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Towards Solving Health Inequities: A Method to Identify Ideological Operation in Global Health Programs

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  • Hani Kim

    (Bill & Melinda Gates Foundation 500 5th Ave North, Seattle, WA 98109, USA)

  • Uros Novakovic

    (Office Ou, Toronto, ON M6E 3H3, Canada)

Abstract

The function of ideology is to naturalize and maintain unequal relations of power. Making visible how ideology operates is necessary for solving health inequities grounded in inequities of resources and power. However, discerning ideology is difficult because it operates implicitly. It is not necessarily explicit in one’s stated aims or beliefs. Philosopher Slavoj Žižek conceptualizes ideology as a belief in overarching unity or harmony that obfuscates immanent tension within a system. Drawing from Žižek’s conceptualization of ideology, we identify what may be considered as ‘symptoms’ of ideological practice: (1) the recurrent nature of a problem, and (2) the implicit externalization of the cause. Our aim is to illustrate a method to identify ideological operation in health programs on the basis of its symptoms, using three case studies of persistent global health problems: inequitable access to vaccines, antimicrobial resistance, and health inequities across racialized communities. Our proposed approach for identifying ideology allows one to identify ideological practices that could not be identified by particular ideological contents. It also safeguards us from an illusory search for an emancipatory content. Critiquing ideology in general reveals possibilities that are otherwise kept invisible and unimaginable, and may help us solve recalcitrant problems such as health inequities.

Suggested Citation

  • Hani Kim & Uros Novakovic, 2021. "Towards Solving Health Inequities: A Method to Identify Ideological Operation in Global Health Programs," IJERPH, MDPI, vol. 18(9), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4393-:d:540092
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    1. Chuanlin Ning & Han Wang & Jing Wu & Qinwei Chen & Huacheng Pei & Hao Gao, 2022. "The COVID-19 Vaccination and Vaccine Inequity Worldwide: An Empirical Study Based on Global Data," IJERPH, MDPI, vol. 19(9), pages 1-13, April.

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