Skip to main content

Main menu

  • Content
    • Current Issue
    • Advance Access
    • Archive
    • Supplements
    • Special Collections
    • Topic Collections
  • For Authors
    • Instructions for Authors
    • Tips for Writing About Programs in GHSP
      • Local Voices Webinar
      • Connecting Creators and Users of Knowledge
    • Submit Manuscript
    • Publish a Supplement
    • Promote Your Article
    • Resources for Writing Journal Articles
  • About
    • About GHSP
    • Editorial Team
    • Advisory Board
    • FAQs
    • Instructions for Reviewers

User menu

  • My Alerts

Search

  • Advanced search
Global Health: Science and Practice
  • My Alerts

Global Health: Science and Practice

Dedicated to what works in global health programs

Advanced Search

  • Content
    • Current Issue
    • Advance Access
    • Archive
    • Supplements
    • Special Collections
    • Topic Collections
  • For Authors
    • Instructions for Authors
    • Tips for Writing About Programs in GHSP
    • Submit Manuscript
    • Publish a Supplement
    • Promote Your Article
    • Resources for Writing Journal Articles
  • About
    • About GHSP
    • Editorial Team
    • Advisory Board
    • FAQs
    • Instructions for Reviewers
  • Alerts
  • Find GHSP on LinkedIn
  • Visit GHSP on Facebook
  • RSS
ORIGINAL ARTICLE
Open Access

Applying a Power Analysis to Everything We Do: A Qualitative Inquiry to Decolonize the Global Health and Development Project Cycle

Doreen Tuhebwe, Sarah Brittingham, Amandari Kanagaratnam, Elikem Togo, Funmilola M. OlaOlorun, Rhoda K. Wanyenze, Ndola Prata and Allysha C. Maragh-Bass
Global Health: Science and Practice October 2023, 11(5):e2300187; https://doi.org/10.9745/GHSP-D-23-00187
Doreen Tuhebwe
aMakerere University School of Public Health, Kampala, Uganda.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sarah Brittingham
bFHI 360, Durham, NC, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: sbrittingham{at}fhi360.org
Amandari Kanagaratnam
cThe George Washington University Milken Institute School of Public Health, Washington, DC, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elikem Togo
bFHI 360, Durham, NC, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Funmilola M. OlaOlorun
dEvidence for Sustainable Human Development Systems in Africa; Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rhoda K. Wanyenze
aMakerere University School of Public Health, Kampala, Uganda.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ndola Prata
eEvidence for Sustainable Human Development Systems in Africa; School of Public Health, University of California, Berkeley, CA, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Allysha C. Maragh-Bass
bFHI 360, Durham, NC, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
PreviousNext
  • Article
  • Figures & Tables
  • Supplements
  • Info & Metrics
  • Comments
  • PDF
Loading

Figures & Tables

Figures

  • Tables
  • Additional Files
  • FIGURE.
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE.

    Global Health and Development Project and Grant-Making Phases and Definitions

Tables

  • Figures
  • Additional Files
    • View popup
    TABLE 1.

    Characteristics of Key Informants Interviewed About Power Dynamics in Global Health and Development

    Type of Institution (N=15)Participants, No. (N=20)
    Universitya6
    Funding organization4
    International nongovernmental organization3
    Community-based organizationb3
    Nongovernmental organizationc2
    Civil society2
    • ↵a Participants from universities are public health professionals engaged in implementation who often serve as principal investigators in global health and development research and projects.

    • ↵b Community-based organization represents small, community-level organizations that are subawardees reporting to national Global South partners. Community-based organizations do not have national presence.

    • ↵c Nongovernmental organization represents a nonprofit organization that works with the government and very closely with the community. They are independent of government and aim to further a social or humanitarian mission. A nongovernmental organization may have national presence.

    • View popup
    TABLE 2.

    Summary of Key Challenges and Strategies by Project Phase

    Challenges/Colonial LegaciesStrategies to Decolonize
    Conceptualization and contracting phase
        Priorities set/driven by GN and misaligned to the issues/context
    • Align solicitations with local priorities, policies, agendas, and strategies through processes such as reverse funding calls.

    • Develop local partnerships for awards and be accountable to targets such as funding allocations and number of lead GS-based project directors.

        Burdensome contracting processes; lack of bandwidth to search for opportunities among GS
    • Reduce administrative burdens that present barriers to diversify applicants. For example, develop a dedicated unit to assist organizations with the paperwork and accept concepts in various formats, including videos.

        Lack of negotiation power/skills
    Inequitable institutional investment by funders in local organizations
    • Form GS-based coalitions to share resources and power.

    • Increase representation of small, locally led organizations.

    • Invest in GS-based organizations to build systems to manage the administrative processes of applying for and receiving funds by relaxing unequal overhead limits.

    • Define equitable partnership in GHD.

    Planning and implementation phase
        Unequal distribution of resources
    • Allocate resources that allow GS-based organizations to build the systems needed to increase their ability to manage grant implementation.

    • Increase GS spending and decrease GN spending.

        Undervalued roles; extractive dynamic
    • Acknowledge and value GS roles in research, including but not limited to local expertise, shepherding of relationships with participants and other stakeholders, data collection and analysis, and more.

        Lack of flexibility in implementation
    • Listen to the GS. Open a line of communication between donors and funded partners, especially those based in GS, to allow for more adaptive management and responsiveness to context.

    • Build in accountability and feedback loops whereby funders and implementers are accountable to communities and subpartners.

    Evaluation and dissemination phase
        Co-option of work
    • Facilitate relationship-building and communication between GS partners and GN funders.

    • GN partners should champion and cede space to promote the presence and visibility of GS partners when communicating with funders.

    • Data collected by and from the GS should be co-owned by GS partners.

        GN-oriented dissemination and research utilization
    • When planning for dissemination and knowledge products, prioritize what will be most valuable to the GS context from which the insights were generated.

    • Prioritize reaching end users of outputs by using local languages and accessible/relatable formats as opposed to academic manuscripts.

    • Facilitate/make space for leadership/meaningful participation of GS colleagues in the development of manuscripts. Ensure authorship discussions do not privilege skills such as English as a first language that do not necessarily correlate to the value of contributions.

        Reliance on quantitative results
    • Use more nuanced evaluation of funder investments.

    • Abbreviation: GHD, global health and development; GN, Global North; GS, Global South.

Additional Files

  • Figures
  • Tables
  • Supplemental material

    • Supplement -

      Supplement

PreviousNext
Back to top

In this issue

Global Health: Science and Practice: 11 (5)
Global Health: Science and Practice
Vol. 11, No. 5
October 30, 2023
  • Table of Contents
  • About the Cover
  • Index by Author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about Global Health: Science and Practice.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Applying a Power Analysis to Everything We Do: A Qualitative Inquiry to Decolonize the Global Health and Development Project Cycle
(Your Name) has forwarded a page to you from Global Health: Science and Practice
(Your Name) thought you would like to see this page from the Global Health: Science and Practice web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Applying a Power Analysis to Everything We Do: A Qualitative Inquiry to Decolonize the Global Health and Development Project Cycle
Doreen Tuhebwe, Sarah Brittingham, Amandari Kanagaratnam, Elikem Togo, Funmilola M. OlaOlorun, Rhoda K. Wanyenze, Ndola Prata, Allysha C. Maragh-Bass
Global Health: Science and Practice Oct 2023, 11 (5) e2300187; DOI: 10.9745/GHSP-D-23-00187

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Applying a Power Analysis to Everything We Do: A Qualitative Inquiry to Decolonize the Global Health and Development Project Cycle
Doreen Tuhebwe, Sarah Brittingham, Amandari Kanagaratnam, Elikem Togo, Funmilola M. OlaOlorun, Rhoda K. Wanyenze, Ndola Prata, Allysha C. Maragh-Bass
Global Health: Science and Practice Oct 2023, 11 (5) e2300187; DOI: 10.9745/GHSP-D-23-00187
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Statistics from Altmetric.com

Jump to section

  • Article
    • ABSTRACT
    • INTRODUCTION
    • METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSIONS
    • Acknowledgments
    • Funding
    • Disclaimer
    • Author contributions
    • Competing interests
    • Notes
    • REFERENCES
  • Figures & Tables
  • Supplements
  • Info & Metrics
  • Comments
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Development of a Cervical Cancer Screening Program in Rural Guatemala
  • A Novel Approach to Assessing the Potential of Electronic Decision Support Systems to Improve the Quality of Antenatal Care in Nepal
  • People that Deliver Theory of Change for Building Human Resources for Supply Chain Management: Applications in sub-Saharan Africa and Southeast Asia
Show more ORIGINAL ARTICLE

Similar Articles

Johns Hopkins Center for Communication Programs

Follow Us On

  • LinkedIn
  • Facebook
  • RSS

Articles

  • Current Issue
  • Advance Access Articles
  • Past Issues
  • Topic Collections
  • Most Read Articles
  • Supplements

More Information

  • Submit a Paper
  • Instructions for Authors
  • Instructions for Reviewers

About

  • About GHSP
  • Advisory Board
  • FAQs
  • Privacy Policy
  • Contact Us

© 2025 Creative Commons Attribution 4.0 International License. ISSN: 2169-575X

Powered by HighWire