Medical Dominance in Global Health Institutions as an Obstacle to Equity and Effectiveness; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process”

Dalglish, Sarah, Sanuade, Olutobi A., and Topp, Stephanie (2023) Medical Dominance in Global Health Institutions as an Obstacle to Equity and Effectiveness; 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, 12 (1). pp. 1-3.

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Abstract

Medical professionals exercised structural and productive power in the Global Fund’s Country Coordinating Mechanism (CCM) in Nigeria, directly impacting the selection of approaches to HIV/AIDS care, as described in a case study by Lassa and colleagues. This research contributes to a robust scholarship on how biomedical power inhibits a holistic understanding of health and prevents the adoption of solutions that are socially grounded, multidisciplinary, and co-created with communities. We highlight Lassa and colleagues’ findings demonstrating the ‘long arm’ of global health institutions in country-level health policy choices, and reflect on how medical dominance within global institutions serves as a tool of control in ways that pervert incentives and undermine equity and effectiveness. We call for increased research and advocacy to surface these conduits of power and begin to loosen their hold in the global health policy agenda.

Item ID: 77183
Item Type: Article (Commentary)
ISSN: 2322-5939
Keywords: Nigeria, Power, Medical Professionals, Global Health, Decolonization
Copyright Information: © 2023 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Date Deposited: 13 Feb 2023 05:42
FoR Codes: 44 HUMAN SOCIETY > 4410 Sociology > 441012 Sociology of inequalities @ 30%
42 HEALTH SCIENCES > 4203 Health services and systems > 420311 Health systems @ 40%
44 HUMAN SOCIETY > 4407 Policy and administration > 440706 Health policy @ 30%
SEO Codes: 13 CULTURE AND SOCIETY > 1303 Ethics > 130306 Workplace and organisational ethics (excl. business ethics) @ 25%
20 HEALTH > 2002 Evaluation of health and support services > 200205 Health policy evaluation @ 25%
20 HEALTH > 2002 Evaluation of health and support services > 200207 Social structure and health @ 50%
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