When I was trained as a health communication scholar, much of my learning was based on the model of individual behavior change, defining communication as messages directed at raising awareness, changing attitudes, and promoting healthy behaviors. This line of health communication scholarship has had a long history, having been applied to create and strategically disseminate health messages to target populations. My ongoing journey in collaborating with communities at the margins taught me that the problem of health inequalities that I was grappling with were much more to do with existing structural inequalities that constitute health than to do with the absence of knowledge, attitudes, and individual behaviors. Although communication as message could indeed be directed at target populations, such a narrow framework of communication did not really address the larger structural inequalities, the inequality in income distribution, the absence of structural resources, the poverty of...
This blog offers Mohan Dutta's reflections on the theoretical framework of the culture-centered approach, examining the interplays among Structure, Culture, and Agency in shaping marginalisation and the ways in which communities at the margins challenge structures. Writings on the blog are continually being revised to reflect the organic analysis of structure and agency.