Gautier Lara, Karambé Youssouf, Dossou Jean-Paul, Samb Oumar Mallé
Département de Gestion, Évaluation et Politique de Santé, Université de Montréal, Montreal, Canada.
Centre de recherche en santé publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Canada.
Glob Public Health. 2022 Feb;17(2):180-193. doi: 10.1080/17441692.2020.1858134. Epub 2020 Dec 8.
There has been much talk about decolonizing global health lately. The movement, which has arisen in various communities around the world, suggests an interesting critique of the Western dominant model of representations. Building upon the 'decolonial thinking' movement from the perspective of Francophone African philosophers, we comment on its potential for inspiring the field of global healthinterventions. Using existing literature and personal reflections, we reflect on two widely known illustrations of global health interventions implemented in sub-Saharan Africa - distribution of contraceptives and dissemination of Ebola virus prevention and treatment devices - featuring different temporal backdrops. We show how these solutions have most often targeted the superficial dimensions of global health problems, sidestepping the structures and mental models that shape the actions and reactions of African populations. Lastly, we question the ways through which the decolonial approach might indeed offer a credible positioning for rethinking global health interventions.
最近,关于全球卫生去殖民化的讨论很多。这场在世界各地不同社区兴起的运动,对西方主导的表征模式提出了有趣的批判。从非洲法语国家哲学家的“去殖民思想”运动角度出发,我们评论了其对全球卫生干预领域的启发潜力。利用现有文献和个人思考,我们反思了在撒哈拉以南非洲实施的两个广为人知的全球卫生干预案例——避孕药具的分发以及埃博拉病毒预防和治疗设备的传播——它们有着不同的时代背景。我们展示了这些解决方案如何最常针对全球卫生问题的表面层面,而避开了塑造非洲民众行为和反应的结构及思维模式。最后,我们质疑去殖民方法可能为重新思考全球卫生干预提供可靠定位的方式。