1. Health Capability Deprivations in a Rural Swazi Community: Understanding Complexity With Theoretically Informed, Qualitatively Driven, Mixed-Method Design, Participatory Action Research.
- Author
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Brear MR, Shabangu PN, Fisher JR, Hammarberg K, Keleher HM, and Livingstone C
- Subjects
- Adolescent, Adult, Community-Based Participatory Research, Cooking, Environment, Eswatini epidemiology, Female, Food Supply, Gender Identity, Health Status, Humans, Male, Middle Aged, Sex Factors, Socioeconomic Factors, Water Supply, Young Adult, Black People psychology, Poverty statistics & numerical data, Primary Health Care statistics & numerical data, Rural Population statistics & numerical data, Social Determinants of Health statistics & numerical data
- Abstract
Comprehensive theories of health justice can supplement rights-based approaches like primary health care, by conceptualizing key terms, and systematizing knowledge about structural factors that influence health. Our aim was to use "health capability" as a theoretical lens for understanding how primary health care approaches might address structural factors impeding health in a rural Swazi community. We conducted abductive, interpretive, analysis of a mixed-method (QUAL+quan) data set about "health capability deprivations," generated through participatory action research. Four themes are discussed: illness and disease, unhealthy daily living environments, inability to move freely, and gendered expectations and norms. The analysis demonstrates that there were complex interrelationships between health capability deprivations, material and ideological deprivation prevented community members from aspiring to or securing their right to health, health capability theory can augment primary health care approaches and vice versa, and qualitatively driven, mixed-method research can generate unique insights about structural factors that influence health.
- Published
- 2018
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