{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T20:29:51Z","timestamp":1794083391123,"version":"4.8.0"},"reference-count":38,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2025,11,19]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>The concept of solidarity plays a central role in shaping both African and European cultural responses to social and political challenges, although its interpretations diverge significantly. In African societies, solidarity is rooted in the relational philosophy of ubuntu, where individual identity is understood as inseparable from the community, emphasising collective well-being and mutual care. This is reflected in practices, such as community-based caregiving for the sick and elderly, traditional healing networks and shared child-rearing. In parts of West Africa, for example among the Igbo, co-wives may sleep over at the home of a bereaved wife to provide emotional support and boost morale during mourning.<\/jats:p>\n                  <jats:p>In contrast, European models of solidarity are often institutionalised and rights-based, focusing on balancing individual autonomy with collective welfare within legal frameworks. This paper explores these two distinct approaches to solidarity and examines their implications in global health, especially in the context of the COVID-19 pandemic and other global health crises. Ubuntu\u2019s emphasis on communal responsibility offers a valuable framework for addressing health inequities, suggesting that global health is a shared responsibility that transcends national borders and individual interests. Conversely, European solidarity, shaped by enlightenment principles and liberal democratic traditions, often prioritises individual rights and institutional mechanisms to ensure health equity. This dialectical exploration highlights the evolving nature of solidarity in a globalised world, where African and European models of solidarity are increasingly hybridised to address global health disparities. Drawing on examples such as the Ritshidze community-led HIV care monitoring initiative in South Africa, alongside international efforts like COVAX, this paper evaluates how solidarity, in both its African and European forms, can influence global health policy and collective action, promoting more inclusive and equitable health systems worldwide.<\/jats:p>","DOI":"10.1136\/bmjgh-2025-019259","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T06:10:24Z","timestamp":1765174224000},"page":"e019259","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Global health and the dialectics of solidarity through Ubuntu and European perspectives"],"prefix":"10.1136","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1552-2111","authenticated-orcid":false,"given":"Chukwuemeka L","family":"Anyikwa","sequence":"first","affiliation":[{"name":"College of Medicine, University of Nigeria, Ituku Ozalla, Enugu, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,12,7]]},"reference":[{"key":"2025120722101506000_10.12.e019259.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12939-025-02380-y","article-title":"Solidarity and its decoloniality in global health ethics","volume":"24","author":"Fayemi","year":"2025","journal-title":"Int J Equity Health"},{"key":"2025120722101506000_10.12.e019259.2","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph192114255","article-title":"Can Afro-Communitarianism Be Useful in Combating the Challenge of Human Interaction Posed by the COVID-19 Pandemic?","volume":"19","author":"Chimakonam","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2025120722101506000_10.12.e019259.3","first-page":"120","article-title":"Leveraging Ubuntu-inspired values to promote sustainable digital entrepreneurship in Africa","volume":"10","author":"Adeola","year":"2024","journal-title":"AJOM"},{"key":"2025120722101506000_10.12.e019259.4","unstructured":"Mbiti JS . 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Sheffield: Sheffield Academic Press, 2001."},{"key":"2025120722101506000_10.12.e019259.17","doi-asserted-by":"crossref","DOI":"10.4102\/hts.v77i2.6736","article-title":"African women\u2019s theology and the re-imagining of community in Africa","volume":"77","author":"Maseno","year":"2021","journal-title":"HTS"},{"key":"2025120722101506000_10.12.e019259.18","first-page":"532","article-title":"Ubuntu as a moral theory and human rights in South Africa","volume":"11","author":"Metz","year":"2011","journal-title":"Afr Hum Rights Law J"},{"key":"2025120722101506000_10.12.e019259.19","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1093\/phe\/phac022","article-title":"Realizing Ubuntu in Global Health: An African Approach to Global Health Justice","volume":"15","author":"Jecker","year":"2022","journal-title":"Public Health Ethics"},{"key":"2025120722101506000_10.12.e019259.20","first-page":"2630","article-title":"Ubuntu And The Philosophy Of Community In African Thought: An Exploration Of Collective Identity And Social Harmony","volume":"7","author":"Ajitoni","year":"2024","journal-title":"JASSD"},{"key":"2025120722101506000_10.12.e019259.21","unstructured":"Burke E . Reflections on the revolution in France. London: Yale University Press, 2003:82."},{"key":"2025120722101506000_10.12.e019259.22","unstructured":"Comte A . System of positive philosophy. 1852."},{"key":"2025120722101506000_10.12.e019259.23","doi-asserted-by":"crossref","DOI":"10.1093\/hrlr\/ngae011","article-title":"Solidarity as Foundation for Economic, Social and Cultural Rights","volume":"24","author":"Casla","year":"2024","journal-title":"Hum Rights Law Rev"},{"key":"2025120722101506000_10.12.e019259.24","doi-asserted-by":"crossref","DOI":"10.4081\/jphr.2013.e1","article-title":"The European union directive on the application of patients\u2019 rights in cross-border healthcare","volume":"2","author":"Santuari","year":"2013","journal-title":"J Public Health Res"},{"key":"2025120722101506000_10.12.e019259.25","unstructured":"Locke J . Two treatises of government. Awnsham Churchill, 1689."},{"key":"2025120722101506000_10.12.e019259.26","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/BF01507703","article-title":"Durkheim\u2019sDivision of Labor in Society?: A sexagenarian postscript","volume":"9","author":"Merton","year":"1994","journal-title":"Sociol Forum"},{"key":"2025120722101506000_10.12.e019259.27","unstructured":"Laclau E , Mouffe C . Hegemony and socialist strategy: towards a radical democratic politics. Verso, 2014."},{"key":"2025120722101506000_10.12.e019259.28","unstructured":"Lechevalier A , Wielgohs J . Social Europe: a dead end. Dj\u00f8f Publishing, 2015. Available: https:\/\/shs.hal.science\/halshs-03781863v1"},{"key":"2025120722101506000_10.12.e019259.29","unstructured":"European Commission . Employment, social affairs and inclusion. 2017. 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