14. The Capability Approach PDF Print E-mail

Background

The challenge of understanding and measuring wellbeing is a theme that runs through much of the work of the Glasgow Centre for Population Health. In particular, measures which reflect the wider community aspects of health and wellbeing are required, to supplement established, more individually-focused measures of health such as the SF36 and the GHQ .

The capability approach is a conceptual framework developed by Amartya Sen and Martha Nussbaum , which emphasises functional capabilities (substantial freedoms which people have reason to value, such as the ability to engage in economic transactions or political activities) over utilities (such as happiness and choice) or access to resources. The focus is on measuring what people can do/have the opportunity to do rather than what they actually do. Advances have been made in further defining key areas of capability that are important for wellbeing, and in work to develop an index of use in measuring capabilities (Anand et al 2005).

Aim

This project aims to yield a set of indicators which measure an individual’s wellbeing by eliciting his/her capabilities, and which could form a validated generic measure for use in future evaluations of public health interventions. It will:

  • further develop and refine the survey instrument as proposed by Anand et al
  • validate the instrument for use in public health interventions, and
  • propose how future evaluations might employ the capability approach.

Milestones

Project initiated November 2006.
Public seminar held in summer 2007 to provide an open opportunity for information exchange and discussion of this approach.
Final report published August 2008 (executive summary also available).

This project is now complete.  Further work in developing the capability approach is planned through a PhD studenthsip within Public Health and Health Policy at the University of Glasgow (contact Paula Lorgelly - see below).  The GoWell programme also includes an economic analysis that will seek to reflect the range of regeneration and health outcomes relevant to community regeneration.


Links

Anand P, Hunter G & Smith R (2005). Capabilities and Wellbeing: evidence based on the Sen-Nussbaum approach to welfare. Social Indicators Research, 74:9-55

Alkire S (2005) Capability and Functionings: Definition & Justification, Human Development and Capability Association Briefing Note

Contact

Paula Lorgelly
Lecturer in Health Economics, Section of Public Health and Health Policy, University of Glasgow
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