(Re)settled in Health? : An Evaluation of a Community Health Promotion Program among Refugees in Clarkston, GA 公开

Bowen, April Louise (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/st74cr11p?locale=zh
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Abstract


Background:Post-resettlement refugees in the Atlanta area face a gap in accessible health services such
as health education and primary health screenings. This gap results from barriers in language, culture,
knowledge, and the inability of many to pay for health services. The Health Promoters (HP) Program was
designed to address many of these barriers and improve refugee health by training refugee women to
promote health within their cultural communities. Objectives: To provide insight into the efficaciousness
and effectiveness of the HP Program in achieving its primary goal of promoting refugee health and its
secondary goal of heightening refugee women's empowerment. Additionally, this study sought to
identify those systems or processes that have contributed to the programs successes and limitations.
Methods: Qualitative research methods were used to address objectives of this evaluation. In-depth
interviews and focus groups were conducted with Health Promoters, the communities in which they
worked, and program staff and management. Findings: While the HP Program has had success in aiding
refugees to navigate the linguistic and cultural barriers and has provided valuable health education to
communities, its larger objective of improving refugee health has been challenged by inadequate
resources. Internal to the implementing organization, the program has suffered from limited human
resources and inconsistent funding. Additionally, a lack of external health services accessible to low-
income refugees has severely limited the effectiveness of the program. While messages of health
promotion are being heard by the target communities, many are unable to act upon those messages due to
financial limitation. Conclusion: The HP Program has been successful in empowering refugee women to
promote health within their cultural communities. However, in order for the program to be succeed in its
goal of improving refugee health, additional resources will need to be provided to both the implementing
organization and in support of health service provision for low income Atlanta refugees.

Table of Contents



Table of Contents

Chapter One: Introduction 1-4

Chapter Two: Literature Review 5-15

Chapter Three: Methodologies 16-21

Chapter Four: Findings 22-32

Chapter Five: Discussion, Recommendations, and Conclusion 32-37

Bibliography 38-44

Appendices

Appendix 1: Community In-Depth and Focus Group Interview Guide 45-48


Appendix 2: Key Informant In-Depth Interview Guide 49-50

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