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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

