(Re)settled in Health? : An Evaluation of a Community Health Promotion Program among Refugees in Clarkston, GA 公开
Bowen, April Louise (2011)
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
About this Master's Thesis
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