Primarily when we talk of power structures and power dynamics, we need to study where such power emanates. Basically, power is a question of who owns and controls the economic resources of the community. Whoever controls the economic power also wields the political and cultural power in a society.
Therefore, in analyzing the power dynamics of behaviour change approach in terms of health promotion, we are dealing primarily with the sensitive question of who owns and controls the health resources (medicines, knowledge, hospitals, clinics, medical services and medical equipments) and the question of its accessibility to those who does not own and control it. In this, economic angle of power, it is crucial to study the clear cut link i.e. of the role (between) of the dominant global economic system and the continuous inaccessibility of majority of the people to health service, which seems to be generally missing in the current behaviour change approach in terms of health promotion.
Secondly and an equally important matter in analyzing the power dynamics at play in behaviour change approach is the patriarchal system which is strongly embedded in the economic, political and cultural sphere of the people’s lives. Central in this aspect is power relations between couples and partners and the prevailing view of women as a commodity and as a property. .And of the more than hundred member countries of the United Nations.
Whether we like it or not, the world is divided into haves and have nots. Some economic and political analysts have divided the world into First World, Second World and Third World country categories. The existence of G8 countries is a clear manifestation that there are far few economically and politically powerful countries of the world.