Building the health capability set in a Purépecha community to assess health interventions

Marco Ricardo Téllez Cabrera

Abstract


Considering that health capabilities can be viewed as the ability and opportunity to achieve health states according to the different kinds of life valued by people, this work contrasts and explores the dimensions that could be included in the health capability set to assess health interventions in Cuanajo, a semirural indigenous Purépecha community located in western Mexico, considering a previous work and by using in-depth semi-structured interviews. While the final objective is to generate measures of outcomes in economic evaluations of health interventions to be carried out in this community, this study reinforces the dimensions that could be employed in the final step. These are: i) physical, taking into account activities of daily living enabled by different health statuses; ii) mental, in the form of how positive feelings contribute to achieving health functionings; iii) social, considering how a minimal social life takes into account how relations with partners, family members, and friends provide love and support; iv) health agency, incorporating health knowledge and knowledge about how traditional medicine can affect or contribute to achieving health; v) material conditions, which include house facilities and monetary resources; and vi) community, to include how social pressure and security affect health functionings.


Keywords


Health capabilities; Mexico; Purépecha community; Health interventions; Capability Approach

Full Text:

PDF

References


Al-Janabi, H., Flynn, T., & Coast, J. (2012). Development of a Self-report Measure of Capability Wellbeing for Adults: The ICECAP-A. Quality of Life Research 21: 167–176.

Alkire, S. (2002) 2008. Valuing Freedoms: Sen's Capability Approach and Poverty Reduction. Reprint, New York: Oxford University Press.

Comisión Nacional para el Desarrollo de los Pueblos Indígenas (CDI). (2009). Purépechas. México: CDI. Retrieved from: http://www.cdi.gob.mx/index.php?option=com_content&view=article&id=604:purepechas-purhepecha&catid=54:monografias-de-los-pueblos-indigenas&Itemid=62

EuroQol Research Foundation (2015). EQ-5D-3L User Guide. Basic Information on How to Use the EQ-5D-3L Instrument. Version 5.1. Rotterdam: EuroQol Research Foundation. http://www.euroqol.org/fileadmin/user_upload/Documenten/PDF/Folders_Flyers/EQ-5D-3L_UserGuide_2015.pdf

Instituto Nacional de Estadística y Geografía (INEGI). (2010). Principales resultados por localidad (ITER)-Censo de Población y Vivienda 2010 [online]. México: INEGI. Retrieved from: http://www.inegi.org.mx/sistemas/consulta_resultados/iter2010.aspx

Hausman, D. (2010). Valuing Health: A New Proposal. Health Economics 19: 280–296.

Merriam, S. (2009). Qualitative Research. A guide to Design and Implementation (2nd ed.). San Francisco: Jossey-Bass

Office of the United Nations High Commissioner for Human Rights (OUNHCHR), & World Health Organization (WHO). (2008). The Right to Health. Fact Sheet No. 31. Geneva: United Nations. Retrieved from http://www.ohchr.org/Documents/Publications/Factsheet31.pdf

Ochoa A., & Sánchez, G. (2011). Michoacán. Historia Breve (2nd ed.). México: FCE-Colmex.

Pick, S., & Hietanen, A. (2015). Psychosocial Barriers as Impediments to the Expansion of Functionings and Capabilities: The Case of Mexico. Journal of Human Development and Capabilities: A Multi-Disciplinary Journal for People-Centered Development 16 (1): 15–32. doi: 10.1080/19452829.2014.959906

Ruger, J. P. (2010a). Health Capability: Conceptualization and Operationalization. American Journal of Public Health 100 (1): 41–49.

Ruger, J. P. (2010b). Health and Social Justice. New York: Oxford University Press.

Ruiz, E. (2000). Michoacán. Paisajes, Tradiciones y Leyendas. Morelia: Morevallado Editores.

Seligman, M. (2010). Flourish: Positive Psychology and Positive Interventions. The Tanner Lecture on Human Values, delivered at The University of Michigan, 7 October. Retrieved from http://tannerlectures.utah.edu/_documents/a-to-z/s/Seligman_10.pdf

Sen, A. (1992). Inequality Reexamined. Cambridge: Harvard University Press.

Sen, A. (2009). The Idea of Justice. Cambridge: Harvard University Press.