Oportunidades a través de la colaboración A Membership Evaluation of the Hispanic Health Coalition of Georgia Open Access
Ludwig, Natasha Tatiana (2011)
Published
Abstract
Latinos are the largest minority group in the U.S., accounting for 46.3% of the country's growth over the last ten years. Georgia's Latino population has more than doubled and left many exposed to undesirable health determents, which have been associated with poor health outcomes. As a result, many healthcare institutions and staff are il equipped, and provide less than adequate resources and services to Latinos.
Community health coalitions bring together diverse groups to collaborate on achieving a common goal; however, it is not clear what exactly makes them effective. Evaluations have focused on preventing or ameliorating disease (e.g. tobacco control),with the majority of studies focused on coalition formation. The Hispanic Health Coalition of Georgia (HHCGa), a group dedicated to achieving health equity for Latinos through empowerment, education, and advocacy. Guided by the Community Coalition Action Theory (CCAT), the purpose of this study was todetermine basic characteristics of the HHCGa: membership roles, contributing barriers and factors influencing member recruitment and involvement, perception of leadership and staff, coalition climate, desired communication processes, and coalition expectations. Key informant telephone interviews with five diverse members provided in-depth information on coalition history, membership roles, involvement and strategies used to engage members. An online survey was distributed through the HHCGa listserv and collected information on seven areas of interest. Interview findings categorized survey participants into: individual/organizational members, and leadership. Membership survey results showed the majority of the HHCGa are Latino, Fluent/Native Spanish-speakers, relatively new to the organization, and provided direct/continuum of care and educational services. Many members did not know their influence on coalition decision-making processes, but indicated networking and information sharing as reasons for involvement. Barriers included time constraints, work and other commitments, and members have an overall positive perception of the leadership and staff. The membership prefers weekly e-mail communication, with the majority being recruited via word-of-mouth. This data should be used as a precursor towards studies that intend to focus on membership evaluations, specifically for minority-focused health coalitions. Further evaluations should focus on HHCGa effectiveness in comparison with other minority-focused health coalitions, specifically, coalitions in post-development stages.
Table of Contents
Table of Contents
Chapter 1: Introduction...1
National Latino Demographics...1
Latino Demographics in Georgia...5
Access to Healthcare: Barriers lead to disparities...7
Importance of Latino Health Coalitions...13
Hispanic Health Coalition of Georgia...15
Problem Statement...16
Purpose...16
Theoretical Framework: Community Coalition Action Theory
(CCAT)...17
Research Questions...21
Assumptions...22
Definition of Terms...23
Chapter 2: Review of the Literature...27
Determinates of Latino Health...27
Leading Causes of Death in Latinos...28
Impact of Social and Environmental Barriers...30
Impact of Policy and Institutional Barriers...32
Coalitions Across the U.S....37
Coalition Trends in the Literature...40
Benefits of Coalitions...42
Challenges of Coalitions...44
Evaluating Coalitions...45
Coalition Evalution Measures...46
Chapter 3: Methodology...50
Participants and Sampling...51
Research Design and Procedures...52
Description of the Data Collection Measures by
Instrument...54
Evaluation Measures...56
Participant Protection...61
Data Analysis...62
Limitations...65
Delimitations...65
Chapter 4: Results...66
Key Informant Interviews...66
Membership Survey...74
Chapter 5: Conclusions...92
Conclusions...94
Public Health Implications...99
Recommendations for The Hispanic Health Coalition of
Georgia...101
Recommendations for Future Research...107
References...108
Appendices...113
Appendix A: Internal Review Board (IRB)
Exemption Letter...113
Appendix B: Membership Evaluation of the Hispanic Health Coalition
of Georgia Marketing Tool (Flyer)...114
Appendix C: An Organizational Assessment of the Hispanic Health
Coalition of Georgia Informed Consent...115
Appendix D: Membership Evaluation of the Hispanic Health Coalition
of Georgia Key Informant Interview Guide...117
Appendix E: Membership Evaluation of the Hispanic Health Coalition
of Georgia Survey Tool...122
Appendix F: Tables & Additional Findings...127
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