The island of Mauritius is situated in the south-western Indian Ocean between 19°591, 20°321 south latitude and 57°18 1 , 57° 49 1 east longitude. The nearest landmass of any considerable extent is Madagascar which Iies some 900 km due west of Mauritius; but there are a number of islands and islets in the vicinity, notably Reunion, Rodrigues and the Cargados Carajos, which together with Mauritius constitute the archipelago of the Mascarenes.

ABSTRACT How as a new worker could I have become better prepared by my education for child welfare work? What have other new workers experienced through their education that helped prepare them or hindered them? Lastly what are some creative ideas to better prepare new workers, specifically social workers, for the reality of working in child protection? These questions formed the focus of this study, which includes a literature review on new worker readiness and findings from qualitative interviews with new workers which utilizes an insider perspective towards data analysis. The participants in this research had varying experiences as new workers, however similar themes emerged. New workers struggled with power and experienced feelings of hopelessness and helplessness. New workers had difficulty transferring theoretical knowledge from their education into practice and did not feel prepared for the reality of child welfare work. Participants also described how they internalized conflict and the stress of the job. They suggested ways of coping including supportive supervision and a collaborative team environment. Increasing new workers’ confidence was also seen as key to prepare new workers for a child protection position. This research was conducted through a partnership with my fellow MSW researcher Julie Huynh-Lauesen, who coauthored the literature review and conducted a similar, yet separate research study with child welfare managers. Both studies were then compared and contrasted for discussion and future purposes. / Thesis / Master of Social Work (MSW)

Thesis (M.B.A.)—Boston University

Indiana University-Purdue University Indianapolis (IUPUI) / Community Health Workers (CHW) are trusted frontline members of the public health workforce with a unique understanding of the communities they serve. CHW interventions have been shown effective and economical in improving certain health outcomes, including diabetes-related complications and self-management. The ability of CHWs to relate to patients in a culturally appropriate manner positions them to better address social determinants of health and inequities than many allied health professionals. State-level CHW legislation varies by jurisdiction and can direct CHW processes including definitions, funding, and scope of practice. The Diabetes Project – Indianapolis Neighborhoods (DIP-IN) intervention employs clinic-based CHWs to work with high-risk patients with diabetes in three Indianapolis communities with disproportionately high diabetes prevalence rates. DIP-IN CHWs are based in select Eskenazi Health Federally Qualified Health Centers and deliver services to patients primarily through home visits or phone calls. This dissertation examines CHW policies and the impact of the DIP-IN CHW intervention on patient outcomes in relation to a comparison group. This dissertation includes three studies 1) a state-level policy surveillance exploring legislation that includes best practices for CHW policy, 2) a study using a difference-in-difference approach through the application of generalized linear mixed models to estimate the effect of DIP-IN on A1C and hospital outcomes, and 3) a study using multivariat regression and negative binomial modeling to estimate the impact of DIP-IN on COVID-19 hospitalization and length of stay. As financing influences duration and application of CHW interventions, this dissertation aims to explore the landscape over time of CHW legislation and evaluate a privately funded CHW program model intended to improve health outcome among high-risk patients with diabetes. It also aims to strengthen the knowledge base for CHW involvement in improving clinical-community linkages to support diabetes management. / 2024-07-03

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