The Development of a Reproductive Health Curriculum for Female Bhutanese Refugees in Atlanta, Georgia: A Special Studies Project Público
Avidano, Erica Dawn (2012)
Abstract
Abstract
The Development of a Reproductive Health Curriculum for Female
Bhutanese Refugees in Atlanta, Georgia:
A Special Studies Project
By: Erica Avidano, RN
Background: Resettled refugees are at high risk for poor
health literacy and subsequent health outcomes. This is
particularly true in regards to reproductive health, an area which
is often taboo and given low priority in the lives of female
refugees. Reproductive health is essential to a woman's overall
health and livelihood and has a significant impact on her family,
community, and society as a whole. Unfortunately, many refugees
have limited access to reproductive information, services, and
rights. This has been the case for the thousands of Bhutanese
refugees who have been resettled from Nepali refugee camps to their
new homes in Atlanta, Georgia.
Purpose: The purpose of this project was to develop a
reproductive health curriculum specifically targeted towards female
Bhutanese refugees. It will be incorporated into a broader refugee
health literacy curriculum currently being developed by Georgia
Refugee Health and Mental Health (GRHMH). It will provide a usable,
comprehensive, medically accurate, and culturally sensitive tool
for refugee organizations working in the Atlanta area.
Methods: The reproductive health curriculum was developed
with input from refugee aid organizations, leaders in the Bhutanese
community, and members of the target audience and was informed by a
variety of reliable medical resources. The curriculum, consisting
of five modules, was pilot tested in two local settings and was
evaluated through the use of pre/post tests, feedback surveys, and
verbal input.
Results: The reproductive health classes were attended by an
average of 12 women per class, ranging in age from their late teens
to early sixties. Pre/post test results showed a statistically
significant improvement of knowledge during six out of eight class
sessions, and the refugees reported positive feedback for both the
curriculum content and classes. The curriculum was revised, and a
final product was created based on input from the refugees,
pre/post test results, classroom observations, and suggestions from
GRHMH staff, as well as nursing and public health faculty.
Discussion: Further efforts should be made to expand the
curriculum and address the needs of other target refugee
populations. This should be accomplished through continued
collaboration with the Bhutanese community and local refugee aid
organizations.
Table of Contents
Table of Contents
Chapter 1: Introduction and Background...1
Introduction and Significance...1Problem Statement...7
Purpose Statement...8
Definition of Terms and Abbreviations...10
Chapter 2: Review of Literature...11
Health Literacy...11
Reproductive Health and its Implications for Female Refugees...21
Summary...26Chapter 3: Methods...28
Needs Assessment...28Curriculum Development...30
IRB Approval...31
Pilot Testing...31
Curriculum Revisions...33
Chapter 4: Results...34
Curriculum...34
Pilot Testing...35
Evaluation Results...39
Chapter 5: Discussion...43
Strengths and Limitations...43
Recommendations...45
Conclusion...50
Bibliography...52
Appendix: Reproductive Health Curriculum for Bhutanese Refugees...57
An Introduction to Reproductive Health for Female Bhutanese Refugees: A Health Literacy Curriculum...58
Module 1: Anatomy and Menstruation...59
Module 1 Handouts...75
Module 2: The Women's Health Exam and Preventive Screenings...84
Module 2 Handouts...97
Module 3: Sexually Transmitted Infections...101
Module 3 Handouts...121
Module 4: Birth Control, Family Planning, and Abortion...125
Module 4 Handouts...153
Module 5: Fertility and Pregnancy...158
Module 5 Handouts...180
About this Master's Thesis
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