Jens Holst

In recent decades, decolonisation and more recently, decoloniality have gained increasing significance in global health. However valid and important this demand may be, the current debate nevertheless exhibits a certain imbalance and a bias in favour of specific historical, geographical and linguistic regions and certain population groups. Furthermore, it reflects the biomedical reductionism prevalent in global health and grossly neglects global political, economic and social changes and trends. The article Saúde mundial: entre a continuidade pós-colonial, o neocolonialismo neoliberal e a descolonização reducionista / Salud mundial: entre la continuidad poscolonial, el neocolonialismo neoliberal y la descolonización reduccionista by Jens Holst, published in the Brazilian journal Saúde em Debate and available in Portuguese and Spanish, argues that decolonisation alone is insufficient and proposes decoloniality as a broader framework. This perspective requires critical analysis of contemporary power structures shaped by neo-imperialism, capitalism and neoliberal globalisation, which reproduce discrimination, inequality and oppression worldwide. Furthermore, it contends that the debate must recognise the risks of neo-colonisation driven by the global financial aristocracy, whose growing concentration of political power creates new forms of domination. The global health therefore depends on simultaneously addressing colonial legacies and contemporary dynamics, enabling more equitable health governance, inclusive knowledge communities, equitable partnerships, sustainable institutional transformation, shared diverse epistemologies and lasting global