Conceptualising dimensions of quality of life in poverty

Are existing health-related quality of life (QoL) measures adequate for use in poverty? Focus groups of development researcher-practitioners were convened to discuss QoL in the low-middle-income countries of Ethiopia, Bangladesh, Peru and Thailand. Newly elicited themes were mapped onto the QoL concept consisting of 25 original facets from the WHOQOL-100, plus 24 additional facets derived from five subsequent WHOQOL modules (49 facets) organized in seven domains. Qualitative themes and importance ratings were used to identify seven novel themes that relate to poverty in these countries. Most are not included in QoL instruments: physical fitness & survival, social status, community relations, family life, work opportunity and environment, fairness and equality, and perception of political institutions. Community relations extended the social domain, and a political rights and freedoms domain was consolidated as a seventh domain. This cross-national study provides a new conceptual foundation for the international assessment of QoL in poverty. Copyright © 2008 John Wiley & Sons, Ltd.