A framework linking community empowerment and health equity: it is a matter of CHOICE


Rifkin, SB; (2003) A framework linking community empowerment and health equity: it is a matter of CHOICE. Journal of health, population, and nutrition, 21 (3). pp. 168-80. ISSN 1606-0997

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Abstract

This paper presents a framework to explore the relationship between health equity and community empowerment. It traces the progression of the concept of participation to the present term of empowerment and the links among empowerment, equity, and health outcomes. It argues that the relationship can best be described by using the acronym CHOICE (Capacity-building, Human rights, Organizational sustainability, Institutional accountability, Contribution, and Enabling environment). Based on the concept of development as freedom put forward by Nobel Laureate Amartya Sen, the paper describes how each factor illustrates the relationship between equity and empowerment in positive health outcomes, giving appropriate examples. In conclusion, it is suggested that these factors might form the basis of a tool to assess the relationship between equity and empowerment and its impact on health outcomes.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Nutrition and Public Health Interventions Research (2003-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
PubMed ID: 14717563
Web of Science ID: 187792600002
URI: http://researchonline.lshtm.ac.uk/id/eprint/15166

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