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Papers by Marco Ricardo Téllez Cabrera
Global Public Health, 2021
The right to health under the human rights-based approach and health capability paradigm can be u... more The right to health under the human rights-based approach and health capability paradigm can be used to identify whether health-related resources are allocated in a way that health inequities are being reduced among indigenous peoples taking into account what they value. Elements for these approaches were identified and assessed for the P’urhépecha people in Mexico through developed indicators based on the available statistics and qualitative data. Compared with the national level, there is a lag for most of the indicators related to the availability and use of public health systems, health determinants, health-related information, and traditional healing. People are worried because diseases such as diabetes and substance abuse are high and rising; however, they continue lifestyles that support them. Through the health capability paradigm and the right to health approach, it is found that health and health capabilities for the P’urhépecha must comprise their idea of good living (Buen Vivir) or sési irékani, which in turn requires the right to development. In this sense, current P’urhépecha demands converge with those of other indigenous peoples in which autonomy, as a right to self-determination, is a necessary condition to design their health policy and allocate health-related resources in a globalised world.
Contemporary Rural Social Work Journal, 2016
Considering that health capabilities can be viewed as the ability and opportunity to achieve heal... more Considering that health capabilities can be viewed as the ability and opportunity to achieve health states according to the different kinds of life valued by people, this work contrasts and explores the dimensions that could be included in the health capability set to assess health interventions in Cuanajo, a semirural indigenous Purépecha community located in western Mexico, considering a previous work and by using in-depth semi-structured interviews. While the final objective is to generate measures of outcomes in economic evaluations of health interventions to be carried out in this community, this study reinforces the dimensions that could be employed in the final step. These are: i) physical, taking into account activities of daily living enabled by different health statuses; ii) mental, in the form of how positive feelings contribute to achieving health functionings; iii) social, considering how a minimal social life takes into account how relations with partners, family members, and friends provide love and support; iv) health agency, incorporating health knowledge and knowledge about how traditional medicine can affect or contribute to achieving health; v) material conditions, which include house facilities and monetary resources; and vi) community, to include how social pressure and security affect health functionings.
Journal of Indigenous Wellbeing, 2021
The capability approach in general and the health capability paradigm, in particular, represent a... more The capability approach in general and the health capability paradigm, in particular, represent a framework to build health-related indicators that take into account the impact that health interventions can have on aspects of life, such as freedom and welfare, going beyond health. This study aims to show how health capabilities can be used to generate a measure of health-related quality of life through a case study carried out in the Indigenous Purépecha community of Cuanajo, México by considering five internal and external dimensions: (a) health; (b) health agency; (c) medical care and services; (d) community, and (e) material living conditions. Subjective and objective indicators were collected through an instrument applied to the adult population (n=171). The point allocation methodology was used to elicit their attached weights while the aggregation of indicators to evaluate health capabilities was done considering a weighted mean function together with the Alkire–Foster methodology. Differences in computed punctual weights between valued dimensions were almost negligible, and thus, aggregation was performed using equal weights but retaining three final indices due to incommensurability: subjective health capabilities, dwelling facilities, and income sufficiency. For this community, health agency, community, and dwelling facility health-related capabilities need to be expanded.
Revista CIFE: Lecturas de Economía Social, 2019
Desde la perspectiva del desarrollo humano, tener una vida floreciente implica que la persona par... more Desde la perspectiva del desarrollo humano, tener una vida floreciente implica que la persona participa activamente en la expansión de sus capacidades u oportunidades de elección de tener una vida valiosa y digna de ser vivida. Esto significa que las capacidades se convierten en el objetivo para realizar la asignación de recursos y hacer política pública, lo que deja a la economía del bienestar la tarea de desarrollar indicadores que permitan monitorear y evaluar las capacidades en la población. Este artículo presenta una exposición teórica sobre los principales aspectos para entender en qué consiste el enfoque de capacidades, particularizando en la versión seniana, así como de las formas más elementales para efectuar su operacionalización en la construcción de indicadores.
Journal of Social and Economic Development, 2018
This article argues that health capabilities should be used to generate a measure of health-relat... more This article argues that health capabilities should be used to generate a measure of health-related quality of life so that health policy avoids expanding to encompass problems related to total well-being. To this end, health should be defined holistically, considering it as internal capabilities related to the physical, mental, and social domains. While different sets of health capabilities can be considered depending on their purpose, a synthesized set composed of health, health agency, material conditions and community dimensions incorporating this holistic definition of health together with external conditions is proposed. Valuation of this set for its use in large-scale projects should be done using worked or corrected preferences, elicited through public discussion and hybrid methods. Finally, a weighted sum ranking, social health-related capability functional together with a sufficientarian perspective, is proposed as a feasible method by which to aggregate individual health capabilities while taking into account concerns about efficiency and equity.
Books by Marco Ricardo Téllez Cabrera
For the P’urhépecha, an indigenous people located in western Mexico, resistance has started to pr... more For the P’urhépecha, an indigenous people located in western Mexico, resistance has started to prevent ethnocide in the region through the recovery of identity, organisation, and a more active political role. Because of their loss of identity in the health domain, the prevalence of certain diseases is high and rising as a result of new lifestyles that facilitate them. Through a critical ethnographic study of selected P’urhépecha communities over ten months in 2019 and 2020, this work provides evidence and arguments that good health can be recovered through sési irékani, a concept loosely translated as ‘good living’, or Buen Vivir that links healthcare with an equilibrium between the body, community tradition, and nature. Performing semi-structured in-depth interviews with adults during an itinerant cycle of conferences organised throughout the region and using formal and informal observations collected in situ, it was found that although young people and adults under 40 do not value sési irékani and traditional healthcare in the same way older adults do, indigenous resistance and the establishment of traditional local governments in some communities have improved people’s health by promoting community life, caring for the environment, and revaluating tradition.
El aumento de problemas de salud en el pueblo p’urhépecha se debe a la pérdida de su identidad en... more El aumento de problemas de salud en el pueblo p’urhépecha se debe a la pérdida de su identidad en un contexto en el que las fallas de mercado al igual que las fallas del Estado contribuyen a su marginación. Esta investigación tiene el objetivo de mostrar cómo las empresas y organizaciones de base social y comunitaria que forman parte de la Economía Social y Solidaria surgen como respuesta ante estas fallas y, por tanto, contribuyen al cumplimiento del derecho a la salud y al buen vivir. Con metodología mixta (cuantitativa y cualitativa) en la forma de información estadística, entrevistas y de tipo documental, se caracteriza la situación actual de los establecimientos del sector salud en la región p’urhépecha. La actividad económica del sector salud en la región es muy diferenciada, siendo muy baja en algunos municipios; respecto a empresas de base social registradas formalmente en el directorio del Instituto Nacional de la Economía Social, no se encontró ninguna. Por otro lado, se identificaron organizaciones sociales con trabajo en salud que se pueden catalogar como parte de la economía social y que se encuentran al margen de la política gubernamental. La Economía Social y Solidaria como paradigma emergente del tercer sector (sector social) surge de forma casi natural como respuesta de la sociedad ante sus necesidades y ante fallas de mercado y de Estado. Organismos gubernamentales como el Instituto Nacional de la Economía Social deben tratar de conectar con estas iniciativas de forma que promuevan su sostenibilidad respetando su autonomía de gestión.
Global Public Health, 2021
The right to health under the human rights-based approach and health capability paradigm can be u... more The right to health under the human rights-based approach and health capability paradigm can be used to identify whether health-related resources are allocated in a way that health inequities are being reduced among indigenous peoples taking into account what they value. Elements for these approaches were identified and assessed for the P’urhépecha people in Mexico through developed indicators based on the available statistics and qualitative data. Compared with the national level, there is a lag for most of the indicators related to the availability and use of public health systems, health determinants, health-related information, and traditional healing. People are worried because diseases such as diabetes and substance abuse are high and rising; however, they continue lifestyles that support them. Through the health capability paradigm and the right to health approach, it is found that health and health capabilities for the P’urhépecha must comprise their idea of good living (Buen Vivir) or sési irékani, which in turn requires the right to development. In this sense, current P’urhépecha demands converge with those of other indigenous peoples in which autonomy, as a right to self-determination, is a necessary condition to design their health policy and allocate health-related resources in a globalised world.
Contemporary Rural Social Work Journal, 2016
Considering that health capabilities can be viewed as the ability and opportunity to achieve heal... more Considering that health capabilities can be viewed as the ability and opportunity to achieve health states according to the different kinds of life valued by people, this work contrasts and explores the dimensions that could be included in the health capability set to assess health interventions in Cuanajo, a semirural indigenous Purépecha community located in western Mexico, considering a previous work and by using in-depth semi-structured interviews. While the final objective is to generate measures of outcomes in economic evaluations of health interventions to be carried out in this community, this study reinforces the dimensions that could be employed in the final step. These are: i) physical, taking into account activities of daily living enabled by different health statuses; ii) mental, in the form of how positive feelings contribute to achieving health functionings; iii) social, considering how a minimal social life takes into account how relations with partners, family members, and friends provide love and support; iv) health agency, incorporating health knowledge and knowledge about how traditional medicine can affect or contribute to achieving health; v) material conditions, which include house facilities and monetary resources; and vi) community, to include how social pressure and security affect health functionings.
Journal of Indigenous Wellbeing, 2021
The capability approach in general and the health capability paradigm, in particular, represent a... more The capability approach in general and the health capability paradigm, in particular, represent a framework to build health-related indicators that take into account the impact that health interventions can have on aspects of life, such as freedom and welfare, going beyond health. This study aims to show how health capabilities can be used to generate a measure of health-related quality of life through a case study carried out in the Indigenous Purépecha community of Cuanajo, México by considering five internal and external dimensions: (a) health; (b) health agency; (c) medical care and services; (d) community, and (e) material living conditions. Subjective and objective indicators were collected through an instrument applied to the adult population (n=171). The point allocation methodology was used to elicit their attached weights while the aggregation of indicators to evaluate health capabilities was done considering a weighted mean function together with the Alkire–Foster methodology. Differences in computed punctual weights between valued dimensions were almost negligible, and thus, aggregation was performed using equal weights but retaining three final indices due to incommensurability: subjective health capabilities, dwelling facilities, and income sufficiency. For this community, health agency, community, and dwelling facility health-related capabilities need to be expanded.
Revista CIFE: Lecturas de Economía Social, 2019
Desde la perspectiva del desarrollo humano, tener una vida floreciente implica que la persona par... more Desde la perspectiva del desarrollo humano, tener una vida floreciente implica que la persona participa activamente en la expansión de sus capacidades u oportunidades de elección de tener una vida valiosa y digna de ser vivida. Esto significa que las capacidades se convierten en el objetivo para realizar la asignación de recursos y hacer política pública, lo que deja a la economía del bienestar la tarea de desarrollar indicadores que permitan monitorear y evaluar las capacidades en la población. Este artículo presenta una exposición teórica sobre los principales aspectos para entender en qué consiste el enfoque de capacidades, particularizando en la versión seniana, así como de las formas más elementales para efectuar su operacionalización en la construcción de indicadores.
Journal of Social and Economic Development, 2018
This article argues that health capabilities should be used to generate a measure of health-relat... more This article argues that health capabilities should be used to generate a measure of health-related quality of life so that health policy avoids expanding to encompass problems related to total well-being. To this end, health should be defined holistically, considering it as internal capabilities related to the physical, mental, and social domains. While different sets of health capabilities can be considered depending on their purpose, a synthesized set composed of health, health agency, material conditions and community dimensions incorporating this holistic definition of health together with external conditions is proposed. Valuation of this set for its use in large-scale projects should be done using worked or corrected preferences, elicited through public discussion and hybrid methods. Finally, a weighted sum ranking, social health-related capability functional together with a sufficientarian perspective, is proposed as a feasible method by which to aggregate individual health capabilities while taking into account concerns about efficiency and equity.
For the P’urhépecha, an indigenous people located in western Mexico, resistance has started to pr... more For the P’urhépecha, an indigenous people located in western Mexico, resistance has started to prevent ethnocide in the region through the recovery of identity, organisation, and a more active political role. Because of their loss of identity in the health domain, the prevalence of certain diseases is high and rising as a result of new lifestyles that facilitate them. Through a critical ethnographic study of selected P’urhépecha communities over ten months in 2019 and 2020, this work provides evidence and arguments that good health can be recovered through sési irékani, a concept loosely translated as ‘good living’, or Buen Vivir that links healthcare with an equilibrium between the body, community tradition, and nature. Performing semi-structured in-depth interviews with adults during an itinerant cycle of conferences organised throughout the region and using formal and informal observations collected in situ, it was found that although young people and adults under 40 do not value sési irékani and traditional healthcare in the same way older adults do, indigenous resistance and the establishment of traditional local governments in some communities have improved people’s health by promoting community life, caring for the environment, and revaluating tradition.
El aumento de problemas de salud en el pueblo p’urhépecha se debe a la pérdida de su identidad en... more El aumento de problemas de salud en el pueblo p’urhépecha se debe a la pérdida de su identidad en un contexto en el que las fallas de mercado al igual que las fallas del Estado contribuyen a su marginación. Esta investigación tiene el objetivo de mostrar cómo las empresas y organizaciones de base social y comunitaria que forman parte de la Economía Social y Solidaria surgen como respuesta ante estas fallas y, por tanto, contribuyen al cumplimiento del derecho a la salud y al buen vivir. Con metodología mixta (cuantitativa y cualitativa) en la forma de información estadística, entrevistas y de tipo documental, se caracteriza la situación actual de los establecimientos del sector salud en la región p’urhépecha. La actividad económica del sector salud en la región es muy diferenciada, siendo muy baja en algunos municipios; respecto a empresas de base social registradas formalmente en el directorio del Instituto Nacional de la Economía Social, no se encontró ninguna. Por otro lado, se identificaron organizaciones sociales con trabajo en salud que se pueden catalogar como parte de la economía social y que se encuentran al margen de la política gubernamental. La Economía Social y Solidaria como paradigma emergente del tercer sector (sector social) surge de forma casi natural como respuesta de la sociedad ante sus necesidades y ante fallas de mercado y de Estado. Organismos gubernamentales como el Instituto Nacional de la Economía Social deben tratar de conectar con estas iniciativas de forma que promuevan su sostenibilidad respetando su autonomía de gestión.