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WELLBEING STUDIES SRI LANKA (PART OF TGH PROGRAM). Suman Fernando European Centre for Migration & Social Care (MASC) University of Kent, Canterbury, UK London Metropolitan University. London, UK. UNDERSTANDING & ASSESSING WELLBEING. Happiness approach (HA) relies in individual feelings
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WELLBEING STUDIES SRI LANKA(PART OF TGH PROGRAM) Suman Fernando European Centre for Migration & Social Care (MASC) University of Kent, Canterbury, UK London Metropolitan University. London, UK
UNDERSTANDING & ASSESSING WELLBEING Happiness approach (HA) relies in individual feelings subjective wellbeing (SWB) used mainly in high income countries Capability approach (CA) relies on functioning and agency reflects lived experience used in development studies in third world Ref: Sen, A. (2008) ‘Economics of Happiness and Capability’ in L Bruni, F. Comim, & M Pugno (eds.) Capabilities and Happiness, Oxford: Oxford University Press pp 16-27. Kesebir, P. & Diener, E. (2008) ‘In Defence of Happiness: Why Policymakers Should Care about Subjective Well-Being’ in L Bruni, F. Comim, & M Pugno (eds.) Capabilities and Happiness, Oxford: Oxford University Press pp 60-80.
TRAUMA & GLOBAL HEALTH PROGRAM(April 2007 onwards) located in GUATEMALA, NEPAL, PERU & SRI LANKA Four year Program for Information Gathering (IG) Capacity Building (CB) Knowledge Transfer (KT) Funded by: Global Health Research Initiative (Canada) Supported by Social & Transcultural Psychiatry Division of McGill University & Douglas Mental Health University Institute.
TGH GLOBAL PROGRAM IN SRI LANKA Sri Lanka Program lead Chamindra Weerackody (Sociologist) Based at People’s Rural Development Association (PRDA), Colombo • <http://www.mcgill.ca/trauma-globalhealth> • <http://www.prdasrilanka.org>
TGH PROGRAM IN SRI LANKA INFORMATION GATHERING: 2008 COMMUNITY DEVELOPMENT (CD) APPROACH Participatory Rural Appraisal (PRA) – adapted Focus groups Key informant interview Family interviews AIM Consulting communities Perceptions of wealth ranking & wellbeing Before and after displacement / tsunami
CONCEPT OF WELLBEING (= MENTAL HEALTH) Understanding of ‘wellbeing’ (in development studies) reflects range of human experience - social, mental, spiritual, material (Chambers 1997). Wellbeing = ‘Yaha Jeevanya’ in Sinhala and ‘Nannilai’ in Tamil Ref: Chambers, R. (1997) Whose Reality Counts? Putting the first last. London: ITDG Publishing
Table 1: Wellbeing – its criteria and their levels before and after the tsunami in village in Hambantota District
Table 2: Wellbeing – its criteria and their levels before and after the conflict in a Batticaloa village
Table 3: Perceived wellbeing of refugees living in camps – its criteria and their levels before and after displacement (Puttalam District)
SOME CONCLUSIONS-1 Communities perceive a severe reduction in their wellbeing after displacement / tsunami in terms of: • economic poverty, • lowered sense of security • loss of privacy, • intra-family conflicts • alcoholism/drug abuse • children vulnerable to deprivation and neglect.
SOME CONCLUSIONS-2 Perceptions of wellbeing are ‘holistic’ • social, psychological and material domains seen as unified ‘whole’. • psychological wellbeing not considered in isolation from material and social wellbeing • psychological feelings and ‘psychological trauma’ experienced as inseparable from material and social issues.
SOME CONCLUSIONS-3 Needs (as perceived by communities) can be a basis for developing services Venn diagrams gave a good idea of which agencies were helpful Next question is why and how? Agencies can learn how to improve their services