Equity, empowerment and choice: From theory to practice in public health

Jalpa Ratna, Susan B. Rifkin

Research output: Contribution to journalReview articlepeer-review


The purpose of this article is to illustrate how a framework that links equity and empowerment to improved health outcomes for those who live in poverty can be a useful tool for planning and managing health programmes. Using the work of Amartya Sen, Susan Rifkin has developed a framework described in the acronym CHOICE. The article applies the framework to two case studies from Kenya seeking to reduce the disease burdens of malaria and HIV/AIDS. The article examines how the process of pursuing equity and empowerment either supports the positive health outcomes identified as objectives and/or strengthens these outcomes.

Original languageEnglish (US)
Pages (from-to)517-530
Number of pages14
JournalJournal of Health Psychology
Issue number3
StatePublished - May 2007
Externally publishedYes


  • Community participation
  • Empowerment
  • Health equity
  • Kenya

ASJC Scopus subject areas

  • Applied Psychology


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