01764nas a2200241   4500000000100000008004100001260001600042653002100058100001400079700001300093700002100106700001400127700001500141700001400156700001500170700001600185245011900201856007500320300001400395490000700409520109200416022001401508       2023                            d  bElsevier BV10aGeneral Medicine1 aCharani E1 aShariq S1 aCardoso Pinto AM1 aFarooqi R1 aNambatya W1 aMbamalu O1 aAbimbola S1 aMendelson M00aThe use of imagery in global health: an analysis of infectious disease documents and a framework to guide practice  uhttps://www.thelancet.com/action/showPdf?pii=S2214-109X%2822%2900465-X  ae155-e1640 v113 a<p>We report an empirical analysis of the use of imagery by the key actors in global health who set policy and strategy, and we provide a comprehensive overview, particularly related to images used in reports on vaccination and antimicrobial resistance. The narrative currently depicted in imagery is one of power imbalances, depicting women and children from low-income and middle-income countries (LMICs) with less dignity, respect, and power than those from high-income countries. The absence of any evidence of consent for using intrusive and out-of-context images, particularly of children in LMICs, is concerning. The framework we have developed provides a platform for global health actors to redefine their intentions and recommission appropriate images that are relevant to the topic, respect the integrity of all individuals depicted, are accompanied by evidence of consent, and are equitable in representation. Adhering to these standards will help to avoid inherent biases that lead to insensitive content and misrepresentation, stigmatisation, and racial stereotyping.</p>
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