AUTHOR=Ernst Martin , Münter Lars , Skali Adam , Turk Eva TITLE=Diplomatic monocultures in public health diplomacy: a narrative review on conference equity, participation and visibility JOURNAL=Public Health Reviews VOLUME=Volume 47 - 2026 YEAR=2026 URL=https://www.ssph-journal.org/journals/public-health-reviews/articles/10.3389/phrs.2026.1609708 DOI=10.3389/phrs.2026.1609708 ISSN=2107-6952 ABSTRACT=ObjectivesPublic health diplomacy increasingly unfolds under polycrisis conditions shaped by pandemics, conflict, demographic change, climate-related shocks, governance turbulence, and the infodemic. This narrative review examines conference equity, participation, and visibility as governance-relevant mechanisms within public health diplomacy.MethodsWe conducted a narrative synthesis of recent literature on global health governance, public health diplomacy, conference participation, diversity and inclusion, digital and hybrid convening, and equity-oriented capacity building.ResultsThe synthesis indicates that participation and visibility gaps across gender, geography, country income context, career stage, language, mobility, and institutional resources can shape whose expertise is recognized, which agendas become prominent, and which coalitions form. We conceptualize these patterns as “diplomatic monocultures” that may narrow policy imagination, weaken legitimacy, and constrain capacity building. The review further identifies digital and hybrid formats as potential equity mechanisms only when designed to support comparable visibility, interaction, and influence.ConclusionConference equity should be treated as a public health diplomacy lever. We propose a multi-level roadmap for organizers, institutions, funders, and governance actors to strengthen equitable participation and more context-responsive global health governance.