Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 12 Issue 1 2023 12 01 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” 1 3 4372 10.34172/ijhpm.2022.7734 EN Sarah L. Dalglish Department of International Health, Johns Hopkins School of Public Health, Baltimore, MD, USA Institute for Global Health, University College London, London, UK Olutobi A. Sanuade Department of Population Health Sciences, Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, UT, USA 0000-0003-4972-1098 Stephanie M. Topp College of Public Health Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia Journal Article 2022 10 07 <span class="fontstyle0">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.</span> https://www.ijhpm.com/article_4372_5989f0ba55674b5d114529a056074c33.pdf