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Article

COVID-19 – International Psychology’s Role in Addressing Healthcare Disparities and Ethics in Marginalized Communities

Published Online:https://doi.org/10.1027/2157-3891/a000035

Abstract. This conceptual paper provides an overview of the impact of COVID-19 on healthcare disparities and particularly its impact on marginalized communities. This critical analysis addresses the United Nations Sustainable Development Goals (SDGs) 3, 10, and 16, which include health and well-being, reduction of inequality between and within countries, and the need for peaceful and inclusive societies. COVID-19 has infected over 189 million individuals in 220 countries and territories. The pandemic exposed long-standing healthcare inequities between and within countries. Prior to the pandemic, there were limited health and mental health services available to marginalized communities, individuals of lower socioeconomic status, and those in low- and middle-income countries; COVID-19 overburdened healthcare and mental health systems, which resulted in grave mental and physical health consequences. SDG 10 focuses on reducing inequality within and between countries and the need for advocacy for vulnerable groups. International psychology is in a unique position to address the ethical issues associated with healthcare disparities and rationing of care. SDG 3 addresses the need for good health and well-being for all. Achieving this goal is a challenge because of unequal access to healthcare and barriers to services continue, particularly in countries without universal healthcare. Goal 16 focuses on creating and promoting peaceful, just, and inclusive societies and institutions. However, access to healthcare does not erase long-standing histories of injustice, colonialism, and discrimination. Additionally, appreciation of the suspicion with which many minority communities view the healthcare system can be the first step in addressing vaccine reluctance.

Impact and Implications.

This conceptual paper provides a framework for ways international psychology could incorporate SDG goals 3, 10, and 16 through integrative, interdisciplinary, and collaborative mechanisms for service delivery and creation of equitable institutions and structures.

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