United Nations University International Institute for Global Health, Cheras, WP Kuala Lumpur, Malaysia.
United Nations University International Institute for Global Health, Cheras, WP Kuala Lumpur, Malaysia
BMJ Glob Health. 2024 Apr 11;9(4):e014235. doi: 10.1136/bmjgh-2023-014235.
Race and gender were intimately intertwined aspects of the colonial project, used as key categories of hierarchisation within both colonial and modern societies. As such, true decolonisation is only possible when both are addressed equally; failure to address the colonial root causes of gender-based inequalities will allow for the perpetuation of racialised notions of gender to persist across the global health ecosystem. However, the authors note with concern the relative sidelining of gender within the decolonising global health discourse, especially as it navigates the critical transition from rhetoric to action.
A scoping review was conducted to locate where gender does, or does not, appear within the decolonising global health literature. The authors reviewed the decolonising global health literature available on Scopus and PubMed online databases to identify peer-reviewed papers with the search terms "(decoloni* or de-coloni*) OR (neocolonial or neo-colonial) AND 'global health'" in their title, abstract or keywords published by December 2022.
Out of 167 papers on decolonising global health, only 53 (32%) had any reference to gender and only 26 (16%) explicitly engaged with gender as it intersects with (de)coloniality. Four key themes emerged from these 26 papers: an examination of coloniality's racialised and gendered nature; how this shaped and continues to shape hierarchies of knowledge; how these intertwining forces drive gendered impacts on health programmes and policies; and how a decolonial gender analysis can inform action for change.
Historical legacies of colonisation continue to shape contemporary global health practice. The authors call for the integration of a decolonial gender analysis in actions and initiatives that aim to decolonise global health, as well as within allied movements which seek to confront the root causes of power asymmetries and inequities.
种族和性别是殖民项目中紧密交织的方面，在殖民和现代社会中都被用作等级划分的关键类别。因此，只有平等地解决这两个问题，才有可能实现真正的非殖民化；如果不解决性别不平等的殖民根源，那么在全球卫生生态系统中，种族化的性别观念将继续存在。然而，作者关切地注意到，在非殖民化的全球卫生话语中，性别问题相对被边缘化，尤其是在从理论向行动过渡的关键阶段。
本研究进行了范围界定审查，以确定性别在非殖民化全球卫生文献中的出现情况。作者在 Scopus 和 PubMed 在线数据库中检索了与标题、摘要或关键词中包含“（去殖民化或去殖民）或（新殖民或新殖民主义）和‘全球卫生’”的去殖民化全球卫生文献，以确定在 2022 年 12 月之前发表的同行评议论文。
在 167 篇关于非殖民化全球卫生的论文中，只有 53 篇（32%）提到了性别，只有 26 篇（16%）明确将性别作为（去）殖民主义的交叉问题进行了探讨。这 26 篇论文中出现了四个关键主题：审查殖民主义的种族化和性别化性质；这如何塑造并继续塑造知识的等级制度；这些交织的力量如何对卫生计划和政策产生性别影响；以及去殖民化的性别分析如何为变革行动提供信息。
殖民化的历史遗留问题继续影响当代全球卫生实践。作者呼吁在旨在非殖民化全球卫生的行动和倡议中，以及在寻求解决权力不对称和不平等根源的同盟运动中，纳入去殖民化的性别分析。
