Barriers and Facilitators to Prevention and Care of COVID-19 Infection in Cincinnati Latinx Families: a Community-Based Convergent Mixed Methods Study.

BACKGROUND: Latinx populations have experienced disproportionately high case rates of COVID-19 across the USA. Latinx communities in non-traditional migration areas may experience greater baseline day-to-day challenges such as a lack of resources for immigrants and insufficient language services. These challenges may be exacerbated by the COVID-19 pandemic. OBJECTIVE: This article describes the results of an initial community health needs assessment to better understand the prevention and care of COVID-19 infection in the Cincinnati Latinx community. METHODS: We used convergent mixed methods to examine barriers and facilitators to COVID-19 prevention and care for those with infection. RESULTS: Latinx adults ≥ 18 years old completed 255 quantitative surveys and 17 qualitative interviews. Overarching mixed methods domains included knowledge, prevention, work, challenges, and treatment. Quantitative results largely reinforced qualitative results (confirmation). Certain quantitative and qualitative results, however, diverged and expanded insights related to caring for COVID-19 infection among Latinx adults (expansion). There were infrequent contradictions between quantitative and qualitative findings (discordance). Primary barriers for the Latinx community during the COVID-19 pandemic included insecurities in food, jobs, housing, and immigration. Key facilitators included having trusted messengers of health-related information. CONCLUSION: Public health interventions should be centered on community partnerships and the use of trusted messengers. Wraparound services (including resources for immigrants) are essential public health services. Close partnership with employers is essential as lack of sick leave and mask supplies were more frequent barriers than knowledge. These findings emerged from experiences during the COVID-19 pandemic but likely generalize to future public health crises.

Sustainability of NGO capacity building in southern Africa: successes and opportunities.

Despite an increase in organizational capacity building efforts by external organizations in low and middle income countries, the documentation of these efforts and their effects on health programs and systems remains limited. This paper reviews key frameworks for considering sustainability of capacity building and applies these frameworks to an evaluation of the sustainability of an AIDS non-governmental organization (NGO) capacity building initiative. From 2004-2007 Bristol-Myers Squibb Foundation's Secure the Future(TM) initiative in southern Africa funded a five country program, the NGO Training Institute (NGOTI), to build capacity of NGOs working to address HIV/AIDS. Lessons learned from this project include issues of ownership, the importance of integrating planning for sustainability within capacity-building projects, and the value of identifying primary capacity-building objectives in order to select sustainability strategies that are focused on maintaining program benefits. Sustainability for capacity building projects can be developed by discussing key issues early in the planning process with all primary stakeholders.

Learning from recovery after Hurricane Mitch.

This paper reviews how Nicaragua has recovered from Hurricane Mitch of October 1998. In particular, it examines how the assumptions and claims that were made during initial recovery planning have proven relevant in light of subsequent development. One must consider the response to Hurricane Mitch from the perspective of the broader trends that have driven recovery, including household, community and government initiatives and the wider economic context. Recovery efforts have not 'transformed' Nicaragua. In fact, market upheavals and livelihood changes in rural areas have had a more profound impact on poverty profiles than recovery programmes. Social protection programmes have been piloted, but patron-client ties and relations with aid providers are still more reliable sources of support in a time of crisis. Risk reduction has become more deeply integrated into the rural development discourse than was the case before the disaster, but risk reduction initiatives continue to place undue emphasis on hazard response rather than addressing vulnerability.

Cross-linguistic syntactic priming in bilingual children.

Previous research has used cross-linguistic priming methodology with bilingual adults to explore the nature of their syntactic representations. The present paper extends the use of this methodology to bilingual children to investigate the relation between the syntactic structures of their two languages. Specifically, we examined whether the use of passives by the experimenter in one language primed the subsequent use of passives by the child in the other language. Results showed evidence of syntactic priming from Spanish to English: hearing a Spanish sentence containing a passive led to the increase in children's production of the parallel structure in English. However, there was no priming in the other direction: hearing an English sentence containing a passive did not increase children's use of the parallel structure in Spanish. These results provide evidence for both the integration of syntactic representations in bilingual children and the asymmetry of the relation between their two languages.

Workplace Aggression in Cuban Health Care Settings.

PURPOSE: Workplace aggression (WPA) is an international problem; however, no published reports of WPA in Cuba were found. This research describes WPA in Cuba and identifies prevention strategies for adoption in the United States. DESIGN: A qualitative case study design was used. Procedures included visiting several health care settings in the region of Havana, Cuba. Interviews were conducted with 18 Cuban key informants and digital photographs documented the environment. FINDINGS: WPA is a rare occurrence and typically demonstrates as verbal abuse. The use of illicit substances and prolonged wait times, common U.S. factors associated with WPA, are less problematic in Cuba. DISCUSSION AND CONCLUSION: Primary reasons for the low incidence of WPA may be the caring Cuban culture itself, tolerance for wait times, and less access to illicit and controlled substances. IMPLICATIONS FOR PRACTICE: Adopting Cuba's model to acknowledge WPA risk and implement prevention plans could reduce WPA incidence in the United States.