Reflective questioning to guide socially just global health reform: a narrative review and expert elicitation
Abstract Recent research has highlighted the impacts of colonialism and racism in global health, yet few studies have presented concrete steps toward addressing the problems. We conducted a narrative review to identify published evidence that documented guiding frameworks for enhancing equity and in...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-01-01
|
| Series: | International Journal for Equity in Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12939-023-02083-2 |
| _version_ | 1827388665876185088 |
|---|---|
| author | Sarah Lebu Lena Musoka Jay P. Graham |
| author_facet | Sarah Lebu Lena Musoka Jay P. Graham |
| author_sort | Sarah Lebu |
| collection | DOAJ |
| description | Abstract Recent research has highlighted the impacts of colonialism and racism in global health, yet few studies have presented concrete steps toward addressing the problems. We conducted a narrative review to identify published evidence that documented guiding frameworks for enhancing equity and inclusion in global health research and practice (GHRP). Based on this narrative review, we developed a questionnaire with a series of reflection questions related on commonly reported challenges related to diversity, inclusion, equity, and power imbalances. To reach consensus on a set of priority questions relevant to each theme, the questionnaire was sent to a sample of 18 global health experts virtually and two rounds of iterations were conducted. Results identified eight thematic areas and 19 reflective questions that can assist global health researchers and practitioners striving to implement socially just global health reforms. Key elements identified for improving GHRP include: (1) aiming to understand the historical context and power dynamics within the areas touched by the program; (2) promoting and mobilizing local stakeholders and leadership and ensuring measures for their participation in decision-making; (3) ensuring that knowledge products are co-produced and more equitably accessible; (4) establishing a more holistic feedback and accountability system to understand needed reforms based on local perspectives; and (5) applying systems thinking to addressing challenges and encouraging approaches that can be sustained long-term. GHRP professionals should reflect more deeply on how their goals align with those of their in-country collaborators. The consistent application of reflective processes has the potential to shift GHRP towards increased equity. |
| first_indexed | 2024-03-08T16:22:11Z |
| format | Article |
| id | doaj.art-34c334b4fe74400294ca21ef8ddf9cf3 |
| institution | Directory Open Access Journal |
| issn | 1475-9276 |
| language | English |
| last_indexed | 2024-03-08T16:22:11Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal for Equity in Health |
| spelling | doaj.art-34c334b4fe74400294ca21ef8ddf9cf32024-01-07T12:16:46ZengBMCInternational Journal for Equity in Health1475-92762024-01-0123111410.1186/s12939-023-02083-2Reflective questioning to guide socially just global health reform: a narrative review and expert elicitationSarah Lebu0Lena Musoka1Jay P. Graham2School of Public Health, University of California BerkeleySchool of Public Health, University of California BerkeleySchool of Public Health, University of California BerkeleyAbstract Recent research has highlighted the impacts of colonialism and racism in global health, yet few studies have presented concrete steps toward addressing the problems. We conducted a narrative review to identify published evidence that documented guiding frameworks for enhancing equity and inclusion in global health research and practice (GHRP). Based on this narrative review, we developed a questionnaire with a series of reflection questions related on commonly reported challenges related to diversity, inclusion, equity, and power imbalances. To reach consensus on a set of priority questions relevant to each theme, the questionnaire was sent to a sample of 18 global health experts virtually and two rounds of iterations were conducted. Results identified eight thematic areas and 19 reflective questions that can assist global health researchers and practitioners striving to implement socially just global health reforms. Key elements identified for improving GHRP include: (1) aiming to understand the historical context and power dynamics within the areas touched by the program; (2) promoting and mobilizing local stakeholders and leadership and ensuring measures for their participation in decision-making; (3) ensuring that knowledge products are co-produced and more equitably accessible; (4) establishing a more holistic feedback and accountability system to understand needed reforms based on local perspectives; and (5) applying systems thinking to addressing challenges and encouraging approaches that can be sustained long-term. GHRP professionals should reflect more deeply on how their goals align with those of their in-country collaborators. The consistent application of reflective processes has the potential to shift GHRP towards increased equity.https://doi.org/10.1186/s12939-023-02083-2Global healthRacismColonialismDecolonizingSocial JusticeInternational development |
| spellingShingle | Sarah Lebu Lena Musoka Jay P. Graham Reflective questioning to guide socially just global health reform: a narrative review and expert elicitation International Journal for Equity in Health Global health Racism Colonialism Decolonizing Social Justice International development |
| title | Reflective questioning to guide socially just global health reform: a narrative review and expert elicitation |
| title_full | Reflective questioning to guide socially just global health reform: a narrative review and expert elicitation |
| title_fullStr | Reflective questioning to guide socially just global health reform: a narrative review and expert elicitation |
| title_full_unstemmed | Reflective questioning to guide socially just global health reform: a narrative review and expert elicitation |
| title_short | Reflective questioning to guide socially just global health reform: a narrative review and expert elicitation |
| title_sort | reflective questioning to guide socially just global health reform a narrative review and expert elicitation |
| topic | Global health Racism Colonialism Decolonizing Social Justice International development |
| url | https://doi.org/10.1186/s12939-023-02083-2 |
| work_keys_str_mv | AT sarahlebu reflectivequestioningtoguidesociallyjustglobalhealthreformanarrativereviewandexpertelicitation AT lenamusoka reflectivequestioningtoguidesociallyjustglobalhealthreformanarrativereviewandexpertelicitation AT jaypgraham reflectivequestioningtoguidesociallyjustglobalhealthreformanarrativereviewandexpertelicitation |