Journal
JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH
Volume 46, Issue 1, Pages 164-176Publisher
SPRINGER
DOI: 10.1007/s11414-018-9592-0
Keywords
Women's health; Cognitive behavioral approaches; Empowerment; Development; Personal agency
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This paper outlines the critical role of personal agency in influencing health and development outcomes and presents a framework for implementing non-therapeutic cognitive-behavioral interventions that foster agency, especially for women, in resource-poor settings. The United Nations' Sustainable Development Goals (SDGs) has placed empowerment at the center of global targets, particularly to improve individuals' health and development. Despite extensive research on individual and community empowerment, there is limited focus on the role of psychological and behavioral approaches directly fostering individual and collective agency in health programs. Fundamental to this process is the understanding that decision-making is an interaction between mental processes and one's current context. Approaches that allow individuals to understand how their beliefs, values, emotions, and thoughts impact their behaviors and can be modulated to increase their personal agency are needed. This model is illustrated through a pilot behavioral intervention with women engaged in sex work in Pune, India, demonstrating substantive benefits.
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