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

Marco Ricardo Téllez Cabrera


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.


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

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