Evolving Power Dynamics in Global Health: From Biomedical Hegemony to Market Dynamics in Global Health Financing; A Response to the Recent Commentaries

Document Type : Correspondence

Authors

1 School of Health and Health Related Research, University of Sheffield, Sheffield, UK

2 Academic Unit of Primary Medical Care, University of Sheffield, Sheffield, UK

3 The Department of Community Medicine, University of Jos, Jos, Nigeria

Keywords


We would like to appreciate the interest of the four commentaries 2–5 which were published in this journal in response to our paper 1 and reflect on important aspects highlighted by the authors; biomedical hegemony and colonialism, institutional power, the hybridisation of biomedical power and New Public Management (NPM). ...(Read more...)

  1. Lassa S, Saddiq M, Owen J, Burton C, Balen J. Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process. Int J Heal Policy Manag. 2022;11(12):2876-2885. doi:10.34172/ijhpm.2022.6097
  2. Parashar R, Sriram V, Nanda S, Shekhawat F. Coloniality, Elite Networks and Intersectionality: Key Concepts in Understanding Biomedical Power and Equity in Health Policy Processes; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process.” Int J Heal Policy Manag. 2023;12(1):7916. doi:10.34172/ijhpm.2023.7916
  3. Brown GW, Rhodes N. The Dynamics of Power Flow From the Global Health Financing; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process.” Int J Heal Policy Manag. 2023;12(1):7806. doi:10.34172/ijhpm.2023.7806
  4. Kapilashrami A. Situating Biomedical and Professional Monopoly at the Intersections of Structural, Ideational and Agentic Power; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process.” Int J Heal Policy Manag. 2023:10-13. doi:10.34172/ijhpm.2023.8019
  5. Dalglish SL, Sanuade OA, Topp SM. 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.” Int J Heal Policy Manag. 2023;12(1):7734. doi:10.34172/ijhpm.2022.7734
  6. Johnson T. Imperialism and the professions. In: Halmos P, ed. Professionalisation and Social Change. Series: Sociological Review Monograph ; 20. Keele: University of Keele; 1973:218-309.
  7. Afolabi M. Entrenched Colonial Influences and the Dislocation of Health care in Africa. J Black African Arts Civiliz. 2011;5(1):229-247.
  8. Mutizwa-Mangiza ND. Doctors and the State: The Struggle for Professional Control in Zimbabwe. Ashgate; 1999.
  9. Lee K. Revealing Power in Truth; Comment on “Knowledge, Moral Claims and the Exercise of Power in Global Health.” Int J Heal Policy Manag. 2015;4(4):257-259. doi:10.15171/ijhpm.2015.42
  10. Barnett M, Duvall R. Power in International Politics Power in International Politics. Vol 59.; 2005. doi:10.1017/S0020818305050010
  11. Russell S, Bennett S, Mills A. Towards a Healthy New Public Management. J Int Dev. 1999;11:767-775.
  12. Lee K, McInnes C. Global Health and International Relations. Polity Press; 2013.
  13. Lee K, Zwi A. A global political economy approach to AIDS: Ideology, interests and implications. New Polit Econ. 1996;1(3):355-373. doi:10.1080/13563469608406267
  14. Eichler R. Can “ Pay for Performance, increase Utilization by the Poor and Improve the Quality of Health Services", Background Papers for the Working Group on Performance Based Incentives, Center for Global Development, Washington,DC; 2006.
  15. Mechanic D. Sources of countervailing power in medicine. J Health Polit Policy Law. 1991;16(3):485-498.

Articles in Press, Accepted Manuscript
Available Online from 03 September 2023
  • Receive Date: 23 August 2023
  • Revise Date: 31 August 2023
  • Accept Date: 02 September 2023
  • First Publish Date: 03 September 2023