Research Article: Towards Digital Justice: Participatory Action Research in Global Digital Health

This research article in the BMJ Global Health journal explores the impact of digital health advancements on global inequalities, highlighting issues such as data colonialism and risks to marginalised communities.

The COVID-19 pandemic has accelerated the growth of digital health, with funding for US digital health startups surpassing $29 million in 2021. However, this rapid expansion has exacerbated existing inequalities, particularly as large technology companies from high-income countries extract health data from low- and middle-income countries, leading to new forms of data colonialism. Marginalised groups, especially in the Global South, face increased risks of discrimination and harm due to the drive for more precise health data. Addressing these disparities requires innovative models of knowledge production that empower the public to advocate for rights-based digital governance.

Key insights include:

– Data colonialism in low- and middle-income countries.

– Increased risks to marginalised groups.

– Importance of participatory action research for digital justice.

In conclusion, to achieve digital justice in global health, it is essential to adopt participatory action research models that involve and empower marginalised communities. By learning from successful community-led initiatives in the HIV response, stakeholders can develop rights-based digital governance frameworks that address existing inequalities and protect vulnerable populations.

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