Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, Rotterdam, 3000DR, the Netherlands.
Global Health. 2023 Mar 21;19(1):19. doi: 10.1186/s12992-023-00919-8.
While critique on Global Health is not new, recent years show a surge of criticism on the field's colonial legacy and practices specifically. Such accounts argue that despite Global Health's strive for universality and equity in health, its activities regularly produce the opposite. The epistemic privileging of Northern academics and scientific method, further augmented by how Global Health funding is arranged, paints a picture of a fragmented field in which 'doing good' has become a normatively laden and controversial term. It is specifically this controversy that we seek to unpack in this paper: what does it take to be a 'good' Global Health scholar?
We used Helen Verran's notion of 'disconcertment' to analyse three auto-ethnographic vignettes of Robert's Global Health 'fieldwork'. We illustrate that disconcertment, a bodily and personalised experience of unease and conflicting feelings, may serve as an important diagnostic of conflicting imperatives in Global Health. Robert's fieldwork was entangled with incongruous imperatives which he constantly had to navigate through and that repeatedly produced disconcertment. The contribution that we seek to make here is that such disconcertment is not something to defuse or ignore, but to take seriously and stay with instead.
Staying with the disconcertment serves as a starting point for conversations about 'doing good' in Global Health fieldwork and creates opportunity for making Global Health teaching and projects more reflexive. The paper thereby positions itself in discussions about fair collaborations between the Global North and South and our analysis offers a set of considerations that can be used by Northern scholars to critically reflect on their own role within Global Health.
虽然对全球卫生的批评并不新鲜,但近年来,人们对该领域的殖民遗产和实践提出了更多的批评。这些观点认为,尽管全球卫生努力在健康方面实现普遍性和平等,但它的活动经常产生相反的结果。北方学术界和科学方法的认知特权,以及全球卫生资金的安排方式,描绘了一个支离破碎的领域,在这个领域中,“做好事”已经成为一个带有规范性和争议性的术语。正是这种争议,我们试图在本文中进行剖析:要成为一名“优秀”的全球卫生学者需要什么?
我们使用海伦·维拉(Helen Verran)的“不安”概念来分析罗伯特(Robert)三次全球卫生“实地工作”的自传体片段。我们说明,不安是一种身体上的、个性化的不适和冲突感,它可以作为全球卫生中冲突命令的重要诊断。罗伯特的实地工作与他必须不断应对的不一致的命令纠缠在一起,并反复产生不安。我们在这里试图做出的贡献是,这种不安不是要消除或忽视,而是要认真对待并坚持下去。
坚持不安是全球卫生实地工作中“做好事”的对话的起点,并为使全球卫生教学和项目更具反思性创造了机会。本文因此在关于全球北方和南方之间公平合作的讨论中定位自己,并为北方学者提供了一套可以用来批判性地反思自己在全球卫生中的角色的考虑因素。