The COVID-19 pandemic has uncovered the failures of worldwide well being management and establishments, sparking discussions and a seek for options. To appropriate these failures, it’s mandatory to know and handle the underlying behaviors that make these establishments dysfunctional, whether or not they’re monetary or technical companies.

In low-income and middle-income international locations, the potential beneficiaries of donor-funded well being applied sciences are sometimes excluded from vital decision-making processes that immediately have an effect on them. They’re handled as expendable props in a world theatre of misguided charity. This downside could be characterised by 4 interrelated options: (1) an insular presumption of superior knowledge, (2) a neglect of the responsibility of care, (3) pontificating exterior the circle of competence, and (4) an irrational escalation of dedication.

The dysfunctional nature of worldwide well being charity calls for an entire overhaul, and this will solely be achieved if the important thing gamers are prepared to mirror on their actions, acknowledge their errors, and decide to revamping the established order. The proposed measures on this paper function markers for a technique of candid reflection and constructive adjustments.

To learn the total report on this subject, please go to BMJ.