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.
| Original language | English |
|---|---|
| Pages (from-to) | 1897-1909 |
| Number of pages | 13 |
| Journal | Qualitative Health Research |
| Volume | 28 |
| Issue number | 12 |
| DOIs | |
| Publication status | Published - 1 Oct 2018 |
Keywords
- Africa / Africans, South
- case study design, collaborative research design, qualitative
- community and public health
- complexity
- determinants of health
- health promotion
- social issues, inequality
Cite this
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Health Capability Deprivations in a Rural Swazi Community : Understanding Complexity With Theoretically Informed, Qualitatively Driven, Mixed-Method Design, Participatory Action Research. / Brear, Michelle R.; Shabangu, Pinky N.; Fisher, Jane R.; Hammarberg, Karin; Keleher, Helen M.; Livingstone, Charles.
In: Qualitative Health Research, Vol. 28, No. 12, 01.10.2018, p. 1897-1909.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Health Capability Deprivations in a Rural Swazi Community
T2 - Understanding Complexity With Theoretically Informed, Qualitatively Driven, Mixed-Method Design, Participatory Action Research
AU - Brear, Michelle R.
AU - Shabangu, Pinky N.
AU - Fisher, Jane R.
AU - Hammarberg, Karin
AU - Keleher, Helen M.
AU - Livingstone, Charles
PY - 2018/10/1
Y1 - 2018/10/1
N2 - 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.
AB - 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.
KW - Africa / Africans, South
KW - case study design, collaborative research design, qualitative
KW - community and public health
KW - complexity
KW - determinants of health
KW - health promotion
KW - social issues, inequality
UR - http://www.scopus.com/inward/record.url?scp=85046806239&partnerID=8YFLogxK
U2 - 10.1177/1049732318768236
DO - 10.1177/1049732318768236
M3 - Article
VL - 28
SP - 1897
EP - 1909
JO - Qualitative Health Research
JF - Qualitative Health Research
SN - 1049-7323
IS - 12
ER -