RESULTS AND INDEX

overview

We found high levels of health capability development in health-seeking skills and beliefs, health status and health functioning, and self-governance and self-management. However, we also found significant shortfalls in social, economic, and political security, group membership influences, and CHB-related health knowledge. Overall, the profiles revealed widespread heterogeneity in the levels of health capability development across the population, which comprised diverse individuals with unique and complex lived experiences. These results provided greater nuance than reductive approaches. For example, some individuals lost to follow-up had highly developed material circumstances, whereas low CHB-related health knowledge was not an obstacle to successful referral to health facilities to manage their illness. Together, the individual profiles highlighted elements that were separately identified in prior studies; however, the Health Capability Profile illuminated the complex and dynamic interactions among them which enabled or inhibited individuals from achieving optimal CHB-related health capability.  

promoting health capabilities in senegal

The granular, multidimensional population-level and individual-level information provided by the Health Capability Profile captures the array of interrelated factors that can enhance or impede people’s capabilities to avoid CHB-related morbidity and mortality. These results highlight elements that were separately identified in previous studies, but importantly, illuminated the complex and dynamic interactions among them which enabled or inhibited individuals from achieving optimal CHB-related health capability. From these results, we performed cross-cutting analysis to understand population-level strengths and vulnerabilities at the health capability level. These may inform actionable recommendations for policymakers and healthcare providers to improve overall CHB-related health capability in rural Senegal.

Cross-cutting analysis: highly developed capabilities (n=40)

cross-cutting analysis: underdeveloped capabilities (n=40)