CONCEPTUALIZING EPISTEMIC INJUSTICE IN GLOBAL HEALTH ETHICS: Where Is Global Health Ethics Knowledge Solicited From?
Irene Jao1, Australian Catholic University Brisbane 1Australian Catholic University, Brisbane, Queensland, Australia
Abstract
Epistemic Injustice is defined as marginalization based on social-economic background of knowers; typically, from low-income (the global South) and some high-income settings. The concept is receiving increased attention as the Global Health (GH) and GH ethics fields try to address disparities and ethical challenges that persist in its practise. Current Epistemic Injustice discourses are focussing on addressing missing or underrepresented voices of knowers from the global south, as part of the decolonization debate. The concept, therefore, needs further normative and empirical work to understand its practises and impact on GH Ethics knowledge development. Recent work conceptualized that Epistemic Injustice in GH Ethics operates at (i) knowledge-production, (ii) knowledge-application; and (iii) knowledge-soliciting levels. This proposed study will focus on the knowledge-soliciting level and aims to map out whether, and how epistemic injustices impact on the processes of soliciting GH empirical ethics knowledge from the global South. The study comprises of two phases (i) A Qualitative Evidence Synthesis (QES) study aimed at exploring the dominant values, theories, topics, authors, and institutions involved in developing GH empirical ethics knowledge. An adapted Grimshaw evidence synthesis method will be employed using qualitative content analysis approach. (ii) An interview study to explore researchers’ experiences of Epistemic Injustice practices in GH Ethics. In-depth semi-structured interviews will be conducted, and a framework analysis approach will be used. Findings will map how complex socio-economic and structural systems interact to create Epistemic Injustice at individual, institutional, national, and international level. The presentation will focus on preliminary results of the QES.
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