Prof Mishal S Khan
@DrMishalK
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Equitable systems & policies for global health- Professor @LSHTM - Editor @HPP_LSHTM @PLOSGPH - Visiting @AKUGlobal - Fellow @CHGlobalHealth - Own views
Pakistan/London
Joined June 2016
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Honoured to be profiled in
@TheLancet
today
Thanks
@richardjcoker
@martinmckee
for the wonderful words
& to so many
@LSHTM
@AKUGlobal
@CHGlobalHealth
@HPP_LSHTM
@PLOSGPH
& elsewhere who inspire me every day
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2022 was great - entered motherhood, promoted to Professor of Global Public Health
@LSHTM
& turned 40
A decade ago - was unwell, marriage was crumbling & couldn't take time off to recoup b/c no new grants = no salary
So highs/lows are temporary
& change what you can't accept!
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Read about the role of journals such as
@TheLancet
in supporting
#colonialism
.
My fantastic co-authors and I do not hold back!
👏
@richardhorton1
& editors for having the courage to publish this
@seyeabimbola
@NaiduThirusha
@JesseBump
@DrMNNoor
@lairene1
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As with other Global Health orgs,
600+
@LSHTM
staff & students called for racist & colonial practices to be rooted out.
The
@DGH_LSHTM
&
#BLM
groups presented a vision for change to leadership.
But will change happen? See our
@NatureMedicine
piece
@udnore
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This message from
@DrTedros
is the best I've seen in a while!
If only we could invest as much in a 'vaccine' for poverty, inequality, vulnerability... because the much awaited vaccine for
#COVID19
is not going to touch the deep issues we need to address
The need for a
#COVID19
vaccine is very real. But it will not fix the vexing vulnerabilities afflicting us all. There’s no vaccine for poverty, hunger, inequality, climate change or misguided nationalism. Global commitment to end these scourges is urgently needed.
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That
@LSHTM
& other public health schools benefited from colonial exploitation is not surprising to many, but the examples that brilliant
@Lili_Assaba
shares in
@guardian
are eye-opening!
eg: senior staff publicly claiming black & brown ppl inferior (1/2)
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Mark my words:
@seyeabimbola
will be remembered as one of the greatest
#globalhealth
thinkers of our time.
His
@TheLancet
essay reminds us that policymakers, researchers, clinicians etc cannot assume they know better what another person needs, knows or interprets. Key takeaway..
Please read my new essay in
@TheLancet
— When dignity meets evidence:
There's a kind of knowledge practice we may call 'dignity-based practice'. It respects the dignity of marginalised knowers. It's been slow to take off, unlike 'evidence-based practice'.
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Very useful table summarising terminologies used in global health & development. Should be part of training and teaching (including for those already working in this space!)
Great work
@themrise
@seyeabimbola
@CKyobutungi
@paimadhu
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Too many innocent Palestinian & Israeli lives have been lost, starting much before Oct 7.
Healthcare professionals & academics must be supported, not silenced, when advocating for preservation of life.
This is core to our role.
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Moving
#globalhealth
orgs from words to action on racism takes courage & teamwork. 👏to all of those that played a role in making this historic review of LSHTM happen. I've definitely aged a decade in the last year...but the work is just beginning
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After 4 years of studying Conflicts of Interest (COI) driving actions of policymakers &
#healthcare
providers - I see COI everywhere!
In
@LancetGH
we characterise types of COI & outline how this 𝗶𝗻𝘃𝗶𝘀𝗶𝗯𝗹𝗲 𝗳𝗼𝗿𝗰𝗲 𝗶𝗺𝗽𝗲𝗱𝗲𝘀 𝗵𝗲𝗮𝗹𝘁𝗵 𝗶𝗺𝗽𝗿𝗼𝘃𝗲𝗺𝗲𝗻𝘁𝘀
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Conclusions from independent reviews couldn't be clearer - but is this a turning point on anti-racism & equality at UK's Tropical Med Schools?
In
@TheLancet
we lay out why change must be led by people with
TRUST & TRACK RECORD of transformative action
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How can we move from rhetoric to reform on
#DecolonisingGlobalHealth
? Our
@GlobalHealthBMJ
editorial
- Realise some stakeholders may need a case for change
- Identify how orgs perpetuate inequities & the reforms needed
- Publish metrics to track progress
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White supremacy is prevalent in the aid sector
Leadership positions are rarely held by local hires
A self-perpetuating system remains as leadership continue to hire friends.. possible bc of inadequate recruitment procedures left vulnerable to bias & abuse
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#Gender
&
#ethnic
disparities remain at senior positions in 15 top
#publichealth
universities - despite numerous
#diversity
policies & plans.
Action may be accelerated when low staff diversity affects university rankings
#diversityCOUNTS
#LancetWomen
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Dear global health orgs,
It's not hard to ensure equitable partnerships if you want to
All grant applications go through internal approval processes. Just as you reject proposals that don't bring in enough 💰
reject those w/out substantial roles of local/regional institutions
Another year another 30 million grant to "help"
#Africans
do something that they were already doing.
@PATHtweets
and
@PMIgov
launch a "global" project to advance the use of new tools to fight
#malaria
,
But none of the partners listed are from African institutions. Seriously?!?
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I hear this a lot too ("equity or diversity should not compromise our standards for excellence")
I'm all in favour of merit and excellent.
The current
#globalhealth
academic system does not reward excellence or impact, it rewards privilege, power and 'fitting in'
Heard this today:
"We cannot have 'equity' replace 'excellence' in academia"
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Was told you have to achieve it before you can knock it. So here goes:
With a double 1st
@Cambridge_Uni
, a distinction MSc
@LSHTM
& PhD
@LSHTM
,
I confirm that the intelligence of communities & people with lived experience far outshines academic qualifications
#globalhealth
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A lot of noise from organisations working in
#globalhealth
about
#decolonsation
&
#diversity
BUT look at NEW CEOs & board chairs ->
66% men
76% from high income countries
Congrats & thanks to
@GlobalHlth5050
for producing another report full of insights and advocacy material!
Calls to diversify &
#decolonise
global health have been growing - yet across new leaders since 2020, 66% were men, 76% were nationals of HICs and 88% were educated in HICs. We see no progress on challenging who holds power and privilege
#flyingblind
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We're recruiting! New position in the dept of global health & development
@LSHTM
Prof/Associate Prof of health policy focusing on
#LMICs
It's a great group & will no doubt be enhanced by valuable expertise from LMICs - so do apply & share!
@HSR_LSHTM
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1/ Why were many Western countries so slow to react to
#COVID19
?
Why the reluctance to learn from lower-income countries?
@AbraarKaran
and I summarise how colonial & xenophobic attitudes have hindered effective responses & cost lives
@NPRGoatsandSoda
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Couldn't have said it better!
Happy to join the
@PLOSGPH
Editorial Board in the hope it is a step towards reforming knowledge generation and sharing in
#globalhealth
@paimadhu
@CKyobutungi
@JuliaE_Robinson
1/ Joining some wonderful people from what I am seeing as a diverse group of researchers at the
#EditorialBoard
of
@PLOSGPH
; journal has given itself the tall order of “addresses inequities in public health and makes impactful research accessible to all… (1/n)
#Threads
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Inspirational as always
@paimadhu
!
I'm even more honoured to be associated with
@PLOSGPH
after learning about all the invisible labour involved.
Let's support individuals and organisations that are working to create more fairness in
#globalhealth
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Such a powerful way to show what short-term contracts do to the lives of UK academics.
Really important for people looking into academia as a future career
@AcademicChatter
Precarious colleagues wrote down their experiences in universities across the UK. Here they are being held by permanent staff members.
#Solidarity
#ucuRISING
@ucu
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Honoured to be highlighted when so much excellent
#COVID19
research
@LSHTM
It's a privilege to have a great press team to showcase our work
My champions are
#healthcareworkers
& policymakers navigating immense challenges in low-resource settings, with nobody to highlight them!
Meet this week's
#COVID19Champion
💪
@DrMishalK
's work focusses on improving infectious disease control programmes in resource-constrained settings, where
#COVID19
poses an even greater threat.
Help us to continue our real-time response ➡️
#GlobalHealth
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Read some excellent articles over the long weekend.
"Collaboration doesn’t mean you win all the money and employ the global South partner. That’s scientific colonialism"
👏
@udnore
@Fredros_Inc
and colleagues for raising this
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Milestone for anti-racism & decolonisation
@LSHTM
&
#globalhealth
Independent review to address discrimination & advance anti-racism is out
Though I'm LSHTM faculty & part of the governing body that commissioned it, here I share personal reflections 1/3
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Also been struggling with the terms Diversity & Inclusion. Can't get too held up by terminology but it does matter when it implies that someone else owns the table and are trying to be nice by giving you a spot on it.
Like how
@CharitySoWhite
talk about Power & Privilege instead
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Interested in advocacy, communication, mobilisation to address radial & national hierarchies in
#globalhealth
?
The
@LSHTM
#DecolonisingGlobalHealth
group that has been run by staff and student volunteer finally has a paid role!
Pls share
@DGH_LSHTM
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Public health & medicine focus on evidence-based practice, so institutions should do better at monitoring impact of actions to ⬆️ racial equity.
In
@TheLancet
we discuss developing metrics to measure progress on racial equity - importance & challenges...
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In the top cited list!
How donors can dominate decision-making in LMIC
1. control of financial resources
2. (perceived) technical expertise
3. indirect financial & political incentives
Recognising this is a critical step to changing inequitable systems.
Donor dominance in the health policy processes of LMIC may lead to misalignment with local needs; the top-cited
@HPP_LSHTM
paper by
@DrMishalK
et al. explores experiences in Cambodia and Pakistan. Read more research like this in our high impact collection.
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The wonderful
@rashida_abbferr
highlighting my achievement when she has been given an
@LSHTM
Director's Award for 'outstanding contribution to society'
Good week for
#Pakistani
women at LSHTM!
@WGHPakistan
@DGH_LSHTM
Proud of my colleague
@DrMishalK
elected on to the
@LSHTM
Council
@AKUGlobal
. Also a champion of Decolonizing Global Health
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What happens next depends on all of us.
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"how systems intersect to perpetuate inequities"
Honoured to have contributed to a fantastic
@TheLancet
issue on racism xenophobia & discrimination in health
Especially like the profiles & range of voices represented
Kudos to all involved. Let's use it as a platform for change
Wow - kudos to the organisers, authors & reviewers and to
@TheLancet
for this critical, weighty & timely series on
#racism
& health
Really appreciate focus given by some to structures & systems and the radical rights-based legal & political proposals
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To make a start, 3 points came up repeatedly
@TheLancet
@raceandhealth
event:
1. Challenge false notions of superior knowledge
2. Invest in data (for better intervention planning & assessment)
3. Support those who are silenced/marginalised for speaking out against discrimination
What do you want to happen after the publication of this series? Think about racism in your daily work, take racism seriously, study racism, advocate against racism.
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Kudos to the authors for systematically reviewing definitions of
#globalhealth
.
I'm not sure any of the 4 broad definitions capture it for me.
👉69/78 studies defining GH done in North America or Europe.
Raises the qu - who 'owns' the field?
@GlobalHealthBMJ
@DecoloniseHlth
Systematic literature reviews are insanely tedious and time-consuming. Add to that some grounded theory coding work and thematic analysis and you get an exhaustive AF article that’ll hopefully get cited a bunch 🤞
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Including
#LMIC
authors is not just about ethics and equity. How can models be accurate and useful without understanding the local context? Local behavioural and health systems experts are surely essential for input
#decolonizeglobalhealth
How are those ‘we support
#BlackLivesMatter
’ statements going
@ScienceMagazine
?
Stop publishing helicopter science. Not a single author is from a LMIC. Funders stop funding people who think this is ok. Also - tweeters- we can do better too.
#amplifyblackSTEM
not this stuff.
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Blurred boundaries, privilege - navigating being from an LMIC and working in a HIC & vice versa
Another thought-provoking piece by
@paimadhu
. Honoured to have contributed alongside many fab
#globalhealth
folk!
@udnore
@seyeabimbola
@AnuKumarIpas
etc
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Indeed people notice the "health system collapse" when it can't serve the rich as they'd like. When it is chronically disfunctional in serving the poor, few care.
Seen a lot of bleating by privileged Indian Twitterati abt how "the system has collapsed" with Covid.
A reminder that the system collapsed long ago for those who needed it most - the vulnerable, disabled, minorities & poor.
You are noticing it now bcoz your pants r on 🔥!
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HIDDEN, POORLY UNDERSTOOD & PERVASIVE in IMPEDING HEALTH POLICIES➡️
CONFLICTS OF INTEREST b/ween policymakers industry & providers
1st empirical study from Pakistan, Indonesia & Cambodia documenting impact on policies (to regulate overuse of medicines)
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Irrespective of the reality of how this pandemic has played out, the script for the film had already been written.
*Poor countries are the source of
#Covid
threats. Rich countries need protection from them*
You'll see more 'convenient' framing like this in the coming months
These three African countries have made no plans to vaccinate their populations against Covid-19. They threaten the world's recovery
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This is happening - join us, follow us
Time to move from talk to action in
#DecolonizingGlobalHealth
.
Time for great ideas and passionate people to come together. Get in touch!
Starting a collective of academics, practitioners, & journalists of
#GlobalHealth
to work to
#decolnize
GH. This is long overdue & requires engagement.
Need GH volunteers to help with research, editorial & org work w/ full credit. If interested PM me. Please share.
@DrMishalK
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I love this! Have you seen what
@PayGapApp
does when organisations tweet about
#IWWD2023
?
Would be awesome to have something similar to hold organisations that talk about racial equity &
#decolonisation
to account
@udnore
@AfifahRahShep
@FifaRahman
@RenzoGuinto
@DecoloniseHlth
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It was an amazing experience to contribute to this groundbreaking issue of
@TheLancet
. It has led to much more attention to intersectionality of gender and race.
Next up a theme issue on
#racialequity
&
#DecolonizingGlobalHealth
?
On
#WomenInScience
Day, we celebrate 1 year since
#LancetWomen
, our theme issue highlighting that
#genderequity
in science is not only a matter of justice & rights but is crucial to producing the best research
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How often do academics really take the time to praise & sponsor junior staff & students?
👆 should be at the heart of our roles but the system doesn't incentivise & we are often spread too thin
Thanks
@rashida_abbferr
for showing how it's done. Congrats
@chidodc
#AcademicTwitter
I’ve had a very rough few days with my thesis (including some silent tears late at night).
I’ve just opened my emails & saw this nomination from my boss & PhD supervisor
@rashida_abbferr
& I’m crying all over again.
Thank you Rashida for everything 🙏🏾
I am out of words.
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Great - are you going to hire someone from a country that handled the pandemic well to lead this?
I'm sure we can send you some suggestions, right twitter friends?
The UK 🇬🇧 and the US 🇺🇸 have agreed a new landmark partnership to fight future pandemics & emerging health threats.
The new Centre for Pandemic Preparedness will lead the UK’s work to develop a global early warning system to detect new infectious disease threats.
More 🔻
@G7
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My heart breaks a thousand times every day, and somehow there are people actively supporting these atrocities.
What a polarized and broken world we live in
"Life is hard without a mother."
This 11-year-old Palestinian girl has become the sole carer for her infant brother after their mother was killed in an Israeli attack in Gaza ⤵️
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One not to miss!
@TheLancet
series on
#racism
, xenophobia, discrimination &
#health
.
I'm honoured to be joining a fantastic panel at this much awaited launch.
Fri 8th Dec 14 -16h UK
@raceandhealth
@DecoloniseHlth
@WeAreSfGH
Coming soon ⏳
In 1 week, we publish a special issue dedicated to advancing racial and ethnic equity – included is a new 4-paper Series.
Join us and
@raceandhealth
for the launch:
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Thank you
@GlobalHlth5050
for the excellent research and visuals that so many use to shape conversations about governance and north-south power dynamics in
#globalhealth
I'm certainly going to use them to initiate some tough conversations on upcoming sessions about
#decolonizing
“The vast majority of institutions active in Global Health have HQ in the USA or Europe”
50% of all GH leaders come from just TWO countries.
Watch
@DrMishalK
& Dr Lioba Hirsch deliver stark truths about the perverse realities of power in GlobalHealth
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We need to talk more about vaccine coloniality
It is one of the biggest threats to
#COVID19
control around the world
Great piece presenting COVAX as a SMOKESCREEN
by
@DrSophieHarman
@Real_Ironist
and colleagues
@GlobalHealthBMJ
@DecoloniseHlth
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Honoured to be discussing a crucial issue - equitable LEADERSHIP in
#globalhealth
partnerships - w/ super set of speakers.
Those who've heard me before know I am not shy of prickly topics &
@LSHTM_TB
have encouraged addressing challenges that prevent LMIC being in driving seat!
Tomorrow! Decolonising Global Health Workshop led by
@LSHTM_TB
Open to all & free
@TogunToyin
@CFMcQuaid
@rashida_abbferr
@chidodc
@DrMishalK
@AfrResExFund
@TCorrah
@CKyobutungi
@MosesJBockarie
#EquitableLeadership
#Decolonise
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Here's a suggestion for universities that are truly interested in addressing
#structuralracism
Start publishing
#BAME
staff figures at junior and senior levels
Be transparent & accountable
Be ranked
We demonstrated this approach in
@TheLancet
Lots of senior education leaders have been asking how they can implement anti-racist approaches within their schools and Trusts. Here’s how we
@EducationLBU
can help: 1/7
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Urgh why why
Beirut as "Paris of the East"
Prof Abdool Karim as "Fauci of
#SouthAfrica
"
How about Fauci as the
@ProfAbdoolKarim
of USA?
Not everything good & not all expertise needs a reference point to USA/Europe
His name is Prof. Salim Abdool Karim, He's not "Fauci of SA"
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How will we control
#COVID
ー19 in lower income countries where most people will congregate at informal healthcare providers?
I outline challenges to accessing to quality healthcare that we must address in
@CFR_org
's
@ThinkGlobalHlth
forum
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The culmination of many months of work - Making Health Policy (3rd Edition) is out!
Pleased to have supported the inclusion of important studies led by researchers in LMIC
@kentbuse
@helenwalls
@LSHTM
Enjoyed working through Making Health Policy for 3rd edition.
We added new authors, found more case studies from low- & middle-income countries & have new chapter on values.
Inputs of mentor
#GillWalt
remain.
🙏Endorsers &
@OpenUniPress
Pre-order:
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How can we address conflicts of interest that undermine health system strengthening?
Join us
#HSR2020
to discuss how to
navigate vested interests & hidden connections
between policy actors, the pharmaceutical industry & healthcare providers
13:00 GST / 9:00 GMT
24 February
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RESEARCH FELLOW JOB! Pls share
Join me,
@AfifahRahShep
& a fantastic
@AKUGlobal
team conducting super interesting & impactful health policy and systems research to address conflict of interests driving private GP prescribing in Pakistan
Closing Mon 7 Nov
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Why is there a power imbalance in
#globalhealth
with few People of Colour at the top of orgs?
Join
@Lili_Assaba
& I to discuss how
colonial histories still shape structures & process of global health institutions,
perpetuating racial & national hierarchies
28/10 -1pm GMT 👇
Don’t forget: our next
#BlackHistoryMonth
#LSTMSeminar
on Decolonising Global Health, is this Wednesday 28th October at 1-2PM GMT, with
@DrMishalK
& Lioba Hirsch from
@LSHTM
LINK:
#BlackHistoryMonth
#LSTMSeminar
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And work in low resources settings = spend time there, understand system and policy issues (not just use data collected by collaborators)
Sound advice from Randall Packard: "Everyone involved in global health decision-making should be required to work in the countries and see how things look from the ground level."
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People are tired, but we have a group of almost 70 from
@LSHTM
discussing the Dec 2021 independent review to advance
#antiracism
->
shows that the serious issues have not been forgotten & demand for deep changes remains strong
Thank you
@DGH_LSHTM
volunteers for pushing on this
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Sometimes, the problem (with prejudice, discrimination and skewed thinking about equity) is right at the top.
Often, it is not as obvious as this.
Calling a terrible experiment on Black men a sacrifice, with no acknowledgment of the wrongs done ..
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Whoever stays until the end will tell the story.
We did what we could.
Remember us.
Healthcare is
#NotATarget
Medical staff in
#Gaza
are so inundated by the sheer mass of patients arriving that the surgical board used to keep track of the weeks upcoming surgeries has been wiped clean and replaced with these words:
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Delighted and honoured to have contributed to a theme issue that will surely go down in history
#Lancetwomen
TONIGHT 2330 h we publish our
#LancetWomen
theme issue 'Advancing women in science, medicine, and global health'. All content will be free to read with free reg and available here Watch London launch livestream tomorrow (10 am GMT)
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Happening a lot & I'm not sure who it is fooling - universities claiming to 'decolonise' teaching without investing in required expertise & making deeper reforms
P.S just because someone is a person of colour doesn't mean they can wave a magic wand & decolonise your curriculum
I'm angry that university departments feel they can "decolonise" themselves with no substantial changes in expertise or personnel. Asking existing racially illiterate white academics to diversify their teaching without updating their knowledge doesn't come close to decolonisation
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RECRUITING
Join me
@Wafaftb
& a great team
@AKUGlobal
to conduct cutting-edge Health Policy & Systems Research on conflict of interest & quality of private healthcare in
#Pakistan
Please share!
Research Coordinator
Assistant Prof
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Let's remind
@FCDOGovUK
that we are aware that the tiny amounts of 'charity' vaccines bring donated does not make up for the structures created to prevent
#VaccineEquity
around the world
INDONESIA TO RECEIVE VACCINES💉
The UK is donating 600,000 vaccines to Indonesia today to help them fight COVID-19.
No one is safe until we are all safe.
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Hello students and new staff at global
#publichealth
universities - excellent advice below.
Remember, you make these institutions great, not vice versa.
They need you. You should not be afraid to ask questions.
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Rethinking lower
#COVID19
vaccination in minoritised groups
We discuss
#InstituionalRacism
, exploitation in medical research, practical barriers to access, rational distrust & lessons from
#Pakistan
W/
@AbraarKaran
@AddyAdelaine
@sameen_mohsin
@TheLancet
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This 👇👇👇
If you referred to what happened yesterday as “Third World Country” type shit...there is no “Third World”
There are countries that have been brutalized, colonized & extracted from by imperialism, racism, xenophobia & greed.
And then there’s 2021 America.
Get it right.
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We desperately need evidence to inform
#COVID
ー19 strategies, and we have compiled MUST READ papers published in
@HPP_LSHTM
.
Please share widely!
*NEW RESEARCH COLLECTION!* Evidence to inform the
#COVID19
response
-Learning from
#Ebola
,
#SARS
&
#H1N1
-How
#healthsystem
resilience can shape pandemic response
-One health & preparedness
READ THE COLLECTION:
#coronavirus
#pandemic
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We don't think enough about the violent process of decolonisation and it's impacts on individuals.
Must read in
@LancetGH
from my brave and eloquent friend
@muneera_rasheed
.
Honoured to have played a small part in the journey of this
@DecoloniseHlth
@DGH_LSHTM
@dukedecolonize
@LancetGH
asked what is wrong with global health. And this is what I wrote; also trying to extend the thinking to why it is wrong.
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Understanding how racism and other forms of discrimination impact your patients will make you better doctors.
Thoughtful discussion ongoing
@TheLancet
@raceandhealth
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Happening now!
@Real_Ironist
is on 🔥
We need to talk about how people's perceptions have been 'colonised' - both in HIC & LMIC
Should the big
Schools of Public Health
be reclassified as
Schools of Bio-politics?
New webinar with
@LSHTM_Crises
🗓
Wed Apr 28th 13.00-14.00 BST
Epidemic Illusions: On the coloniality of global public health –
@Real_Ironist
in conversation
A discussion between the author and experts
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Great read by
@Hardeep_Matharu
..uncomfortable truths must first be acknowledged. One of these is that it is easier, and less threatening, for those not directly affected by systemic racism to tinker around the edges than deal with the complexity and discomfort of the real issue
"Increasing 'diversity' does not, in itself, tackle racism when issue is a cultural, historic identity in which racism is embedded. To the contrary, it can be a smokescreen"
I wrote about difference between 'diversity' & institutional racism last week 🔽
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1st time joining
@atuire
on a panel & I am blown away his hard-hitting points about
#Africa
's leadership in
#publichealth
On
#colonialism
he talks about
"epistemicide" = killing off 'other' forms of knowledge
& questions capacity building (whose capacity & to serve what aim?)
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I don't want positive discrimination, I want a level playing field says
@NanaOdom82
Agree!
Women & minority scientists marked more harshly in grants, work harder to get published, aren't invited as key note speakers etc.
Level the playing field
#LancetWomen
#DiversityCOUNTS
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If you think that there should be more
#gender
and
#ethnic
diversity at senior positions in
#publichealth
universities..
if you think staff
#diversity
data should be tracked
then join us saying
#DiversityCOUNTS
#lancetwomen
#Gender
& ethnic disparities remain at most senior academic positions in the world’s 15 top
#publichealth
UK/US/Canadian universities - despite numerous
#diversity
policies & action plans
#LancetWomen
@legidoquigley
@DrMishalK
#DiversityCOUNTS
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Millions of
#tuberculosis
pts are in the
#health
system, but in the private or informal system that is a blind spot for control programmes
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Moral clarity and ethical leadership is the need of the hour.
Good to see this being highlighted by
@TheLancet
We are waiting
We are watching
We will remember
@DrTedros
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Another important analysis showing that people from LMIC & women not recognised enough as leaders in public health (example here, fewer awards in
#TB
).
Are they not good enough?
Or assessed using criteria that don't value their strengths
by committees that are not diverse?
We analyzed major awards & prizes in tuberculosis. Our results, in
@TheLancet
, shows that most awards went to folks in high-income countries. Only 1 in 5 awards went to women. We call on TB groups (
@StopTB
@TheUnion_TBLH
& JATA) to act on these findings.
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Thanks
@ASTMH
for summarising my points so well!
We need to reflect on biases built into criteria for considering someone a global health expert.
This is not only about
#socialjustice
but also about excluding some of the best minds from contributing to
#globalhealth
leadership
“If we take a step back/think about whether these attributes that we associate with what makes a global health expert are actually harder for people of color or from lower income countries to be successful in, we might realize why the systems disadvantage people” -
@DrMishalK
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eg: curtailing careers of medics of colour, only hiring white students until late 40s
eg: for decades taking funds from, rather than giving to, "poorer countries"
BUT the key point is that such RACIST practices are ALIVE in many institutions. This is not a thing of the past (2/2)
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Great to see this commitment from
@wellcometrust
supported by an important first step - BRING IN INDEPENDENT EXPERTS ON ANTI-RACISM
Looking to do something similar
@LSHTM
with my colleagues on the Council
Today, we’re announcing our new Anti-racism Expert Group:
@chonnettia
,
@david_asai
,
@EmmaDabiri
,
@HannahValantine
,
@NicolaRollock
&
@omaromalleykhan
.
They will support us as we develop the principles, resources and training needed to become an anti-racist organisation.
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Written about international relations but applies to
#globalhealth
too
"Academia as knowledge-supplier for colonial policies"
In case you needed inspiration for the
@Lancet
theme issue!
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@paimadhu
If it's in relation to racism, then
implicit bias training would focus on individual actions/perceptions
anti-racism would address systems & structures as well (so more powerful and yes, might be more scary for some because it could question power dynamics)
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Packed room. This promises to be a provocative discussion on the UK's role in global health going forward.
Join us
@bmj_latest
@CGDev
HAPPENING NOW ➡ Experts are discussing the challenges & opportunities facing UK global health leadership, recs for the future, & more.
Ft:
@TBartonUK
,
@peterbaker17
,
@jocalynclark
,
@DrMishalK
,
@clarewenham
,
@Anna_W_DFID
,
@CGDev
&
@bmj_latest
.
LIVE 🔴👇
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Who holds expertise to improve health around the world? Where should we go to find the greatest insights?
We assume journals, Western institutions
We neglect expertise of communities & local experts
Appreciate the opportunity for a boundary-pushing discussion w/
@seyeabimbola
A new episode of the
#Action4Reset
Dialogues is out!
@DrMishalK
&
@seyeabimbola
meet to discuss the decentralized nature of knowledge, the gaps between the knowledge of people and that embedded in systems, and much more
Watch the episode:
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Advocates of decolonising global health movement (wherever they are located) should keep pushing existing global health actors 4 more redistributive justice - in various shapes & forms. There is no change, without access to power. There is no power, without access to resources👇
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The questions asked by
@Wafaftb
can no longer be ignored.
The concentration of power with HIC decision makers is not only inequitable, it prevents the best minds from contributing to
#globalhealth
#DecolonizeGlobalHealth
How global is global health? Not very, it seems. How can such an inequitable system lead to equitable approaches to health if agenda setting & decision making are so disconnected from the reality of lived experience?
@GlobalHlth5050
@AKUGlobal
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What a great line up
#Lancetwomen
! Product of great vision and loads of hard work. Can't wait
@jocalynclark
@DrZucc
2 weeks to go! We are thrilled to announce our keynote speaker at the
#LancetWomen
London launch will be campaigner & journalist Caroline Criado-Perez OBE. View the programme & save the livestream link
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Commercial interests impacting quality of
#healthcare
- big issue in LMIC too - great initiative
@bmj_latest
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@miqdaad
Last night I was reading some of the terrible anti-Black comments on the
#sainsburysXmas
advert. Now seeing these Islamophobic ones directed at you. Really disturbing mindsets out there!
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This is meant to be THE moment for
#antiracism
in global public health
But how many of the highest ranked universities, funders & journals made public commitments on antiracist reforms?
And of these, how many set accountability measures to track progress?
Ans- TOO FEW! More 👇
Global public health organisations have an obligation to speak up in the face of health injustices AND offer the global community measurable commitments toward antiracism reform. Isn't it time we hold them accountable to these standards?
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What I loved most about studying at
@LSHTM
was how much I could learn from the experience of fellow students
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We don't hear enough about power and justice in the context of redesigning
#globalhealth
& development, so I really enjoyed reading
@khosla_rajat
's profile in
@TheLancet
Look forward to the changes you bring, Rajat!
@UNU_IIGH
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5
22
When you look for it, equitable partnerships and local ownership are critical to all aspects of
#PublicHealth
.
Pleased to share our op-ed explaining key findings from
@TheLancet
series on
#OneHealth
and Global Health Security
According to
@TheLancet
Series
#COVID
-19 shows the importance of
#OneHealth
approaches to improve
#globalhealth
security 🌎
But co-authors
@LSHTM
say challenges to implementing these approaches remain.
Read more 👉
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MEAN, NASTY woman
Trump's character attack on
@KamalaHarris
is a tactic commonly used against ambitious women
Let her victory be a reminder -
Never dim your light just because it's too bright for others to handle!
@womeninGH
@WomeninSTEM
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#Tuberculosis
control has hugely suffered owing to
#COVID19
. But there are important adaptations to healthcare services that can be taken forward to
#BuildBackBetter
.
See our case study on
#Pakistan
@RaziaFatima2
@tb_ppm
@LSHTM_TB
@ProMED_mail
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22