Theoria 55 (116):67-96 (2008)
|Abstract||The essay refers to a concern for social justice in the origins of public health, borne in part by religious commitments, and to more recent expressions of a similar concern in debates about health equity. Equity, moreover, is affected by discursive power relations (dominant/hegemonic versus local/suppressed), which are discussed in relation to current research in the African Religious Health Assets Programme on the interaction of particular 'healthworlds' (a conceptual innovation) that shape the choices and behaviour of health-seekers. Two background theoretical positions guide the argument: Amartya Sen's claim that development is linked to freedom (including religious freedom); and, building on Sen's and Martha Nussbaum's human capabilities theory, an asset-based community approach to the building or reconstruction of public health systems. On this basis, it is argued that health systems and health interventions are just to the extent that they mediate between the necessary leadership or polity from 'above' ( techné ) and the experience and wisdom ( métis ) of those who are 'below', taking into account the asymmetries of power that this equation represents. Because difference and diversity are so often expressed in what we might reasonably call 'religious' terms, I specifically emphasize the continuing persistence of religion and, hence, the importance of accounting for its pertinence in social theory generally, and in relation to discourses of health and justice in the African context specifically. Acknowledging the ambiguities of religion, I nevertheless argue that an appreciative alignment between public health systems and religious or faith-based initiatives in health promotion, prevention and care is crucial to sustainable and just health systems in Africa.|
|Keywords||No keywords specified (fix it)|
|Through your library||Configure|
Similar books and articles
D. M. Weinstock (2011). How Should Political Philosophers Think of Health? Journal of Medicine and Philosophy 36 (4):424-435.
Meri Koivusalo (2006). The Impact of Economic Globalisation on Health. Theoretical Medicine and Bioethics 27 (1):13-34.
Madison Powers & Ruth Faden (2008). Social Justice: The Moral Foundations of Public Health and Health Policy. OUP USA.
Jonny Anomaly (2011). Public Health and Public Goods. Public Health Ethics 4 (3):251-259.
Wilson James (2009). Not So Special After All? Daniels and the Social Determinants of Health. Journal of Medical Ethics 35:3 - 6..
T. M. Wilkinson (2010). Community, Public Health and Resource Allocation. Public Health Ethics 3 (3):267-271.
Norman Daniels (2008). Just Health: Meeting Health Needs Fairly. Cambridge University Press.
Fabienne Peter (2001). Health Equity and Social Justice. Journal of Applied Philosophy 18 (2):159–170.
Dan W. Brock (2001). Children's Rights to Health Care. Journal of Medicine and Philosophy 26 (2):163 – 177.
Scott Burris & Evan D. Anderson (2010). A Framework Convention on Global Health: Social Justice Lite, or a Light on Social Justice? Journal of Law, Medicine and Ethics 38 (3):580-593.
Added to index2009-01-28
Total downloads14 ( #84,232 of 556,888 )
Recent downloads (6 months)1 ( #64,931 of 556,888 )
How can I increase my downloads?