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Colonialism in the new digital health agenda
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Sekalala, Sharifah and Chatikobo, Tatenda (2024) Colonialism in the new digital health agenda. BMJ Global Health, 9 (2). e014131. doi:10.1136/ bmjgh-2023-014131 ISSN 2059-7908.
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Official URL: https://doi.org/10.1136/bmjgh-2023-014131
Abstract
The advancement of digital technologies has stimulated immense excitement about the possibilities of transforming healthcare, especially in resource-constrained contexts. For many, this rapid growth presents a ‘digital health revolution’. While this is true, there are also dangers that the proliferation of digital health in the global south reinforces existing colonialities. Underpinned by the rhetoric of modernity, rationality and progress, many countries in the global south are pushing for digital health transformation in ways that ignore robust regulation, increase commercialisation and disregard local contexts, which risks heightened inequalities. We propose a decolonial agenda for digital health which shifts the liner and simplistic understanding of digital innovation as the magic wand for health justice. In our proposed approach, we argue for both conceptual and empirical reimagination of digital health agendas in ways that centre indigenous and intersectional theories. This enables the prioritisation of local contexts and foregrounds digital health regulatory infrastructures as a possible site of both struggle and resistance. Our decolonial digital health agenda critically reflects on who is benefitting from digital health systems, centres communities and those with lived experiences and finally introduces robust regulation to counter the social harms of digitisation.
Item Type: | Journal Article | ||||||
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Divisions: | Faculty of Social Sciences > School of Law | ||||||
Journal or Publication Title: | BMJ Global Health | ||||||
Publisher: | BMJ Publishing Group Ltd. | ||||||
ISSN: | 2059-7908 | ||||||
Official Date: | 27 February 2024 | ||||||
Dates: |
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Volume: | 9 | ||||||
Number: | 2 | ||||||
Article Number: | e014131 | ||||||
DOI: | 10.1136/ bmjgh-2023-014131 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 16 January 2024 | ||||||
Date of first compliant Open Access: | 19 March 2024 | ||||||
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