Global Health: A Local Lens on Challenges and Solutions

Abstract Global health initiatives driven by western ideologies often lack adaptation to local contexts in low- and middle-income countries (LMICs), leading to persistent health inequities, inadequate infrastructure, and limited access to care, especially in rural and marginalized areas. Attainment...

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Bibliographic Details
Published in:Journal of Surgical Specialties and Rural Practice Vol. 6; no. 1; pp. 25 - 31
Main Authors: Ratnasingam, Gobith, Kumar, Pratyush, Lionis, Christos, Ganguly, Roshni Jhan, Andoko, Dewanto, Anastasaki, Marilena
Format: Journal Article
Language:English
Published: India Wolters Kluwer - Medknow 2025
Medknow Publications and Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Edition:2
Subjects:
Evidence-based medicine
global health
health
Review Article
rural
World health
United States
Indonesia
India
Global health
health
rural
ISSN:2772-3143, 2772-3151
Online Access:Get full text
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Summary:Abstract Global health initiatives driven by western ideologies often lack adaptation to local contexts in low- and middle-income countries (LMICs), leading to persistent health inequities, inadequate infrastructure, and limited access to care, especially in rural and marginalized areas. Attainment of equitable health care in LMICs is beset by many long-standing challenges. These are a multiplicity of sociocultural, political, economic, and infrastructural determinants preventing high access to quality care, mostly among rural and marginalized communities. The far-reaching effects of such denials are rising disease burdens, unnecessary preventable mortality, and widening health inequalities. Investing in rural healthcare infrastructure by establishing primary health centers and developing a stronger rural workforce through incentives, task-shifting, and continual training will improve service delivery. This is especially important where mobile health services and telemedicine strengthen primary healthcare services in the LMICs in addressing health disparities. For sustainable solutions, there is a need to build capacity at the level, reduce external dependency, and sustain the local supply chain. One of the means to promote health literacy and trust is through community participation, participatory health initiatives, and gendersensitivity programs. The network would thus additionally strengthen the bilateral and multilateral partnerships for improving mechanisms for knowledge and policy development. To strengthen health systems and advance Sustainable Development Goal 3 with a focus on health equity, LMICs require local solutions, sustainable investments, workforce incentives, appropriate technology, capacity building, decentralized decision-making, and global partnerships.
ISSN:2772-3143
2772-3151
DOI:10.4103/jssrp.jssrp_2_25