Needs Assessment for a Training in Health and Human Rights among Centers for Disease Control and Prevention Locally Employed Staff: A Study of Knowledge, Attitudes, and Practices Related to Human Rights 公开

McKinnon, Izraelle Imani (2016)

Permanent URL: https://etd.library.emory.edu/concern/etds/gq67jr676?locale=zh
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Abstract

Objective: To determine the need for a training in Health and Human Rights (HHR) among CDC Locally Employed (LE) staff. Research Design and Methods: We conducted this needs assessment through in-depth interviews and an electronic survey. Interviews of eight LE staff members took place June 9 and June 10, 2016 which the interviewer recorded, transcribed, and analyzed through MaxQDA software. We made the electronic survey available to all CDC staff from September 4, 2015 to December 1, 2015 and analyzed data for only LE staff respondents for the purpose of this study. Of the approximately 1,546 LE staff members, 104 took part in the survey. Results: Sixty-three percent of survey respondent were African LE staff, 26% Asian, and the remainder Caribbean and Latin American. Survey results indicated that 86% of respondents believed that public health could benefit from an HHR framework. However, 72% of respondents did not feel that they had enough knowledge to adequately address human rights in their work. Particular knowledge gaps related to HHR were the Siracusa Principles, although no more than 6% of LE staff were trained in any knowledge indicator. Few respondents indicated having skills related to human. Survey results also demonstrated preference for a combination of training methods (41%), the inclusion of local and international HHR experts (49% and 55% respectively), and HIV/AIDS as a content area of interest (54%). Qualitative results supported these findings. Participants revealed awareness that human rights violations impact universal access to health, a lack of knowledge in HHR, the need for a training in HHR, as well as a need for interactive training methods and a combination of facilitator types as a part of training. Conclusion: This study confirmed that gaps exist in knowledge in HHR issues and the skills to address those issues among LE staff. We recommend the creation and implementation of a training for LE staff which addresses the use of data and programs to support human rights in public health practice, particularly in the context of Emergency Preparedness and Response and HIV/AIDS. Trainings must use interactive methods and local and international HHR experts.

Table of Contents

Table of Tables and Figures.............................................................................................................................. 8

Abbreviations................................................................................................................................................. 9

Introduction................................................................................................................................................... 10

Literature Review........................................................................................................................................... 13

Methods........................................................................................................................................................ 40

Results.......................................................................................................................................................... 49

Discussion...................................................................................................................................................... 63

Implications and Recommendations.................................................................................................................... 68

References..................................................................................................................................................... 69

Appendices..................................................................................................................................................... 72

Table of Tables and Figures

Table 1. Frequency distribution of characteristics among CDC locally-employed staff respondents.................................. 49

Table 2. Frequency distribution of attitudes on HHR among CDC locally-employed staff (LES) respondent........................ 50

Table 3. Frequency distribution of HHR knowledge needs among CDC locally-employed staff (LES) respondents................ 51

Table 4. Frequency distribution of HHR skill needs among CDC locally-employed staff (LES) respondents......................... 55

Table 5. Frequency distribution of preferred training methods among CDC locally-employed staff (LES) respondents.......... 56

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