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The Diabetes Educator

Journal of Health Psychology
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Equity, Empowerment and Choice

From Theory to Practice in Public Health

Jalpa Ratna

Sudan

Susanb. Rifkin

London School of Economics, UK, sbr44{at}columbia.edu

The purpose of this article is to illustrate how a framework that links equity and empowerment to improved health outcomes for those who live in poverty can be a useful tool for planning and managing health programmes. Using the work of Amartya Sen, Susan Rifkin has developed a framework described in the acronym CHOICE. The article applies the framework to two case studies from Kenya seeking to reduce the disease burdens of malaria and HIV/AIDS. The article examines how the process of pursuing equity and empowerment either supports the positive health outcomes identified as objectives and/or strengthens these outcomes.

Key Words: community participation • empowerment • health equity • Kenya

Journal of Health Psychology, Vol. 12, No. 3, 517-530 (2007)
DOI: 10.1177/1359105307076238
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