Reflective questioning to guide socially just global health reform: a narrative review and expert elicitation.

Colonialism Decolonizing Global health International development Racism Social Justice

Journal

International journal for equity in health
ISSN: 1475-9276
Titre abrégé: Int J Equity Health
Pays: England
ID NLM: 101147692

Informations de publication

Date de publication:
05 Jan 2024
Historique:
received: 22 07 2023
accepted: 15 12 2023
medline: 6 1 2024
pubmed: 6 1 2024
entrez: 5 1 2024
Statut: epublish

Résumé

Recent research has highlighted the impacts of colonialism and racism in global health, yet few studies have presented concrete steps toward addressing the problems. We conducted a narrative review to identify published evidence that documented guiding frameworks for enhancing equity and inclusion in global health research and practice (GHRP). Based on this narrative review, we developed a questionnaire with a series of reflection questions related on commonly reported challenges related to diversity, inclusion, equity, and power imbalances. To reach consensus on a set of priority questions relevant to each theme, the questionnaire was sent to a sample of 18 global health experts virtually and two rounds of iterations were conducted. Results identified eight thematic areas and 19 reflective questions that can assist global health researchers and practitioners striving to implement socially just global health reforms. Key elements identified for improving GHRP include: (1) aiming to understand the historical context and power dynamics within the areas touched by the program; (2) promoting and mobilizing local stakeholders and leadership and ensuring measures for their participation in decision-making; (3) ensuring that knowledge products are co-produced and more equitably accessible; (4) establishing a more holistic feedback and accountability system to understand needed reforms based on local perspectives; and (5) applying systems thinking to addressing challenges and encouraging approaches that can be sustained long-term. GHRP professionals should reflect more deeply on how their goals align with those of their in-country collaborators. The consistent application of reflective processes has the potential to shift GHRP towards increased equity.

Identifiants

pubmed: 38183120
doi: 10.1186/s12939-023-02083-2
pii: 10.1186/s12939-023-02083-2
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

3

Informations de copyright

© 2024. The Author(s).

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Auteurs

Sarah Lebu (S)

School of Public Health, University of California Berkeley, 2121, Berkeley Way, Berkeley, CA, 94704, USA. sarah_lebu@berkeley.edu.
University of North Carolina, Gillings School of Public Health, Chapel Hill, NC, USA. sarah_lebu@berkeley.edu.

Lena Musoka (L)

School of Public Health, University of California Berkeley, 2121, Berkeley Way, Berkeley, CA, 94704, USA.
Georgetown University, McDonough School of Business, Washington, DC, USA.

Jay P Graham (JP)

School of Public Health, University of California Berkeley, 2121, Berkeley Way, Berkeley, CA, 94704, USA.

Classifications MeSH