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Fragility, Health and the Risk Paradigm: A Health‐Sensitive Framework

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  • Hannah Vaughan‐Lee
  • Lezlie C. Morinière
  • Nancy Stroupe

Abstract

Recognising that fragile contexts present a significant challenge to the Sustainable Development Goals, this paper examines the relationship between fragility and health, proposing a health‐sensitive conceptual framework for understanding the impact of fragility on health outcomes. Through a comprehensive literature review and comparison of existing fragility frameworks, the study identifies five key characteristics of fragility: alignment with the risk paradigm; multidimensionality; systems perspective; state‐society relationship; and appreciating fragility in relation to ‘contexts’ rather than ‘states’. In doing so, the paper highlights the need for a multidimensional approach to fragility that includes a distinct health dimension in addition to political, security, economic, social, environmental domains. Rather than proposing a way to score or measure fragility, the authors argue in favour of a nuanced and dynamic understanding of fragility based on the interactions between the different dimensions of fragility, emphasising the impact on/interactions with health.

Suggested Citation

  • Hannah Vaughan‐Lee & Lezlie C. Morinière & Nancy Stroupe, 2025. "Fragility, Health and the Risk Paradigm: A Health‐Sensitive Framework," International Journal of Health Planning and Management, Wiley Blackwell, vol. 40(2), pages 322-334, March.
    • Handle: RePEc:bla:ijhplm:v:40:y:2025:i:2:p:322-334
    DOI: 10.1002/hpm.3871
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