TY - JOUR
T1 - Historical determinants of neurosurgical inequities in Africa and the African diaspora
T2 - A review and analysis of coloniality
AU - Barthélemy, Ernest J.
AU - Diouf, Sylviane A.
AU - Silva, Ana Cristina Veiga
AU - Abu-Bonsrah, Nancy
AU - de Souza, Isabella Assunção Santos
AU - Kanmounye, Ulrick Sidney
AU - Gabriel, Phabinly
AU - Sarpong, Kwadwo
AU - Nduom, Edjah K.
AU - Lartigue, Jean Wilguens
AU - Esene, Ignatius
AU - Karekezi, Claire
N1 - Publisher Copyright: Copyright: © 2023 Barthélemy et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2023/2
Y1 - 2023/2
N2 - The movement to decolonize global health challenges clinicians and researchers of sub-disciplines, like global neurosurgery, to redefine their field. As an era of racial reckoning recentres the colonial roots of modern health disparities, reviewing the historical determinants of these disparities can constructively inform decolonization. This article presents a review and analysis of the historical determinants of neurosurgical inequities as understood by a group of scholars who share Sub-Saharan African descent. Vignettes profiling the colonial histories of Cape Verde, Rwanda, Cameroon, Ghana, Brazil, and Haiti illustrate the role of the colonial legacy in the currently unmet need for neurosurgical care in each of these nations. Following this review, a bibliographic lexical analysis of relevant terms then introduces a discussion of converging historical themes, and practical suggestions for transforming global neurosurgery through the decolonial humanism promulgated by anti-racist practices and the dialogic frameworks of conscientization.
AB - The movement to decolonize global health challenges clinicians and researchers of sub-disciplines, like global neurosurgery, to redefine their field. As an era of racial reckoning recentres the colonial roots of modern health disparities, reviewing the historical determinants of these disparities can constructively inform decolonization. This article presents a review and analysis of the historical determinants of neurosurgical inequities as understood by a group of scholars who share Sub-Saharan African descent. Vignettes profiling the colonial histories of Cape Verde, Rwanda, Cameroon, Ghana, Brazil, and Haiti illustrate the role of the colonial legacy in the currently unmet need for neurosurgical care in each of these nations. Following this review, a bibliographic lexical analysis of relevant terms then introduces a discussion of converging historical themes, and practical suggestions for transforming global neurosurgery through the decolonial humanism promulgated by anti-racist practices and the dialogic frameworks of conscientization.
UR - https://www.scopus.com/pages/publications/85167855329
U2 - 10.1371/journal.pgph.0001550
DO - 10.1371/journal.pgph.0001550
M3 - Review article
SN - 2767-3375
VL - 3
JO - PLOS Global Public Health
JF - PLOS Global Public Health
IS - 2
M1 - e0001550
ER -