Global Health Justice


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Paying More, Owning Less: Rethinking Authority and Dependency in African Health Financing

The America First Global Health Strategy presents bilateral, time-bound financing compacts as a pathway toward greater country ownership. Under these arrangements, African governments co-finance health programs with the United States and gradually assume financial responsibility as American funding declines. Yet this episode asks a fundamental question: can countries genuinely own...

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Unmasking Global Health in 2025: Aid Disruption, Dependency, Sovereignty, and Reform

Unmasking Global Health in 2025: Aid Disruption, Dependency, Sovereignty, and Reform

This episode of Global Health Unfiltered examines what the upheavals of 2025 revealed about power, dependency, and accountability in global health. Through reflections from Dr. Luchuo Bain, Dr. Seye Abimbola, Dr. Boghuma Titanji, Dr. Madhu Pai, Dr. Mohamed Aburawi, and Sitawa Wafula, the episode considers the consequences of the United...

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Global North Votes Against Landmark UN Resolution on the Transatlantic Slave Trade

Global North Votes Against Landmark UN Resolution on the Transatlantic Slave Trade

Centuries of enslavement and sustained violence have led to persistent, preventable disparities in illness and death that cannot be addressed by aid and development efforts alone. Meaningful recognition of harm and material redress are critical steps in the restorative justice process. Richardson et al. (2026) argue that reparative approaches should...

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Accountability in Global Health

Accountability in Global Health

"Reparations and distributive justice in global health," by Richardson et al. (2026) highlights how health inequities are not the result of gaps in resources or capacity, but rather of historical and ongoing injustices, including colonialism, racism, and economic exploitation. The authors argue that achieving health equity requires moving beyond traditional...

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LMICs Must Fund Health Research as a Key Social and Economic Investment

LMICs Must Fund Health Research as a Key Social and Economic Investment

Recent major shifts in global health financing are threatening hard-won gains in health research, particularly in and on low- and middle-income countries (LMICs). In the spirit of turning this moment into an opportunity, Rasanathan et al. (2026) outline concrete actions to move away from LMICs’ dependency on high-income country funding....

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Rights Promised vs. Rights in Practice

Rights Promised vs. Rights in Practice

This article from Women in Global Health examines the persistent gap between legal rights and lived realities for women, highlighting how shortcomings in implementation, access, and accountability continue to shape health outcomes. Drawing on global examples, it points to structural and institutional barriers, such as stigma, weak enforcement, and inequitable...

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Cuba’s Medical Crisis Shows the True Cost of U.S. Sanctions

Cuba’s Medical Crisis Shows the True Cost of U.S. Sanctions

What is often framed as a “humane” form of political pressure is, in reality, anything but humane. The crisis described in a recent New York Times article makes clear that blockades carry an enormous human cost, and that cost is paid first by those who are already most vulnerable: disabled...

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Welcome to the Global Health Justice Website!

We aim to advance the struggle for global health justice by providing a platform and resources that explore fundamental drivers of health that are often absent in the conventional global health discourse. We recognize that global and national structures of domination, exploitation, and oppression play a crucial role in perpetuating poverty, disenfranchisement, and inequality – all of which have a profound impact on global health. Our goal is to expand our conversations to identify and better understand how injustice is perpetrated – and to work to transform power dynamics toward a fairer world.

By shedding light on these issues, we hope to promote a deeper understanding of the social and political determinants of health. To this end, we prioritize the perspectives and voices of those from the Global South, whose lived experiences and insights are essential for a truly comprehensive understanding of health justice.  We welcome contributions to the website, including relevant articles, videos, and artistic expression (eg, songs, poetry) to further explore these issues. We encourage our UW Global Health alumni to contribute to increase our collective awareness of the situation around the world.  Our website is a collaborative effort of faculty, staff, students, and alumni of the University of Washington Department of Global Health. 

Global Theft

Deliberate trade mis-invoicing robs Africa of huge sums

March 19, 2026

Philip Nyakundi and colleagues at Global Financial Integrity released a report on 28 January 2026 that quantifies the enormous financial loss to African countries due to rich country corporations’ mis-invoicing the value of commodity transactions. The loss of resources and capital flight comes at great cost to public welfare and overall development. The total losses by mis-invoicing alone matches the combined total annual inflows of Official Development Assistance (ODA) and Foreign Direct Investment (FDI) to Africa, meaning Africa loses as…

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More on Global Theft

Deeper Dive:

Deeper Dive articles provide a more broad and historical context to the category: Global Theft, Corruption, Structural Adjustment Policies, Tax Evasion.
[BOOKS] on Global Theft
Tax justice network: The 4 Rs of tax justice
[VIDEO] Global Theft in Global Health

Reimagining Aid

Paying More, Owning Less: Rethinking Authority and Dependency in African Health Financing

July 16, 2026

The America First Global Health Strategy presents bilateral, time-bound financing compacts as a pathway toward greater country ownership. Under these arrangements, African governments co-finance health programs with the United States and gradually assume financial responsibility as American funding declines. Yet this episode asks a fundamental question: can countries genuinely own health systems when they bear responsibility for sustaining them but lack the corresponding authority over technology, data, procurement, and the political conditions attached to funding? Nelson Aghogho Evaborhene, a PhD…

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More on Reimagining Aid

Deeper Dive:

Deeper Dive articles provide a more broad and historical context to the category: Reimagining Aid, Philanthrocapitalism.
[BOOKS] on Phantom Aid
Gates Foundation: Improve global health without addressing structural causes
Action Aid calls out “Phantom Aid” in 2005

Decolonization

Paying More, Owning Less: Rethinking Authority and Dependency in African Health Financing

July 16, 2026

The America First Global Health Strategy presents bilateral, time-bound financing compacts as a pathway toward greater country ownership. Under these arrangements, African governments co-finance health programs with the United States and gradually assume financial responsibility as American funding declines. Yet this episode asks a fundamental question: can countries genuinely own health systems when they bear responsibility for sustaining them but lack the corresponding authority over technology, data, procurement, and the political conditions attached to funding? Nelson Aghogho Evaborhene, a PhD…

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More on Decolonization

Deeper Dive:

Deeper Dive articles provide a more broad and historical context to the category: Decolonization, Research & Partnerships.
[BOOKS] on Decolonization
How we talk about global health

War/ Militarism

TOPSHOT - Palestinians evacuate the area following an Israeli airstrike on the Sousi mosque in Gaza City on October 9, 2023. Israel continued to battle Hamas fighters on October 9 and massed tens of thousands of troops and heavy armour around the Gaza Strip after vowing a massive blow over the Palestinian militants' surprise attack. (Photo by Mahmud HAMS / AFP) (Photo by MAHMUD HAMS/AFP via Getty Images)

March 7, 2026

Reuben Granich, Somya Gupta, and Victoria Rose argue that the  systematic exclusion of politically sensitive causes of death, such as genocide, enormously underestimates the numbers and causes of childhood deaths worldwide. Genocide-related child deaths in Gaza represent one of the leading global causes of childhood mortality. They recommend recognizing and coding genocide as a preventable cause of death for accountability, accurate health metrics, and urgent humanitarian response. The authors state that although official reports cite 60,199 deaths in Gaza as…

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More on War/ Militarism

Deeper Dive:

Deeper Dive articles provide a more broad and historical context to the category: War/Militarism.
[BOOKS] on War in Global Health
US remains top arms exporter and grows market share

Structural Violence

Rights Promised vs. Rights in Practice

April 11, 2026

This article from Women in Global Health examines the persistent gap between legal rights and lived realities for women, highlighting how shortcomings in implementation, access, and accountability continue to shape health outcomes. Drawing on global examples, it points to structural and institutional barriers, such as stigma, weak enforcement, and inequitable service delivery, that prevent rights from being realized in practice. It underscores that advancing women’s health requires moving beyond formal policy commitments toward systems that can meaningfully deliver on those…

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More on Structural Violence

Deeper Dive:

Deeper Dive articles provide a more broad and historical context to the category: Structural Violence, Social Determinants of Health.
[BOOKS] on Structural Violence
Post-Pandemic Austerity Shock worldwide – Reliefweb Report

Medical Apartheid

Cuba’s Medical Crisis Shows the True Cost of U.S. Sanctions

Cuban Patients Are Dying Because of U.S. Blockade, Doctors Say. NYT

April 9, 2026

What is often framed as a “humane” form of political pressure is, in reality, anything but humane. The crisis described in a recent New York Times article makes clear that blockades carry an enormous human cost, and that cost is paid first by those who are already most vulnerable: disabled people, the chronically ill, pregnant women, children, and the elderly. When oil blockades disrupt electricity, transportation, hospital services, and the delivery of essential medicines, they are not abstract policy tools;…

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More on Medical Apartheid

Deeper Dive:

Deeper Dive articles provide a more broad and historical context to the category: Medical Apartheid, Access to Healthcare.
[BOOKS] on Medical Appartheid
Could you patent the sun? How vaccine patent waivers would save lives
Apartheid logic in global health

Alumni Contributions

Videos

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