Exploring Sustainable Livelihoods Through Pierre Bourdieu’s Theory of Capital: A Strategy to Reduce Vulnerability Among Young Adults with HIV in Kisumu, Kenya

Sustainable livelihoods remain a vital part of health and can significantly influence overall health outcomes. In sub-Saharan Africa, where HIV continues to affect household economic stability, small-scale but sustainable livelihood interventions have proven essential for economically vulnerable families. These economic empowerment initiatives, mainly funded by non-governmental organizations, are common across the region. Despite their important role in shaping health outcomes, there is a limited understanding of the theoretical frameworks that guide their implementation and results, especially among households affected by HIV. Using qualitative methods, we applied Pierre Bourdieu’s theory of capital to better understand how livelihood projects are implemented among young adults living with HIV in Kisumu. Our findings indicate that livelihood interventions need more than just economic capital to be successful. Social and cultural capital, for example, help overcome barriers like stigma and foster a sense of belonging, while economic capital enables start-up activities and knowledge sharing that support livelihoods. The insights from this study are important for guiding resource allocation toward economic development and social asset building as ways to leverage different types of capital.