Frameworks matter: ecosocial and health and human rights perspectives on disparities in women's health--the case of tuberculosis.
Frameworks matter. To understand, intervene in, and improve the health of girls and women requires more than just good intentions and an eclectic list of "risk factors" or policy prescriptions, even if dressed up in notions of "gender." In this article, we present two frameworks-ecosocial and health and human rights-that, if considered singly and in combination, we believe could prove useful to furthering work on understanding and addressing societal patterns of health, disease, and well-being. After explicitly summarizing our theoretical stances, we sketch the kinds of questions these frameworks invite us to consider, with reference to a particular case example: women and tuberculosis. By taking on the challenge of articulating and applying our frameworks, separately and in relation to each other, we hope to deepen understanding and generate new ideas that can make a difference for the health of girls and women.
Krieger
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Department of Health and Social Behavior, Center for Society and Health, Harvard School of Public Health, USA.
Gruskin
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D003140:Communicable Disease Control / Q000458:organization & administration; D003695:Delivery of Health Care / Q000458:organization & administration*; D005260:Female; D014943:Global Health; D006801:Humans; D017146:Models, Organizational; D017678:Sex Distribution; D012941:Social Responsibility; D012959:Socioeconomic Factors; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology* / Q000517:prevention & control*; D016387:Women's Health