“On ne change pas de programme”: Using Congolese Literature for the Decolonizing Global Health Movement 公开

Rigole, Abigail (Spring 2023)

Permanent URL: https://etd.library.emory.edu/concern/etds/n009w378w?locale=zh
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Abstract

This thesis aims to contribute to the growing scholarship of the Decolonizing Global Health Movement (DGHM) by conducting a critical discourse analysis of global health work, focusing on the Democratic Republic of Congo (DRC). The DRC has a long history of international occupation, including by global health agencies, and continues to receive foreign aid while being considered a humanitarian disaster. To address the calls of the DGHM to critically reflect upon global health in its historical context, the thesis constructs a timeline from colonial intervention to modern-day global health in the DRC.

The thesis begins with a literature review that looks at the colonial roots of European intervention in Congo and their transformation into modern-day global health and development work. It then analyzes four literary texts, including Congolese philosopher’s Tchicaya u Tam’si’s poem, Sous le ciel de soi, to qualitatively interpret the sociocultural effects and reception of global health intervention from an ontology that is separate from the biases of western science. The thesis addresses why literary texts are often excluded from the global health discourse, and the benefits of reconsidering this literature into global health theory. 

The thesis will also conduct a brief qualitative case study of two Belgian NGOs working in the DRC. By centering Congolese voices that are structurally excluded from global health discourse yet have offered critiques and alternative methodologies in response to its intervention, the aim is to combat the ingrained imperialism within the field of global health and propose new ways of thinking about its role in the DRC.

Overall, this critical discourse analysis of global health work in the DRC aims to contribute to the growing scholarship of the Decolonizing Global Health Movement, and influence policy changes and practices at the individual and organizational levels. By centering Congolese voices and considering the historical context of global health intervention, this thesis offers a fresh perspective on the role of global health in the DRC and beyond.

Table of Contents

Chapter 1: Introduction 1

Chapter 2: Literature Review 8

Defining Intervention 9 

A Brief History of Colonial Intervention and Colonial Medicine in Africa  10 

Colonial Intervention 10 Colonial Medicine 14 

Intervention in Global Health 19 

Postcolonial Anxiety 19 

Neocolonialism 20 

Implications for Global Health 21

 

Chapter 3: Understanding Intervention through Textual Analysis 28

Methodology 29 

Congolese Literature for Decolonization 30

a.     Author Biographies 33

b.     Matonge à Ixelles 35

c.     Béatrice du Congo 43

d.     Une Saison au Congo 49

Chapter 4: Analysis of Qualitative Themes and Practical Implications for Organization   52

Qualitative Themes 52

Case Study: Belgian NGOs working in the DRC 56

Chapter 5: Discussion, Recommendations, Conclusion 66

Onto-Epistemic Formulations 66

Multiplicity and Edouard Glissant’s Tout-Monde 68

Moving Towards a Pluriverse 69

Recommendations for the DGHM 70

Conclusion 74

About this Master's Thesis

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