Defining global health: Findings from a systematic review and thematic analysis of the literature

Melissa Salm, Mahima Ali, Mairead Minihane, Patricia Conrad

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction Debate around a common definition of global health has seen extensive scholarly interest within the last two decades; however, consensus around a precise definition remains elusive. The objective of this study was to systematically review definitions of global health in the literature and offer grounded theoretical insights into what might be seen as relevant for establishing a common definition of global health. Method A systematic review was conducted with qualitative synthesis of findings using peer-reviewed literature from key databases. Publications were identified by the keywords of € global health' and € define' or € definition' or € defining'. Coding methods were used for qualitative analysis to identify recurring themes in definitions of global health published between 2009 and 2019. Results The search resulted in 1363 publications, of which 78 were included. Qualitative analysis of the data generated four theoretical categories and associated subthemes delineating key aspects of global health. These included: (1) global health is a multiplex approach to worldwide health improvement taught and pursued at research institutions; (2) global health is an ethically oriented initiative that is guided by justice principles; (3) global health is a mode of governance that yields influence through problem identification, political decision-making, as well as the allocation and exchange of resources across borders and (4) global health is a vague yet versatile concept with multiple meanings, historical antecedents and an emergent future. Conclusion Extant definitions of global health can be categorised thematically to designate areas of importance for stakeholders and to organise future debates on its definition. Future contributions to this debate may consider shifting from questioning the abstract € what' of global health towards more pragmatic and reflexive questions about € who' defines global health and towards what ends.

Original languageEnglish (US)
Article numbere005292
JournalBMJ Global Health
Volume6
Issue number6
DOIs
StatePublished - Jun 3 2021

Keywords

  • health education and promotion
  • health policy
  • public health
  • qualitative study
  • systematic review

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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