Social determinants of disability-based disadvantage in Solomon islands

Alexandra Gartrell, Megan Jennaway, Lenore Manderson, Judith Fangalasu'u, Simon Dolaiano

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Development discourse widely recognises that disability is the result of economic and social processes and structures that fail to accommodate persons with disabilities. Empirical work on the relationship between disability and poverty however, conceptualize poverty through an economic resource lens in high-income countries. To address this conceptual gap this article uses a social determinants of health perspective to examine how socio-cultural, economic and political contexts shape disability-based disadvantage. This article draws upon ethnographic research and supplementary data collected using rapid assessment techniques in Solomon Islands. Findings suggest that the disability-poverty nexus and inequalities in health, wellbeing and quality of life must be understood
within broader patterns of social vulnerability that are institutionalised in landownership and patterns of descent, gendered power relations and disability specific stigmas that preclude social and productive engagement . This article demonstrates how a social determinant of health perspective that closely examines lived experiences of disability provides critical analytical insights into the structural mechanisms that constitute disability-based disadvantage. This article provides foundation knowledge on which policies and further research to promote disability-inclusion and equity can be based.
Original languageEnglish
Pages (from-to)250-260
Number of pages10
JournalHealth Promotion International
Volume33
Issue number2
DOIs
Publication statusPublished - 2018

Keywords

  • social determinants of health
  • disability rights
  • inequalities
  • ethnographic study
  • well being

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