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The Lancet and colonialism - Newspaper

UK s evolving role in global health

The focus should be on equal partnerships and collaboration As an election year in the UK, 2024 is an auspicious time for the politics of health, with critical implications for the international as well as domestic space. What are the opportunities and challenges for the UK’s position in global health? Over the past three decades, the UK has been an agenda setting and technical leader, as well as a major donor in global health activities. The national health service serves as a beacon for universal health coverage.1 However, 14 years of austerity policies,2 coupled with Brexit,3 have weakened public health infrastructure in the UK. Internationally, its contributions and impact, as well as reputation, are mostly in decline, because of substantial reductions in official development assistance since 2019, highlighted in recent Center for Global Development analysis.4 The UK government’s global health framework for 2023-25,5 emphasises the sustainable development goals, the need to a

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