Lenias Hwenda What's Wrong with Global Health - Perspectives of African Women

To celebrate International Women’s Month, we are hosting a Live Podcast to explore explores  the personal and professional experiences of high level professional African women working in global health. Recently, there have been growing calls amongst global health academics to decolonize global health in the leading medical journals like The Lancet and the British Medical Journal. The decolonization campaign seeks to fight against systems of dominance and power in the global health community of those working to improve the health of populations worldwide. Global health has its origins in the colonial era when it was a means to control colonized populations and make exploitation by colonial powers easier. However, today, the same power imbalances persist amongst many organizations and individuals working in global health, most of whom preserve and perpetuate the same power imbalances that they profess their work seeks to correct. This is reflected in the extractive nature of relationships between nations and individuals in global health and the perpetual failure of most recipient countries to improve their development capacity after decades of receiving capacity develop support by donor partners. It is against the very purpose of global health organisations to develop the kind of capacity development that would make countries less dependent on donor support. This is clear in the fact that they typically concentrate resources, expertise and data amongst other things in institutions of high-income countries. These power imbalances in global health are not necessarily confined to the wealthier nations. They can also be found in institutions of poorer nations where there is a small cadre of professionals who benefit from the status quo.