Clarke Amber, Richter Katharina, Lokot Michelle, Rivas Althea-Maria, Hafez Sali, Singh Neha S
FAIR Network, London School of Hygiene and Tropical Medicine, London, United Kingdom.
School of Sociology, Politics and International Studies, University of Bristol, Bristol, United Kingdom.
PLOS Glob Public Health. 2024 Oct 2;4(10):e0003566. doi: 10.1371/journal.pgph.0003566. eCollection 2024.
Despite growing calls and efforts to decolonise global and humanitarian health, there is limited practical guidance for researchers, educators and practitioners on how to do so. This paper fills this gap by offering a narrative exploration of key recommendations on decolonising global/humanitarian health research, partnerships, teaching, organisational structures and other practices. We present concrete guidelines to support humanitarian actors in decolonising their work. We used a scoping review method. The search strategy was built on three overarching themes: decolonising, global health/health and humanitarian crises. We combined a MEDLINE and Web of Science database search with a grey literature search. In total, we screened abstracts and titles of 533 documents, excluding records that did not specifically refer to 'decolonising,' humanitarian and/or global health. We assessed full texts of 58 documents for eligibility, excluding documents that did not include practical recommendations. In total, 15 documents were included in this review. We identified five key themes: organisational structure, strategy and engagement; research partnerships and conceptualisations; funding for research and projects; the research lifecycle; and teaching and the curriculum. The principal finding is that humanitarian actors can decolonise their work by decentralising power, redistributing resources, critically reflecting on their work in the context of the broader socio-political landscape and recovering, centring and valuing marginalised Global South perspectives. Race was not a central analytical category in the reviewed literature, despite being an integral part of historical background narratives. Future research should reflect on practical steps towards racial justice in global/humanitarian health and be focused on ensuring that efforts towards "localisation" or "equitable partnerships" in global health are linked to decolonisation efforts, including in humanitarian health research. Our review underscores the importance of drawing on knowledge created by and for actors based in the Global South.
尽管要求使全球和人道主义健康非殖民化的呼声日益高涨，且人们也为此付出了努力，但对于研究人员、教育工作者和从业者而言，关于如何做到这一点的实际指导却很有限。本文通过对有关使全球/人道主义健康研究、伙伴关系、教学、组织结构及其他实践非殖民化的关键建议进行叙述性探究，填补了这一空白。我们提出了具体指南，以支持人道主义行为体使其工作非殖民化。我们采用了范围综述方法。检索策略基于三个总体主题构建：非殖民化、全球健康/健康与人道主义危机。我们将医学期刊数据库（MEDLINE）和科学网数据库搜索与灰色文献搜索相结合。我们总共筛选了533篇文献的摘要和标题，排除了未具体提及“非殖民化”、人道主义和/或全球健康的记录。我们评估了58篇文献的全文是否符合要求，排除了未包含实际建议的文献。本综述共纳入15篇文献。我们确定了五个关键主题：组织结构、战略与参与；研究伙伴关系与概念化；研究与项目资金；研究生命周期；以及教学与课程。主要发现是，人道主义行为体可以通过权力下放、重新分配资源、在更广泛的社会政治背景下批判性地反思其工作，以及恢复、重视和以边缘化的全球南方视角为中心，使其工作非殖民化。尽管种族是历史背景叙述中不可或缺的一部分，但在所审查的文献中，种族并非核心分析类别。未来的研究应思考在全球/人道主义健康领域实现种族正义的实际步骤，并应专注于确保全球健康领域的“本土化”或“公平伙伴关系”努力与非殖民化努力相联系，包括在人道主义健康研究中。我们的综述强调了借鉴全球南方行为体创造的知识以及为其创造的知识的重要性。
