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The Pulte Institute for Global Development
Health and Well-being
New Tools to Measure Respect for Human Dignity 
The health of the whole person is foundational to the 
fight against poverty. Our work focuses on identifying 
gaps in health outcomes in low- and middle-income countries 
that trail those affected throughout their lives, perpetuating 
poverty’s violence, to inform innovative solutions. Called 
forward by a research philosophy prioritizing integral human 
development, our team is a part of leading new work to 
develop measures of human dignity—a quality previously 
thought to defy quantification.
Measuring human dignity — assessing aspects of an 
individual’s well-being, rights, and intrinsic value — is 
challenging due to its subjective and multidimensional nature. 
While there isn’t a universally accepted tool for measuring 
human dignity, the Pulte Institute has pioneered “Project 
Respect for Participant Dignity” and “Respect for Human Dignity 
in Daily Life” to explore human dignity indicators. The measures, 
developed and field tested by Pulte Institute Evidence and 
Learning Director and Associate Professor of the Practice Paul 
Perrin, in conjunction with Catholic Relief Services, focus on 
respect for human dignity.
The tools quantify social and environmental outcomes 
by considering indicators related to basic human needs, 
foundations of well-being, and opportunity. It provides a 
broader perspective on showing regard for people’s abilities 
and worth, valuing their feelings.
This approach emphasizes people’s capabilities and functions, 
Perrin said—focusing on what individuals can do and be. 
“We’re providing an opportunity to reflect on whether, in 
the process of regular monitoring and evaluation, the work 
was done in a way that upholds the dignity of the program’s 
participants,” says Perrin. “We’ve completed a rigorous scientific 
process to arrive at this tool, a set of 10 questions that can 
be added to whatever survey development professionals are 
providing to help them understand whether or not they’re 
upholding human dignity in the process.”
Recommendations for Dignity 
and Development
In an excerpt from their policy brief “Dignity and 
Development: Recommendations for Respectful Practice,” 
authors Paul Perrin and Tom Wein, director of IDinsight, 
outline suggestions for building an aid system that fully 
respects the dignity of the people it intends to serve:
“Dignity matters to everyone — but people in need find 
that the current aid system treats them with indignity. 
There are efforts to reform the aid system. The Dignity 
Agenda we propose focuses on responding to the life 
experience of the people receiving aid.
“Our study suggests that if we aim to uphold dignity in 
development, implementers should adopt, funders should 
demand, and researchers should study improvements to 
aid practices. We consider the most pressing 
improvements to be:
1.	 Provide in-person meetings with recipients.
2.	 Support community based organizations in 
speaking up.
3.	 Create co-design workshops with potential 
recipients before implementation.”
37 | 2023-24 Annual Review
Paul Perrin attends the May 2024 Keough School conference “Embracing 
Integral Human Development: What Difference Does It Make?” in Rome.

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