Assuntos
Cultura , Dieta , Abastecimento de Alimentos , Saúde Global , Mudança Climática , Etnicidade , Identidade de Gênero , Humanos , TabuAssuntos
Cultura , Dieta , Comportamento Alimentar , Estado Nutricional , Humanos , Internacionalidade , Fatores SocioeconômicosRESUMO
PURPOSE: The purpose of this research was to examine the effectiveness of a cultural competency training program designed to improve the knowledge and skills of health care providers and administrators engaging in cross-cultural, clinical encounters. METHODS: We conducted an evaluation study among 43 health care professionals (health care providers and health administrators) who attended a 4-hour cultural competency workshop. We used a post-then-pre method of self-reported evaluation to answer a key question: Does cultural competency training produce a measurable change in knowledge and skills relating to the care of patients from diverse cultural and ethnic backgrounds? RESULTS: The study findings suggest that there are statistically significant change in participants' self-report of knowledge and skills related to cultural competency. CONCLUSIONS: Our study shows that a cultural competency training program that integrates key topics as recommended by the Institute of Medicine and includes Culturally and Linguistically Appropriate Services in Health Care standards improves the knowledge and skills of health care providers and administrators. Following the training, the participants self-reported not only an enhanced understanding of the health care experiences of patients with diverse backgrounds, but also an improvement in their skills to effectively work in cross-cultural situations. In addition, our study offers a reliable, innovative, and time-efficient strategy--post-then-pre method-for evaluating the outcomes of 4-hour cultural competency training programs.
Assuntos
Competência Cultural/educação , Educação Médica/organização & administração , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/educação , Pessoal de Saúde/psicologia , Competência Cultural/psicologia , Educação , Escolaridade , Feminino , Disparidades em Assistência à Saúde , Humanos , Masculino , Competência Profissional , Avaliação de Programas e Projetos de Saúde , Estudos Retrospectivos , Inquéritos e Questionários , Fatores de Tempo , Estados UnidosRESUMO
In Nyanza Province, Kenya, estimated HIV prevalence is 22%. Given that more than 80% of the population resides in rural areas, the majority of individuals in Nyanza Province do not have access to medical facilities on a regular basis. In response to the growing demands the HIV epidemic has placed on the people and communities in this region, hundreds of lay individuals have been trained as community health workers to provide home-based care to sick or dying HIV/AIDS clients in rural areas. This paper discusses the role and impact of these community health workers in Nyanza Province, Kenya. It outlines the collaborative relationship between community health workers and the Ministry of Health, examining community health workers' use of extant biomedical structures at the district level to provide services that government-run health facilities lack the monetary resources or personnel to provide. Finally, it explores the role played by community health workers in providing HIV/AIDS education to individuals in an attempt to prevent further infections.
