科学 - - 谁的认识论才是重要的?
Ejemai Eboreime1, Latifat Ibisomi2, Ijeoma Uchenna Itanyi3
1Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.
The Lancet. Global health
|November 14, 2025
概括
实施科学框架,通常是以欧洲为中心的,排除了非洲卫生系统.
科学领域:
- 全球健康 全球健康
- 实施科学 实施科学
- 卫生系统研究 卫生系统研究
背景情况:
- 实施科学旨在弥合全球卫生方面的知识差距.
- 现有的实施框架往往植根于欧洲中心的认识论.
- 这些框架可能无法充分捕捉在非洲背景下成功实施的机制.
研究的目的:
- 在经验上批评非洲卫生系统当前实施框架的局限性.
- 分析欧洲中心的框架如何导致认识论的排斥.
- 为更具包容性的实施科学提出转型建议.
主要方法:
- 对广泛使用的实施框架的实证批评.
- 分析来自不同非洲环境的案例研究.
- 认识不公正理论的应用.
主要成果:
- 欧洲中心的框架系统地未能承认非洲的实施机制.
- 这种认识论上的不匹配破坏了非洲的实施科学和实践.
- 传统的治理,社区的合法性和关系权威往往被边缘化.
结论:
- 实施科学必须转变为非洲认识论传统的中心.
- 在知识生产中真正的权力共享对于改善卫生系统至关重要.
- 解决认识障碍的排除对于公平的全球健康研究至关重要.
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