Resisting unchecked pragmatism in global health

Decolonising global health in the Global South by the Global South: turning the lens inward

“…However, we believe that major reasons for the paucity of 'local Global South' discussion and action on decolonisation are that (1) we have not educated ourselves appropriately on the 'what' and 'why' of decolonisation for our purpose and (2) we have not done enough introspection into our roles in perpetuating coloniality in global health in the postcolonial era. Decolonisation responsibilities for Global South personnel working in global health research, education or practice are not trivial and are worth considering for action, because (1) Global North-led initiatives will be more likely to be pragmatic and uphold the status quo 11 and (2) Global South-led initiatives promote Global South ownership, BMJ Global Health which is more likely to drive aspirations that bring about fundamental change. 2 12 From industry, we borrow the Four Actions Framework, 13 which guides business organisations to identify and address internal bottlenecks to optimising product innovation, value and affordability.…”