GP050: Considerations for and Reflections on International Physiotherapy Work with Alex Hejazi

In this podcast episode, we speak with Bahareh Alexandra Hejazi about her experience and insights about her time spent in Italy, Palestine and Uganda. Despite international work offering many exciting prospects for health professionals and potential to create positive change across the globe, it is important to speak about the uncomfortable truths and complexities involved.

Alex speaks candidly about the impact of power and privilege associated with professionals from the Global North, the often under-considered consequences and disruptions we cause to local communities with our “good intentions”, and suggestions she has for clinicians interested in working globally.

We hope this episode catalyses conversations for those who are considering international work, and even those who are currently engaging in this realm, to critically examine their work, projects and organizations. Does the work empower the agency of local communities to create systemic change? Or does it continue to perpetuate the narrative that “West Is Best”?

Alex qualified as a physiotherapist in 2014 in London, UK. She was working in London, both in hospital and community settings until 2018 when she moved to Canada. As a student she did elective placements in Italy and Palestine, which truly ignited her drive to ensure accessible and quality healthcare for all. During a sabbatical leave, she lived in Uganda for five months where she volunteered at a centre for children with disabilities. This experience opened her eyes to some of the power inequalities in the healthcare profession between high and middle/low-income countries that can be perpetuated by volunteering. Her volunteer experience is something she often reflects on and has guided her journey as a physiotherapist since. She now works in two communities in Eeyou Istchee, Cree First Nation territory in what is also known as northern Quebec. She is very passionate about her job and working with people to provide healthcare that is guided and led by what the community needs and wants.

Resources:

– Alex’s piece on “The Trouble of Good Intentions” with World Economic Forums: https://www.weforum.org/agenda/authors/alexandra-hejazi/

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