Decolonising the global to local movement: Time for a new paradigm

Chapman, Rachel R.; Raige, Hodan; Abdulahi, Ayan; Mohamed, Sumaya B.; Osman, Muna

doi:10.1080/17441692.2021.1986736

Cited by 3 publications

(4 citation statements)

References 38 publications

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“…CBOs can serve as facilitators and intermediaries in order to engage community members in the co-design of culturally-congruent programs informed by knowledge and experience from their cultures and native countries. For instance, the Mama Amaan [ 21 ] project in Seattle was a collaboration led by Somali women researchers and practitioners that brought together partners such as the Somali Health Board (a CBO comprised of Somali Health professionals and volunteers working to reduce health disparities among immigrants and refugees), Health Alliance International (a global health NGO), Somali Doulas Northwest (a provider of doula services to low-income, refugee, and immigrant women; now known as Global Perinatal Services), and University of Washington faculty to support improved perinatal experience and outcomes for local Somali families. While not explicitly focused on global learning per se , the project was informed by global wisdom shared among the participants.…”

Section: Resultsmentioning

confidence: 99%

A Framework for Applying Global Learning to Improve Primary Health Care in the United States

Sugarman

Reed²

2023

Annals of Global Health

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Background and objectives: Lessons from global health have long informed efforts to improve primary health care (PHC) in the United States (US). Despite this history, no generalizable framework exists to guide US stakeholders in the identification and application of ideas from abroad related to the key PHC components of community engagement and service delivery. We sought to develop such a framework. Methods: We reviewed the experience of Global to Local, a community-based organization (CBO) founded with a mission to apply global health strategies to improve the health in vulnerable populations in the US, and examined the experience of care delivery organizations in the US that have successfully implemented global-to-local solutions. Based on that experience, and supported by the advice of an expert panel, we developed a framework for applying global learning to improve US PHC. Findings: The framework includes six change concepts under three broad categories. The first category focuses on the need to actively and intentionally incorporate a global perspective in organizational program design and improvement activities. The second category addresses approaches to identifying global solutions related to community engagement and to health service delivery. The third category focuses on adaptation and implementation of lessons from global health in domestic contexts by applying relevant insights from dissemination and implementation science and diffusion of innovation theory. Conclusions: In the absence of a robust literature providing implementation guidance to US health systems and CBOs open to adopting or adapting PHC strategies and practices from other countries, the proposed framework synthesizing the experience of organizations that have done so can inform efforts to apply lessons from global health to improve PHC in the US.

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Section: Resultsmentioning

confidence: 99%

A Framework for Applying Global Learning to Improve Primary Health Care in the United States

Sugarman

Reed²

2023

Annals of Global Health

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“…As depicted in Figure 1 , few published sources (N=11) [ 16 26 27 89 90 91 92 93 94 95 96 ] report actual implementation of global ideas into local US communities to promote health equity or a related outcome. Most sources in this category are brief overviews of projects, and very few describe the full implementation and associated health equity outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Many of the papers in this category discuss process outcomes rather than health equity outcomes. Process outcomes included the development of community engagement strategies and knowledge brokerage approaches [ 28 90 ], strategy papers and policy briefs [ 91 ], conceptual frameworks [ 92 ], training outcomes for community health workers [ 93 ], and implementation science outcome measures [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

“…A range of health equity issues and outcomes were described within this subset of papers. Outcomes included increased social participation in health [ 92 ]; HIV access and treatment outcomes [ 95 ]; health care disparities, and social participation for underrepresented groups [ 89 96 ]; community engagement outcomes [ 27 ]; community resilience and, wellbeing [ 90 ]; mental health [ 89 ]; and social isolation [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

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Global Learning for Health Equity: A Literature Review

Ogbolu

Dudding

Fiori

et al. 2022

Annals of Global Health

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Background:In high income countries struggling with escalating health care costs and persistent lack of equity, there is growing interest in searching for innovative solutions developed outside national borders, particularly in low-and middle-income countries (LMICs). Engaging with global ideas to apply them to local health equity challenges is becoming increasingly recognized as an approach to shift the health equity landscape in the United States (US) in a significant way. No single name or set of practices yet defines the process of identifying LMIC interventions for adaptation; implementing interventions in high-income countries (HIC) settings; or evaluating the implementation of such projects.Objectives: This paper presents a review of the literature describing the practice of adapting global ideas for use in the US, particularly in the area of health equity. Specifically, the authors sought to examine; (i) the literature that advocates for, or describes, adaption of health-related innovations from LMICs to HICs, both generally and for health equity specifically, and (ii) implementation practices, strategies, and evidence-based outcomes in this field, generally and in the area of health equity specifically. The authors also propose terminology and a definition to describe the practice. Methods:The literature search included two main concepts: global learning and health equity (using these and related terms). The search consisted of text-words and databasespecific terminology (e.g., MeSH, Emtree) using PubMed, Embase (Elsevier), CINAHL (Ebsco), and Scopus in March 2021. The authors also contacted relevant experts to identify grey literature. Identified sources were categorized according to theme to facilitate analysis. In addition, five key interviews with experts engaged with global ideas to promote health equity in the United States were conducted to develop additional data.

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Missing in action: a scoping review of gender as the overlooked component in decolonial discourses

Nassiri-Ansari,

Rhule

2024

BMJ Glob Health

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Introduction 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. Methods 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. Results 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. Conclusion 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.

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Decolonising the global to local movement: Time for a new paradigm

Cited by 3 publications

References 38 publications

A Framework for Applying Global Learning to Improve Primary Health Care in the United States

A Framework for Applying Global Learning to Improve Primary Health Care in the United States

Global Learning for Health Equity: A Literature Review

Missing in action: a scoping review of gender as the overlooked component in decolonial discourses

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