PHA-Exchange> What is the evidence on effectiveness of empowerment to improve health?

claudio at hcmc.netnam.vn claudio at hcmc.netnam.vn
Fri Feb 10 09:01:36 PST 2006


from "Ruggiero, Mrs. Ana Lucia (WDC)" <ruglucia at PAHO.ORG> -----
    
What is the evidence on effectiveness of empowerment to improve health?

 Nina Wallerstein Professor and Director Masters in Public Health
Program, School of Medicine - University of New Mexico

Copenhagen, WHO Regional Office for Europe -Health Evidence Network
Report - February 2006

Website:
http://www.who.dk/eprise/main/WHO/Progs/HEN/Syntheses/empowerment/200601
19_10
 

Available online as PDF file [37p.] at:
http://www.who.dk/Document/E88086.pdf

"....A new report from the Health Evidence Network shows that empowering
socially excluded populations is a viable strategy for improving health.
While participatory processes make up the base of empowerment,
strategies must also build community organizations and individuals
capacity to participate in decision-making and advocacy....."


The issue

".....Within the last decades, social exclusion, disparities, and
absolute poverty - almost 3 billion people living on less than US $2.00
per day - have grown despite globalization and rising per-capita income
in many developing nations. Income ratios of the richest 20% of the
population to the poorest 20% are now at 82 to 1 compared to 30 to 1 in
1960. World-wide health disparities are increasing due to vulnerability
to disease from severe malnutrition, rapid re-emergence of water and
blood-borne infectious diseases, environmental degradation,
disinvestment in the health infrastructure and violence.

Within this same period, empowerment strategies, participation, and
other bottom-up approaches have become prominent paradigms within public
health and the development aid for reducing these disparities. As
"empowerment" increasingly enters mainstream discourse, those using the
term need to clarify definitions, dimensions and outcomes of the range
of interventions called empowering....."

 

Content:

Summary <http://www.who.dk/HEN/Syntheses/empowerment/20060119_10> 

Introduction <http://www.who.dk/HEN/Syntheses/empowerment/20060119_8> 

Findings <http://www.who.dk/HEN/Syntheses/empowerment/20060119_4> 

Discussion and Conclusions
<http://www.who.dk/HEN/Syntheses/empowerment/20060119_3> 

Annex 1. Empowerment and related concepts: definitions and dimensions
<http://www.who.dk/HEN/Syntheses/empowerment/20060119_2> 

Annex 2. Evaluation of empowerment
<http://www.who.dk/HEN/Syntheses/empowerment/20060119_1> 

Figure 1: Pathways to empowerment [pdf, 110KB]
<http://www.who.dk/HEN/Syntheses/empowerment/20060124_1> 

Figure 2: Pathways to health
<http://www.who.dk/HEN/Syntheses/empowerment/20060119_11> 

References <http://www.who.dk/HEN/Syntheses/empowerment/20060118_1> 

 


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