Situating Biomedical and Professional Monopoly at the Intersections of Structural, Ideational and Agentic Power; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process”
Lassa and colleagues’ study is a strong commentary on the biomedical hegemony and professional monopoly of medical doctors in the policy landscape of the Global Fund in Nigeria. Situating this critical dimension of professional power within wider scholarship of power and governance of global health...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2023-12-01
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| Series: | International Journal of Health Policy and Management |
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| Online Access: | https://www.ijhpm.com/article_4467_2bdc63a5dbdef1ee55d538c6cc5cf01e.pdf |
| _version_ | 1797206239238684672 |
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| author | Anuj Kapilashrami |
| author_facet | Anuj Kapilashrami |
| author_sort | Anuj Kapilashrami |
| collection | DOAJ |
| description | Lassa and colleagues’ study is a strong commentary on the biomedical hegemony and professional monopoly of medical doctors in the policy landscape of the Global Fund in Nigeria. Situating this critical dimension of professional power within wider scholarship of power and governance of global health initiatives (such as the Global Fund), in this comment, I put forth two core arguments. I call for a relational perspective of power in a dynamic policy space that the Fund characterises. I argue that a systems-view analysis of power requires a thorough examination of subsystems, how they interact, and the diverse forms of power — individual agentic, ideational, and structural — and the mechanisms through which power is wielded. The lens of governmentality allows linking individual (expertise and practices) with institutional regimes and social practices these enable; and in examining the interface of local/sub-national, national, and global within which policy formulation and implementation occurs. |
| first_indexed | 2024-04-24T09:03:51Z |
| format | Article |
| id | doaj.art-55e2db30bf674a2988ef71389132539c |
| institution | Directory Open Access Journal |
| issn | 2322-5939 |
| language | English |
| last_indexed | 2024-04-24T09:03:51Z |
| publishDate | 2023-12-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-55e2db30bf674a2988ef71389132539c2024-04-15T19:04:26ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392023-12-0112Issue 11410.34172/ijhpm.2023.80194467Situating Biomedical and Professional Monopoly at the Intersections of Structural, Ideational and Agentic Power; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process”Anuj Kapilashrami0School of Health & Social Care, University of Essex, Colchester, UKLassa and colleagues’ study is a strong commentary on the biomedical hegemony and professional monopoly of medical doctors in the policy landscape of the Global Fund in Nigeria. Situating this critical dimension of professional power within wider scholarship of power and governance of global health initiatives (such as the Global Fund), in this comment, I put forth two core arguments. I call for a relational perspective of power in a dynamic policy space that the Fund characterises. I argue that a systems-view analysis of power requires a thorough examination of subsystems, how they interact, and the diverse forms of power — individual agentic, ideational, and structural — and the mechanisms through which power is wielded. The lens of governmentality allows linking individual (expertise and practices) with institutional regimes and social practices these enable; and in examining the interface of local/sub-national, national, and global within which policy formulation and implementation occurs.https://www.ijhpm.com/article_4467_2bdc63a5dbdef1ee55d538c6cc5cf01e.pdfpowerglobal health initiativesglobal health partnershipshealth systemshealth policy |
| spellingShingle | Anuj Kapilashrami Situating Biomedical and Professional Monopoly at the Intersections of Structural, Ideational and Agentic Power; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process” International Journal of Health Policy and Management power global health initiatives global health partnerships health systems health policy |
| title | Situating Biomedical and Professional Monopoly at the Intersections of Structural, Ideational and Agentic Power; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process” |
| title_full | Situating Biomedical and Professional Monopoly at the Intersections of Structural, Ideational and Agentic Power; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process” |
| title_fullStr | Situating Biomedical and Professional Monopoly at the Intersections of Structural, Ideational and Agentic Power; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process” |
| title_full_unstemmed | Situating Biomedical and Professional Monopoly at the Intersections of Structural, Ideational and Agentic Power; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process” |
| title_short | Situating Biomedical and Professional Monopoly at the Intersections of Structural, Ideational and Agentic Power; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process” |
| title_sort | situating biomedical and professional monopoly at the intersections of structural ideational and agentic power comment on power dynamics among health professionals in nigeria a case study of the global fund policy process |
| topic | power global health initiatives global health partnerships health systems health policy |
| url | https://www.ijhpm.com/article_4467_2bdc63a5dbdef1ee55d538c6cc5cf01e.pdf |
| work_keys_str_mv | AT anujkapilashrami situatingbiomedicalandprofessionalmonopolyattheintersectionsofstructuralideationalandagenticpowercommentonpowerdynamicsamonghealthprofessionalsinnigeriaacasestudyoftheglobalfundpolicyprocess |