Obrist, Brigit and Dillip, Angel and Kalolo, Albino and Mayumana, Iddy M. and Rutishauser, Melina and Simon, Vendelin T.. (2022) Savings Groups for Social Health Protection: A Social Resilience Study in Rural Tanzania. MDPI Diseases, 10 (63). p. 19.
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Abstract
Global health experts use a health system perspective for research on social health protection. This article argues for a complementary actor perspective, informed by the social resilience framework. It presents a Saving4Health initiative with women groups in rural Tanzania. The participatory qualitative research design yielded new insights into the lived experience of social health protection. The study shows how participation in saving groups increased women's collective and individual capacities to access, combine and transform four capitals. The groups offered a mechanism to save for the annual insurance premium and to obtain health loans for costs not covered by insurance (economic capital). The groups organized around aspirations of mutual support and protection, fostered social responsibility and widened women's interaction arena to peers, government and NGO representatives (social capital). The groups expanded women's horizon by exposing them to new ways of managing financial health risk (cultural capital). The groups strengthened women's social recognition in their family, community and beyond and enabled them to initiate transformative change through advocacy for health insurance (symbolic capital). Savings groups shape the evolving field of social health protection in interaction with governmental and other powerful actors and have further potential for mobilization and transformative change.
Faculties and Departments: | 04 Faculty of Humanities and Social Sciences > Departement Gesellschaftswissenschaften > Fachbereich Ethnologie 04 Faculty of Humanities and Social Sciences > Departement Gesellschaftswissenschaften > Ehemalige Einheiten Gesellschaftswissenschaften > Medizinethnologie (Obrist) 09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Former Units within Swiss TPH > Medical Anthropology (Obrist) 09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) 04 Faculty of Humanities and Social Sciences > Fakultär assoziierte Institutionen > Zentrum für Afrikastudien Basel |
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UniBasel Contributors: | Obrist van Eeuwijk, Brigit |
Item Type: | Article, refereed |
Article Subtype: | Research Article |
Note: | Publication type according to Uni Basel Research Database: Journal article |
Language: | English |
Identification Number: | |
edoc DOI: | |
Last Modified: | 23 Jan 2023 09:18 |
Deposited On: | 23 Jan 2023 09:18 |
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