خط مشی دسترسیدرباره ماپشتیبانی آنلاین
ثبت نامثبت نام
راهنماراهنما
فارسی
ورودورود
صفحه اصلیصفحه اصلی
جستجوی مدارک
تمام متن
منابع دیجیتالی
رکورد قبلیرکورد بعدی
Document Type:Latin Dissertation
Language of Document:French
Record Number:52689
Doc. No:TL22643
Call number:‭NR18038‬
Main Entry:Marie-Claude Martin
Title & Author:Ressources individuelles et collectives et la santé des femmes au MarocMarie-Claude Martin
College:Universite de Montreal (Canada)
Date:2006
Degree:Ph.D.
student score:2006
Page No:173
Abstract:The relation between socioeconomic status and health status in developing and developed countries continues to generate an extensive literature. My thesis examines how the interaction between poverty, deprivation and lack of access to collective assets and resources influence the level of health and health inequalities. I show that individual, familial and environmental attributes considered separately and in combination with each other can be sources of health inequality, especially in the case of rural populations in developing countries. The aim of this thesis is to measure and assess the role of collective assets and individual resources on women's health status in rural communities and regions in Morocco. The theories and methods developed in the thesis are based on a human development perspective and are derived from current frameworks for health determinants and health production. My model relates self-reported health of rural women to individual and collective resources. They are inputs to women's health production by offering women an environment conducive to better health, and the means to enhance their own capacities to improve their health status. The model allows for variance in the average level of perceived health status across communities, and allows the relationship between health status and collective resources to vary according to the level and type of individual characteristics of women. Given the hierarchical structure of the Moroccan observations, multi-level analysis is used in the empirical portion of the thesis. This methodology corrects for the non-independence of observations and allows for "clustering" of the observations. The empirical results confirm the predicted relation between socio economic status and self-reported health. Education and individual resources are significantly and positively correlated with health status, after controlling for individual vulnerability. The random part of the model suggests on the other hand that variation in health status is also related to the level of collective resources and assets of the neighbourhood, such as the number of primary schools or the level of development. However, the higher the level of women's individual wealth, the less likely it is that their environment seems to exert an influence on their health status. The results suggest that policies and public investments will have an impact on women's health status if they contribute to improving their socioeconomic status. But the results suggest also that investments in various sectors such as educational and other physical infrastructure will contribute directly and indirectly to improve the capacity of rural women to produce better health outcomes. The impact of these investments in doing so will depend on the degree to which they substitute for individual characteristics such as education and income (or wealth)---the poorer the women are. These results in effect demonstrate the importance of cross sectoral and cross interaction effects in achieving high levels of human development. There are important implications here for national and international policies designed to achieve, for example, the Millennium Development Goals. The argument thus exists to treat these goals as inter-connected rather than "silos", each left to the relevant sectoral specialists and tackled with "targeted" policies.
Subject:Health and environmental sciences; Health inequalities; Morocco; Poverty; Women; Public health; Socioeconomic factors; Developing countries--LDCs; Health care access; 0573:Public health
Added Entry:Universite de Montreal (Canada)