Defining global health as public health somewhere else

### Summary box There are many definitions of global health,1–3 but none capture what is truly distinctive about the field. In particular, beyond tautologically emphasising the ‘global’ nature of its efforts, none properly distinguish ‘global health’ from ‘public health’.4 5 We propose the following definition: global health is public health somewhere else . Conventional definitions of global health tend to focus on its methods, which are generally indistinguishable from public health, or its aspirations, which are well intentioned but do little to describe what is distinctive about the field. We focus instead on a concept that we believe unifies the field. We offer this definition to encourage reflection on the assumptions that underlie many global health efforts. Apart from its economy of words, our definition has the virtue of directing attention to the why and how , as well as the what of global health. Global health as a field is not distinguished by its aspirations, methods of research and practice, intervention strategies or even geographical area per se, but rather by a particular relationship between its practitioners and its recipients: a person engages in global health when they practise public health somewhere—a community, a political entity, a geographical space—that they do not call home. Focusing on this relationship invites us to confront the normative dimensions of global health head on. It urges …

[1]  C. Gabel,et al.  Improving health research among Indigenous Peoples in Canada , 2018, Canadian Medical Association Journal.

[2]  S. Abimbola On the meaning of global health and the role of global health journals. , 2018, International health.

[3]  M. Silverman,et al.  Perspectives of host faculty and trainees on international visiting faculty to paediatric academic departments in East Africa , 2016, BMJ Global Health.

[4]  R. Packard A History of Global Health: Interventions into the Lives of Other Peoples , 2016 .

[5]  J. Frenk,et al.  From sovereignty to solidarity: a renewed concept of global health for an era of complex interdependence , 2014, The Lancet.

[6]  R. Horton Offline: Is global health neocolonialist? , 2013, The Lancet.

[7]  Angus Deaton,et al.  The Great Escape: health, Wealth, and the Origins , 2013 .

[8]  R. M. Campbell,et al.  The importance of a common global health definition: How Canada’s definition influences its strategic direction in global health , 2012, Journal of global health.

[9]  Robert Beaglehole,et al.  High resolution discovery and confirmation of copy number variants in 90 Yoruba Nigerians , 2009, Genome Biology.

[10]  L. Fried,et al.  Global health is public health , 2010, The Lancet.

[11]  N. Sewankambo,et al.  Towards a common definition of global health , 2009, The Lancet.

[12]  S. Benatar,et al.  Global health ethics: the rationale for mutual caring , 2003 .

[13]  P. Singer One World: The Ethics of Globalization , 2002 .