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Global Health Econ Sustain                                                   Decolonization of health care



              An example of improving care in LMIC is the recently   Author contributions
            established African Network of Medical Excellence
            (ANME), which is an initiative to develop an integrated   Conceptualization: Sanaa Said, Richard Walker, Clive Kelly
            network of medical centers of excellence across the   Writing – original draft: Sanaa Said, Nateiya Yongolo, Clive
            continent, affirming the  right of  every  human  being  to   Kelly
            access free, high-quality medical care. Their aims, as   Writing – review & editing:  Sanjura  Biswaro,  Richard
                                                                  Walker
            stated in May 2022, include: promoting the ANME model
            inside our own countries to deepen knowledge of the   Ethics approval and consent to participate
            system and foster a higher level of political endorsement;
            identifying relevant health priorities that can be addressed   Not applicable.
            by a cooperative and comprehensive response, allowing for   Consent for publication
            the referral of patients from across the region; improving
            regional  cooperation  among  ANME  countries  and   Not applicable.
            partners to reinforce the network and all its components;
            and strengthening efforts to mobilize resources from   Availability of data
            governments, international institutions, and donors to   Not applicable.
            guarantee the long-term financial sustainability of the
            ANME.                                              Further disclosure
              The ultimate aim of decolonization must be to provide   The paper has been uploaded to a preprint server Qeios
            parity across every domain to all people, independent of   (https://www.qeios.com/read/LJ8PV0.11).
            who they are and where they live. While gross inequality
            remains evident even within the UK, we must not let this   References
            distract us from trying to level the playing field elsewhere,   Abbasi, K. (2023). Decolonising medicine and health: Brave,
            especially as the Global North was responsible for marking   hopeful, and essential. BMJ, 383:2414.
            out the pitch as well as inventing the rules. As a bard once   https://doi.org/10.1136/bmj.p2414
            famously wrote, “All the world’s a stage and all the men and
            women merely players.” (Shakespeare, 1623) Considering   Abduelmula,  A., Akuffo-Addo, E.,  &  Joseph,  M.  (2022)  The
            the recent political and financial disengagement of the   progression of skin color diversity and representation in
                                                                  dermatology textbooks. Journal of Cutaneous Medicine and
            UK from Africa, we have considerable ground to cover.   Surgery, 26(5):523-525.
            We believe that fostering equitable partnerships is key to
            achieving sustainable independence. We hope that those   https://doi.org/10.1177/12034754221099668
            willing to invest their time and experience in catalyzing   Abimbola, S. (2018). On the meaning of global health and the role
            this process will be galvanized by the prospect of shared   of global health journals. International Health, 10(2):63-65.
            success.                                           https://doi.org/10.1093/inthealth/ihy010

            Acknowledgments                                    Akinnawonu, L. (2023). Student activism drives decolonisation
                                                                  in medicine. BMJ, 383:2337.
            We would like to acknowledge the essential parts played by
            the University of Glasgow, Kilimanjaro Clinical Research   https://doi.org/10.1136/bmj.p2337
            Unit, Newcastle University, Northumbria Healthcare NHS   Amano,  T.,  Ramírez-Castañeda,  V.,  Berdejo-Espinola,  V.,
            Foundation Trust, Kilimanjaro Christian Medical Centre,   Borokini, I., Chowdhury, S., Golivets, M., et al. (2023). The
            Health Education England (NE), the University of Bergen,   manifold costs of being a non-native English speaker in
            and Mnazi Mmoja Hospital in Zanzibar, in addition to the   science. PLoS Biology, 21(7):e3002184.
            contributions made by many individuals both from these   https://doi.org/10.1371/journal.pbio.3002184
            institutions and independently. Without their support,   Arumugam, A., Phillips, L.R., Moore, A., Kumaran, S.D.,
            none of this could have happened.                     Sampath, K.K., Migliorini, F., et al. (2023). Patient and public
                                                                  involvement in research: A review of practical resources for
            Funding                                               young investigators. BMC Rheumatology, 7(1):2.
            None.                                                 https://doi.org/10.1186/s41927-023-00327-w

            Conflict of interest                               Available  from:  https://www.uk-africa/investment/summit/
                                                                  announced/for/april/2024-the/Africa/report.com  [Last
            The authors declare no conflict of interest.          accessed on 2023 Nov 20].


            Volume 2 Issue 2 (2024)                         7                        https://doi.org/10.36922/ghes.2299
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