Considering the changes the Lake Atitlan, Guatemala region has undergone in the last several years, ODIM (Organization for the Development of the Indigenous Maya) seeks to understand the needs of the San Juan La Laguna and San Pablo La Laguna communities, and to provide competent, culturally-aligned care that is affordable to the Indigenous Maya of this region. Using mixed-methods approaches that incorporate interviews, surveys, graphic anthropology, and evaluation methods, this study investigated (1) the formal and informal health care services (including those offered by ODIM) and how and why they are utilized by local Guatemalans, (2) Guatemalan perceptions and experiences of health, wellbeing, and illness to understand how they might influence health related behavior, and (3) community health care needs and how ODIM can fill those needs. These objectives served to inform key stakeholders of current gaps in healthcare services, provide feedback regarding the ODIM health services and programs, and provide insight into the current health needs in order to ameliorate the burden of disease and illness around Lake Atitlan, Guatemala. This study produced a comprehensive community health profile, and it discusses the current state of health care, explains the local perspectives of health care, and gives direct feedback and recommendations to ODIM's community health programs.

No / Previous attempts to involve African and African-Caribbean communities in a city in north England in identifying and assessing their health needs have been largely unsuccessful. A comprehensive literature review highlighted that research on Africans and African-Caribbeans is limited and uneven, and dominated by studies focusing on cardiovascular disease, diabetes, mental health and blood disorders. Health information on these communities is largely based on immigrant mortality statistics derived from national datasets. This paper highlights how participatory approaches to community participation and engagement were used in the assessment of the health needs of culturally diverse minority communities as a means of reducing health disparities. The study sought to overcome the shortcomings of traditional techniques for health needs assessment by testing a novel method of rapid participatory appraisal using a triangulation approach to ensure that all perspectives were addressed. The research adopted a mixed-methods strategy comprising distinct phases: a comprehensive review of the literature, a qualitative needs assessment involving representatives of the African and African-Caribbean communities using meta-planning, and a review of health service provision. The approach used in the study was efficient, rapid and feasible for the African and African-Caribbean people to use in obtaining data from their peers. The findings showed a convergence between areas of need identified by health providers and community members in this appraisal, and between these results and other published literature. However, there was a divergence on the extent of change necessary, with institutional responses stressing alterations within existing systems, and community members recommending the establishment of targeted services for African and African-Caribbean communities run by ethnically matched staff.

<p>  </p> <p>This dissertation explores the healthcare status, concerns and access of Spanish-speaking, immigrant Latinos who live and work in and around Clinton County, Indiana. The study analyzed the responses of 579 participants who answered questions during 20-minute, door-to-door interviews (80% of which were conducted in Spanish). The study’s sponsor, the Indiana Minority Health Coalition (IMHC), was interested in assessing the health needs of this Latino community because it receives IMHC’s funding for health disparity reduction. IMHC was interested in comparing the results of a previous benchmarking study, conducted a decade earlier, to the 2020 results for the purposes of understanding how successfully programming was being implemented. Between 2010 and 2020, Indiana’s Latino population increased nearly 25%, and the population in Clinton County (where more than half of the school children are now Latino) almost doubled.</p> <p>The study was spearheaded by the Purdue Center for Regional Development in conjunction with the Learning Network of Clinton County, a community-based organization that provides education and training in English and Spanish to adult learners, as well as the Mexican Consulate of Indianapolis that promoted the study among Spanish-speakers and shared the study results. Faculty and staff from the Indiana University School of Medicine at Purdue University served in an advisory capacity with medical students enrolled in West Lafayette’s Latino Concentration Program serving as co-investigators. They were assisted by 10 bilingual (Spanish/English) youth of the community and two adult, bilingual (Spanish/English) Promotores de Salud (community health workers) who were trained and earned their ethical research certifications to participate.</p> <p>The study used a mixed-methods, community-based participatory research approach to survey design, data collection, data analysis, dissemination of results. The findings this study revealed are detailed in the following three journal articles that each concentrate on a component of the project. In addition to its focus on health, the survey asked participants about their education and literacy levels, job satisfaction, and feelings of acceptance in the United States. The study provided insights based on descriptive statistics as well as a set of logistic regression models. </p> <p>Immigrant voices were elevated to build awareness of their healthcare and workforce situation among providers, educators, public policymakers, community organizations, and employers of Latino workers. As this work was both exploratory and comparative in nature, there are implications for healthcare and workplace interventions that could improve equitable outcomes. </p>

The study examined the sexual and reproductive health needs of adolescents infected with HIV and AIDS. This was a qualitative study that involved semi-structured interviews and observation. The sampling method used was purposive and it entailed 10 adolescents (4 boys and 6 girls) who are living with HIV at Chiedza Child Care Centre in Zimbabwe. This study revealed that adolescents’ sexual and reproductive health needs are the desire to have sex, desire to have children, the need for prevention of unwanted pregnancy and care and treatment support. However, their knowledge of HIV and AIDS was inadequate. Adolescents also revealed their lack of proper information regarding their health care and treatment needs. However, adolescents illustrated an adequate knowledge of the services available for them for their health, treatment and care needs. The study recommended that there is need to strengthen the provision of information and services on adolescents’ sexual and reproductive health issues. The study also recommended that counsellors should improve their counselling skills so that they can empower adolescents living with HIV to be able to negotiate condom usage, matters of dating and handling relationships. / Sociology / M. A. (Social Behaviour Studies in HIV and AIDS)