Epistemic injustice in academic global health

被引:156
作者
Bhakuni, Himani [1 ,2 ]
Abimbola, Seye [1 ,3 ]
机构
[1] Univ Utrecht, Univ Med Ctr, Julius Ctr Hlth Sci & Primary Care, Julius Global Hlth, NL-3584 CG Utrecht, Netherlands
[2] Maastricht Univ, Dept Fdn & Methods Law, Maastricht, Netherlands
[3] Univ Sydney, Sch Publ Hlth, Sydney, NSW 2062, Australia
来源
LANCET GLOBAL HEALTH | 2021年 / 9卷 / 10期
关键词
KNOWLEDGE; JUSTICE; POWER;
D O I
10.1016/S2214-109X(21)00301-6
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This Viewpoint calls attention to the pervasive wrongs related to knowledge production, use, and circulation in global health, many of which are taken for granted. We argue that common practices in academic global health (eg, authorship practices, research partnerships, academic writing, editorial practices, sensemaking practices, and the choice of audience or research framing, questions, and methods) are peppered with epistemic wrongs that lead to or exacerbate epistemic injustice. We describe two forms of epistemic wrongs, credibility deficit and interpretive marginalisation, which stem from structural exclusion of marginalised producers and recipients of knowledge. We then illustrate these forms of epistemic wrongs using examples of common practices in academic global health, and show how these wrongs are linked to the pose (or positionality) and the gaze (or audience) of producers of knowledge. The epistemic injustice framework shown in this Viewpoint can help to surface, detect, communicate, make sense of, avoid, and potentially undo unfair knowledge practices in global health that are inflicted upon people in their capacity as knowers, and as producers and recipients of knowledge, owing to structural prejudices in the processes involved in knowledge production, use, and circulation in global health.
引用
收藏
页码:E1465 / E1470
页数:6
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