Decolonising Public Health through Praxis: The Impact on Black Health in the UK PDF
Preview Decolonising Public Health through Praxis: The Impact on Black Health in the UK
Decolonising Public Health through Praxis The Impact on Black Health in the UK Faye Bruce Ornette D. Clennon Decolonising Public Health through Praxis Faye Bruce • Ornette D. Clennon Decolonising Public Health through Praxis The Impact on Black Health in the UK Faye Bruce Ornette D. Clennon Department of Nursing, Brooks Building MaCTRI, Brow House Manchester Metropolitan University MEaP Manchester, UK Manchester, UK ISBN 978-3-031-18404-8 ISBN 978-3-031-18405-5 (eBook) https://doi.org/10.1007/978-3-031-18405-5 © The Editor(s) (if applicable) and The Author(s), under exclusive licence to Springer Nature Switzerland AG 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Cover pattern © Melisa Hasan This Palgrave Macmillan imprint is published by the registered company Springer Nature Switzerland AG. The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Preface I am very pleased and honoured that this volume marks the first contri- bution to the book series, Palgrave Studies in Decolonisation and Grassroots Black Organic Intellectualism. In these current troubled times, we desper- ately need clear thinking and mature praxis around how decolonisation can be made useful in liberating and empowering grassroots communi- ties. As will be explored by future contributions to the series, the rise of populism and ethno-nationalism are forcing grassroots communities around the world to fight for their very existence, as they confront their increasingly unstable nation states. Although not as openly visceral, grass- roots communities in the UK are also fighting equally hard for their exis- tence, a fight that involves protecting their civil (human) rights to local services. Nowhere is this felt more keenly than in the field of health. In the UK, the instability of the state is represented by a diminishing National Health Service (NHS) and an equally diminishing priority of an equitable healthcare system that works for everyone. This volume and the wider book series aim to make visible the not-so-hidden reasons why inequity is felt more keenly by some more than by others. The scholarship in this volume and across the series is intended to both illuminate and agitate questions at both grassroots and policy levels to ask what can be done to make positive changes and what are the mindsets that stubbornly prevent positive change from taking place. v vi Preface It is urgent that grassroots communities and policy makers grasp the ethical and moral nettle of inequitable healthcare because the health of the entire nation depends on it. Manchester, UK Ornette D. Clennon Acknowledgements We would like to thank God without whom none of this would have happened. We would also like to thank all of our community partners, whose voices in this volume form a golden thread of community wisdom whose absence would have made the writing of this volume impossible. Ornette D. Clennon I would like to thank my colleagues and work family at MEaP (Making Education a Priority: Dr Esther Oludipe, Jumoke Quadri, Amber Abisai, Henry Ngawoofah and Christina Ntow), who supported me in co- writing this book. I would also like to especially thank Professor T. J. Curry for his insightful suggestions that helped to broaden our scholarly enquiry. Lastly but not least, I would like to thank my co-author for her golden community insights. Faye Bruce It has been a pleasure working alongside my co-author, who has been instrumental in the creative design and many scholarly aspects of this book. I am so grateful to the Chief Executive Charles Kwaku-Odoi of the Caribbean & African Health Network, who has been highly strategic and operational in the development of the organisation which is the bedrock of what we do to support and enable our communities. Finally, I would vii viii Acknowledgements like to thank the Black communities for giving us the mandate to advo- cate for them to tackle the health and well-being concerns in our com- munities and hence help to meet our vision to reduce health inequalities for Black people in a generation. Contents 1 Introduction: How Does the African Diaspora Health- Seeker Fair in the Current Health Market in the UK? 1 2 What Decoloniality Looks Like in the Health Market 13 3 The Racial and Gendered Determinants of Health 39 4 Decolonising Public Health: What Are the Alternatives? 79 5 Where Do We Go from Here? Decolonised Health Advocacy 111 ix 1 Introduction: How Does the African Diaspora Health-Seeker Fair in the Current Health Market in the UK? Abstract In this chapter, we will introduce our decolonial reading of whiteness as a lens through which to present the current landscape of Public Health for African Diaspora communities in the UK. The chapter will also identify the hidden factors for systemic failure for the African Diaspora health seeker and locate them within a “coloniality of white- ness”. To do this, we will introduce whiteness as an unethical framework (i.e. a distortion of Aristotelian human ethics) for social ordering that can be traced back to historical patterns of behaviour over the longue durée. We will also introduce the notion of the “grassroots Black organic intel- lectual” as being the conduit for such decolonial analyses of whiteness in the community, which will form a decolonial praxis that will be threaded throughout the volume. Keywords Human ethics • Whiteness • Decoloniality • Decolonisation • Communities © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022 1 F. Bruce, O. D. Clennon, Decolonising Public Health through Praxis, https://doi.org/10.1007/978-3-031-18405-5_1
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