在碎片化时代去殖民全球健康:重新想象普及健康覆盖的公平性
Emmanuel Kwasi Afriyie1, Ridley Nsioge Mbwoge2, Munawar Harun Koray3
1Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Health policy and planning
|December 11, 2025
概括
地缘政治变化揭示了全球健康状况.
科学领域:
- 全球健康 全球健康
- 国际关系 国际关系
- 健康 公平 卫生 公平
背景情况:
- 全球卫生合作面临着由于地缘政治紧张局势和西方支持下降的分裂.
- 美国退出世卫组织和COVID-19期间的疫苗民族主义等事件暴露了援助架构中的殖民依赖.
- 目前的系统故障不成比例地影响低收入和中等收入国家 (LMICs).
研究的目的:
- 分析全球卫生合作的危机,作为拆除殖民遗产的机会.
- 重新想象全球卫生公平作为共享权力和主权的实践,而不是由捐助者驱动的援助.
- 为非殖民化未来提出一个新的全球健康契约.
主要方法:
- 记录全球健康的替代途径,包括中国的健康外交和印度的制药行业.
- 审查LMIC主导的倡议,如非洲药物署和当地疫苗生产.
- 提出一个新的全球卫生契约,基于四个相互依存的支柱.
主要成果:
- 替代途径和LMIC主导的倡议表明向更大的自主性和能力转变.
- 一项拟议的全球卫生契约强调了认识体系的正义,创新的融资,低低收入国家治理和开放的知识.
- 该评论概述了利益相关者促进非殖民化的全球卫生系统的蓝图.
结论:
- 全球卫生系统的碎片化为脱殖民主义和实现健康平等带来了关键时刻.
- 一个以共享权力,地方知识和公平实践为中心的新契约是必不可少的.
- 所有利益关方都需要采取具体行动,建立一个真正公平的全球卫生系统,实现全民健康覆盖.
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