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Decolonisation of global conferences: unfinished business for women's health advocates

02 December 2024

Abstract

Global health consensus in recent years has highlighted ‘decolonisation’ as an important factor in the pursuit of equity. Initiatives such as the United Nations’ sustainable development goals for 2030 have come amid talk of ‘bottom up’ programming, driven by the needs of people living and working in the world's most deprived regions. However, most high-level meetings still take place in wealthy countries where United Nations bodies, major donors and the biggest non-governmental organisations are headquartered. In midwifery, maternity experts from low- and middle-income countries may struggle to take part in discussions because of barriers such as visa restrictions, travel costs and the challenge of breaking into old-school networks. Meanwhile multimillion dollar programmes designed to save mothers’ and babies’ lives lose out on insights from the very people that they are intended to help. With this in mind, a wave of non-governmental organisations focused on women's health and gender equality are moving their conferences closer to the action. This article explores a dynamic field, where forces for change are responding directly to evidence on ‘conference inequity’. Non-governmental organisations including WomenLift Health and the International Confederation of Midwives explain how and why they are shaking things up.

Recent years have seen growing consensus that global health dynamics still need ‘decolonisation’ (Kim et al, 2019; Hindmarch and Hillier, 2023). Momentum has been building in humanitarian circles for decades, but wider social movements like Black Lives Matter have given way to a distinct ‘moment of reckoning’ (Krugman, 2023). In maternity care, the main imperative comes from a glaring inequity: people living in, or descended from, countries previously oppressed by Western powers are still far more likely to lose their life during pregnancy, childbirth, the postnatal period or as a newborn (Knight et al, 2023; Unicef, 2024; World Health Organization (WHO), 2024).

This article assesses global health conference culture through the lens of decolonisation theory (O'Dowd and Heckenburg, 2020; Krugman, 2023), and considers potential implications for maternal and newborn outcomes. It then takes WomenLift Health as a case study to explain the practicalities and benefits of holding an international summit in a country facing disproportionate challenges with midwifery-related sustainable development goals (United Nations (UN), 2023). Jacqueline Dunkley-Bent, global chief midwife, highlighted why the International Confederation of Midwives (ICM, 2023a) prioritises meeting in regions with the greatest need for accelerating universal, high-quality midwifery.

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