"I think it is quite naive to think everybody's goal is that": how Zambian sexual violence stakeholder perspectives complicate global health roadmaps to 'decolonization'.

IF 3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Nancy Nyutsem Breton, Nancy Lwimba Mukupa, Mazuba Mushota-Mafwenko
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引用次数: 0

Abstract

Background: The global health and development field is embracing calls to decolonize, producing 'roadmaps' to decolonial practices. These calls are echoed in the field of sexual and gender-based violence (SGBV), where entrenched global structural power relations undermine the potential for the community-centered, liberatory change to which decolonial roadmaps aspire. Despite the ubiquity of such calls, empirical research on the prospects for their implementation remains limited. This paper investigates the readiness among SGBV-related institutions in Zambia to address coloniality. We ask: can a decolonial praxis be realized amidst entrenched barriers, and is the global health and development industry ready to implement roadmaps for decolonization?

Methods: We conducted 19 interviews with Zambia-based donor, implementing agency, and grassroots stakeholders involved in SGBV policy and programs. We performed a critical thematic analysis to explore the complexities within the country's SGBV interventions.

Results: While the Zambian Anti-Gender-Based Violence Act and subsequent policies aimed to transform the SGBV landscape by establishing a systemized approach, we find considerable discrepancies between intervention expectations and the local implementation realities. Norms contributing to SGBV, a perception of a "bad" Zambian culture, and conflicting social values impede the impact of legal instruments. These challenges not only hinder sustainable implementation of transformative policies, but also reflect deeper structural and epistemic inequities that undermine efforts to pursue a decolonial praxis. As such, they illuminate how colonial legacies continue to shape policy and intervention outcomes and constrain the feasibility of decolonization in practice.

Conclusion: This paper argues that addressing power dynamics and profit-driven motives is crucial for genuine transformation and will require a recalibration of current systems. The disparity between these factors raises critical questions about decolonization and the potential for alternative, community-focused interventions which give people agency over their liberation. The current study speaks to broader global health and development discussions by spotlighting the challenges to transformative interventions in Global Majority contexts. Confronting these challenges is essential for reshaping narratives around the implementation of decolonial roadmaps and the aspiration to community empowerment.

Abstract Image

“我认为认为每个人的目标都是”:赞比亚性暴力利益攸关方的观点如何使通往“非殖民化”的全球卫生路线图复杂化。
背景:全球卫生和发展领域正在接受非殖民化的呼吁,制定非殖民化做法的“路线图”。这些呼吁在性暴力和基于性别的暴力(SGBV)领域得到了回应,根深蒂固的全球结构性权力关系破坏了以社区为中心的解放变革的潜力,这是非殖民化路线图所渴望的。尽管这种呼吁无处不在,但对其实施前景的实证研究仍然有限。本文调查了赞比亚与sgbv相关的机构在解决殖民问题方面的准备情况。我们问:在根深蒂固的障碍中能否实现非殖民化做法,全球卫生和发展行业是否准备执行非殖民化路线图?方法:我们对赞比亚的捐助者、执行机构和参与SGBV政策和项目的基层利益相关者进行了19次访谈。我们进行了一项重要的专题分析,以探索该国性暴力干预措施的复杂性。结果:虽然赞比亚《反性别暴力法》和随后的政策旨在通过建立系统化的方法来改变SGBV的现状,但我们发现干预预期与当地实施现实之间存在相当大的差异。助长性暴力的规范、对赞比亚文化“恶劣”的看法以及相互冲突的社会价值观阻碍了法律文书的影响。这些挑战不仅阻碍了变革政策的可持续实施,而且反映了更深层次的结构和认识上的不平等,破坏了追求非殖民化实践的努力。因此,它们阐明了殖民遗产如何继续影响政策和干预结果,并在实践中限制非殖民化的可行性。结论:本文认为,解决权力动态和利益驱动动机对真正的转型至关重要,需要对当前系统进行重新校准。这些因素之间的差异提出了关于非殖民化和以社区为重点的其他干预措施的可能性的关键问题,这些干预措施使人民对其解放具有能动性。目前的研究通过突出全球多数背景下变革干预措施面临的挑战,对更广泛的全球卫生与发展问题进行了讨论。面对这些挑战对于围绕执行非殖民化路线图和赋予社区权力的愿望重塑叙述至关重要。
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来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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