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 Health Policy Manag. 2023:12:7916. doi: 10.34172/ijhpm.2023.7916. Epub 2023 Apr 15.

Abstract

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.

Keywords: Biomedical Hegemony; Colonialism; Health Policy Analysis; Intersectionality; Power Analysis; Power in Health Policy.

Publication types

  • Comment

MeSH terms

  • Financial Management*
  • Global Health
  • Health Equity*
  • Health Policy
  • Humans
  • Intersectional Framework
  • Nigeria
  • Public Health