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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

机译:斯威士州农村社区的健康能力剥夺:了解经理论上知情,定性驱动,混合方法设计,参与性行动研究的复杂性

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摘要

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.
机译:通过概念化关键术语,并系统化了有关影响健康的结构因素的知识来补充基于权利的方法,如初级保健等基于权利的方法。我们的目的是使用“健康能力”作为理论镜头,了解初级医疗方法如何解决在农村斯威士州社区中阻碍健康的结构因素。我们通过参与行动研究产生了关于“健康能力剥夺”的混合方法(质量+ QUAN)数据的绑架,解释性,分析。讨论了四个主题:疾病和疾病,不健康的日常生活环境,无法自由行动,以及性别期望和规范。该分析表明,健康能力剥夺之间存在复杂的相互关系,物质和思想剥夺阻碍了社区成员向或确保其卫生权利,健康能力理论可以增强初级保健方法,反之亦然,并定性地驱动,混合方法研究可以产生关于影响健康的结构因素的独特见解。

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