Document Type : Commentary
Health Policy and Systems, Sambodhi Research and communications, Noida, India
School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
School of Public Policy and Global Affairs, University of British Columbia, Vancouver, BC, Canada
Independent Researcher, New Delhi, India
Global Studies Ambedkar University, Delhi, India
To understand the role of power in health policy processes in low- and middle-income country (LMIC) contexts, it is necessary to engage with global and local power structures and their historical contexts. In this commentary, we outline three dimensions that shape a dominant power in health policy processes — the biomedical power. We propose that understanding the linkages between medical power and colonialism; the close connection of public health, medicine and elite networks; and the intersectionalities that shape the powers of medical professionals can offer the means to examine the biomedical hegemony in health policy processes. Additionally we suggest that a more nuanced understanding of the interaction of local powers with global funding can offer some entry points to achieving more equitable and interdisciplinary health policy processes in LMICs.