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Beyond social determinants of health: an application of the Health Capability Model to rural Senegal

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  • Marion Coste

    (AMSE - Aix-Marseille Sciences Economiques - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - École Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique, SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale)

Abstract

This study investigated elements affecting the ability to achieve optimal health (health capability) in people living in the rural area of Niakhar, Senegal, using data from the 12356 ANRS AmBASS survey. A structural equation modelling (SEM) strategy was used to develop a multidimensional and dynamic health capability model (Ruger, 2010) that allowed the analysis of determinants of health to be extended beyond the usual one-way study between determinants and health status found in the literature. Three factors (dimensions) were identified: 1) access to local healthcare services, 2) participation in decisionmaking, and 3) current self-reported health status. The model analyzed interactions between these dimensions as well as the dimensions' relationships with other demographic, psychosocial and economic variables (household size and resources, age, gender, education, marital status, intrinsic motivation, etc.) Results reveal a much greater diversity of variables associated with shortfalls in the various dimensions of health capability than what would have appeared had a standard unidimensional model been used. This SEM-based strategy could be an attractive alternative to traditional approaches to measure determinants of health and provide valuable empirical results for policy-makers.

Suggested Citation

  • Marion Coste, 2021. "Beyond social determinants of health: an application of the Health Capability Model to rural Senegal," Working Papers halshs-03160413, HAL.
    • Handle: RePEc:hal:wpaper:halshs-03160413
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-03160413
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    References listed on IDEAS

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    1. Abel, Thomas & Frohlich, Katherine L., 2012. "Capitals and capabilities: Linking structure and agency to reduce health inequalities," Social Science & Medicine, Elsevier, vol. 74(2), pages 236-244.
    2. Lorenzo Rocco & Elena Fumagalli & Marc Suhrcke, 2014. "From Social Capital To Health – And Back," Health Economics, John Wiley & Sons, Ltd., vol. 23(5), pages 586-605, May.
    3. Mohammad Abu-Zaineh & Maame Esi Woode, 2018. "Investigating the Dimensions of Youth Wellbeing: An Exploratory Structural Equation Modelling Approach Applied to Palestine," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 11(1), pages 57-78, February.
    4. Deepa Narayan, 2005. "Measuring Empowerment : Cross Disciplinary Perspectives," World Bank Publications - Books, The World Bank Group, number 7441, December.
    5. Ruger, J.P., 2010. "Health capability: Conceptualization and operationalization," American Journal of Public Health, American Public Health Association, vol. 100(1), pages 41-49.
    6. Ruger, Jennifer Prah, 2009. "Health and Social Justice," OUP Catalogue, Oxford University Press, number 9780199559978.
    7. Sabina Alkire, 2005. "Subjective Quantitative Studies of Human Agency," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 74(1), pages 217-260, October.
    8. Jaya Krishnakumar, 2007. "Going Beyond Functionings to Capabilities: An Econometric Model to Explain and Estimate Capabilities," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 8(1), pages 39-63.
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