McGill University, Montreal, Quebec, Canada
BMJ Glob Health. 2024 Aug 16;9(8):e015420. doi: 10.1136/bmjgh-2024-015420.
The field of global health is at a pivotal moment of transformation. Decoloniality has emerged as a critical framework to assess and transform the pathologies that mark the field. These pathologies include the inequitable sharing of resources, the power hierarchies that entrench decision-making in institutions largely based in North America and Europe and the general predisposition towards paternalistic and exploitative interactions and exchange between North and South. The energy being generated around this transformative moment is widening circles of participation in the discourse on what transformation should look like in the field. The importance of decoloniality cannot be overstated in driving the transformative agenda. At the same time, the popularity of decoloniality as a critical framework may risk omissions in our understanding of the origins of injustice and the pathways to a new global health. To complement the work being done to decolonise global health, I illustrate how the 'human condition' intersects with the transformative agenda. By human condition, I mean the universal features of humanity that lead to oppression and those that lead to cooperation, unity and a shared humanity.
全球健康领域正处于转型的关键时刻。非殖民化已成为一个重要的框架,用于评估和改变该领域的病理现象。这些病理现象包括资源分配不均、权力等级制度使决策陷入以北美和欧洲为基础的机构中、以及北方和南方之间普遍存在的家长式和剥削性互动和交流的倾向。围绕这一变革时刻产生的能量正在扩大参与讨论的圈子,讨论该领域的变革应该是什么样子。非殖民化在推动变革议程方面的重要性怎么强调都不为过。与此同时,非殖民化作为一个关键框架的流行可能会导致我们对不公正的起源和通向新的全球健康的途径的理解出现遗漏。为了补充非殖民化全球健康的工作,我说明了“人类状况”如何与变革议程相交织。通过人类状况,我指的是导致压迫的人类普遍特征,以及导致合作、团结和共同人性的特征。