1, 2 Such inequities include asymmetric power dynamics that often place institutions and practitioners in the “global North” above those in the “global South” and that normalize unequal partnerships where expertise and experience are more readily assigned to those of us in the global North. These relate to the history of the field and its conception in colonialism as well as present-day inequities that continue to be pervasive. ![]() Global health practitioners in academic medicine must reckon with certain realities of our work. They are presented as a tool to reexamine global health, challenging the constructed binary of the “global South” and “global North,” and the perceived ideas of poverty and resource scarcity as the natural immutable reality of the global South. These questions call on us to closely examine the legacies of racism and colonialism in global health, the value placed on different ways of knowing in this field, and our motivations for engaging in this work. ![]() We therefore propose three starting questions for our colleagues and students to consider and act upon as they adopt and navigate a praxis in anti-racism and anti-colonialism as foundational principles in global health. As global health practitioners currently based at an AMC, we believe that it is important to critically evaluate our practices. US Academic Medical Centers (AMCs) have been less vocal in this wider discussion, despite their large engagement in the field through clinical, research, and medical education activities. ![]() Founded on the work of colonized and marginalized people themselves, initiatives at universities, schools of public health, and international development organizations have emerged to call for anti-racism and anti-colonialism within the field. The movement to decolonize global health and address power inequities among its actors is not new.
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