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Voices of the poor from the margins of bengal: Structural inequities and health

机译：孟加拉国穷人的声音：结构性不平等与健康

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In opposition to the traditional approaches to health communication that treat the subaltern sectors as passive recipients of messages of enlightenment configured in top-down interventions, the culture-centered approach foregrounds the importance of listening to subaltern communities at the margins through dialogue. We build on earlier culture-centered projects in rural communities of West Bengal, India, to develop participatory research strategies for understanding the local processes through which the structural marginalization of the poor plays out in rural Bengal. Study results point toward the marginalization of the poor both communicatively and economically, attending to the ways in which communicative marginalization lies at the heart of economic oppressions. Through locally articulated concepts of "health as shortage" and "communication as shortage," community members put forth alternative rationalities of health that highlight structural resources at the heart of health. These local articulations of shortage offer an alternative rationality for organizing health promotion efforts in the rural margins of Bengal through the foregrounding of discourses of shortage.
机译：与将次要部门视为自上而下的干预措施中配置的启蒙信息的被动接收者的传统健康交流方法相反，以文化为中心的方法提出了通过对话在边缘听取次要社区的重要性。我们以印度西孟加拉邦农村社区的早期以文化为中心的项目为基础，以开发参与性研究策略来了解当地过程，从而使孟加拉农村地区的贫困人口结构性边缘化发挥作用。研究结果指出，在经济和经济的核心问题上，沟通性边缘化是穷人在交流和经济上的边缘化。通过在当地明确表达“健康为短缺”和“沟通为短缺”的概念，社区成员提出了替代性的健康合理性，突出了健康核心的结构性资源。这些关于短缺的局部表述为在孟加拉国农村边缘组织有关短缺问题的前景提供健康促进工作提供了另一种合理性。

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