MPH / Department of Public Health

The concept of interprofessional practice and education is not new but has recently gained attention as the result of a paradigm shift in the future of healthcare and how it is delivered and financed. Universities are now addressing ways to incorporate interprofessional education and learning experiences into the curriculum to ensure graduating healthcare professionals are competent to collaborate as a team and deliver quality effective healthcare. A regional research university in East Tennessee with health programs across five Health Science colleges (Clinical and Rehabilitative Health Sciences, Medicine, Nursing, Pharmacy, and Public Health), Psychology, and Social Work has offered an interprofessional rural course for more than six years. The two-semester course is focused on vulnerable or underserved populations and rural communities in the south central Appalachian region. Each course section comprised of 8 to 10 students is led by a team of two or more faculty who represent a cross section of healthcare disciplines and focuses on a specific population or community. The student groups develop interprofessional working relationships among each other and faculty while partnering with rural communities. Using a community-based participatory research approach they prioritize health needs, and develop and implement evidence-based strategies to address the identified needs. Interprofessional education, cross cultural learning, and a university/community partnership within the context of the Hispanic migrant farmworker population are addressed in this paper. The course process, target population, cultural learning, and student outcomes are specifically discussed.

No description available.

For many years Canada has quietly rationalized importing temporary “low-skilled” migrant labour through managed migration programs to appease industries desiring cheap and flexible labour while avoiding extending citizenship rights to the workers. In an era of international human rights and global competitive markets, the Canadian Seasonal Agricultural Workers Program (SAWP) is often hailed as a “model” and “win-win” solution to migration and labour dilemmas, providing employers with a healthy, just-in-time labour force and workers with various protections such as local labour standards, health care, and compensation. Tracing migrant workers’ lives between Jamaica, Mexico and Canada (with a focus on Ontario’s Niagara Region), this thesis assesses how their structural vulnerability as non-citizens effectively excludes them from many of the rights and norms otherwise expected in Canada. It analyzes how these exclusions are rationalized as permanent “exceptions” to the normal legal, social and political order, and how these infringements affect workers’ lives, rights, and health. Employing critical medical anthropology, workers’ health concerns are used as a lens through which to understand and explore the deeper “pathologies of power” and moral contradictions which underlie this system. Particular areas of focus include workers’ occupational, sexual and reproductive, and mental and emotional health, as well as an assessment of their access to health care and compensation in Canada, Mexico and Jamaica. Working amidst perilous and demanding conditions, in communities where they remain socially and politically excluded, migrant workers in practice remain largely unprotected and their entitlements hard to secure, an enduring indictment of their exclusion from Canada’s “imagined community.” Yet the dynamics of this equation may be changing in light of the recent rise in social and political movements, in which citizenship and related rights have become subject to contestation and redefinition. In analyzing the various dynamics which underlie transnational migration, limit or extend migrants’ rights, and influence the health of migrants across borders, this thesis explores crucial relationships between these themes. Further work is needed to measure these ongoing changes, and to address the myriad health concerns of migrants as they live and work across national borders.

For many years Canada has quietly rationalized importing temporary “low-skilled” migrant labour through managed migration programs to appease industries desiring cheap and flexible labour while avoiding extending citizenship rights to the workers. In an era of international human rights and global competitive markets, the Canadian Seasonal Agricultural Workers Program (SAWP) is often hailed as a “model” and “win-win” solution to migration and labour dilemmas, providing employers with a healthy, just-in-time labour force and workers with various protections such as local labour standards, health care, and compensation. Tracing migrant workers’ lives between Jamaica, Mexico and Canada (with a focus on Ontario’s Niagara Region), this thesis assesses how their structural vulnerability as non-citizens effectively excludes them from many of the rights and norms otherwise expected in Canada. It analyzes how these exclusions are rationalized as permanent “exceptions” to the normal legal, social and political order, and how these infringements affect workers’ lives, rights, and health. Employing critical medical anthropology, workers’ health concerns are used as a lens through which to understand and explore the deeper “pathologies of power” and moral contradictions which underlie this system. Particular areas of focus include workers’ occupational, sexual and reproductive, and mental and emotional health, as well as an assessment of their access to health care and compensation in Canada, Mexico and Jamaica. Working amidst perilous and demanding conditions, in communities where they remain socially and politically excluded, migrant workers in practice remain largely unprotected and their entitlements hard to secure, an enduring indictment of their exclusion from Canada’s “imagined community.” Yet the dynamics of this equation may be changing in light of the recent rise in social and political movements, in which citizenship and related rights have become subject to contestation and redefinition. In analyzing the various dynamics which underlie transnational migration, limit or extend migrants’ rights, and influence the health of migrants across borders, this thesis explores crucial relationships between these themes. Further work is needed to measure these ongoing changes, and to address the myriad health concerns of migrants as they live and work across national borders.

I argue that although the abusive conditions experienced by farmworkers have complicated causes, they have persisted and will continue to persist as long as farmworkers are stripped of virtually any political and economic power. The chapters build upon each other logically, beginning with the second chapter, which uses farmworker testimony to establish that a combination of economic and political circumstances have kept farmworkers from protesting not only methyl bromide, but every other dangerous condition they face in the fields. In the third chapter, I argue that despite commonly held assumptions, growers are virtually powerless to change the circumstances of farm workers because competition they face in the strawberry market precludes any single grower from paying their workers more than the going rate. I will conclude by arguing that to begin to improve the working conditions of farm workers, consumers will need to engage with the issue on both political and economic levels. The conclusion builds on the arguments established in the second and third chapters; namely, given that neither growers nor farmworkers will be able to leverage change within the current political and economic context, consumers are the only remaining actors with both the incentives and power to influence both the political and economic arenas. Just as scholarship that focuses on only one set of actors (i.e. only growers or only regulators) will necessarily fail to provide practical solutions because such papers tend to discount the pressures faced by and produced by other actors, so too will change be impossible without consumers who advocate that farmworkers both receive a just share of political voice and fair wages.

No description available.

Abstract The present thesis investigated children farmworkers' perspectives on having a job and balancing work and school. It also investigated parents' perspectives about their children's jobs and how they handle work and school. A qualitative approach has been used to investigate children farmworkers' experiences on how they handle work and school. Data was collected through semi-structured interviews with three children farmworkers between the ages of 12 and 17 years old and two adults that were parents of the children farmworkers residing in a rural area in the United States. Due to the current pandemic COVID-19, the research was carried out online through the Zoom platform. A thematic method was used to analyze the data collected. Through a critical analysis of transcripts, key concepts were obtained, decomposed into themes, and then organized into two sections for each theme. The themes were labeled: "Importance of the job," "Economic independence," "Impact on the future," "Job satisfaction," and "Compatible with school." The sections for each theme were labeled children's perspectives and parents' perspectives. There is a misconception that children work only in developing countries. Contrary to what has often been assumed, children work worldwide in developing countries and developed countries like the United States and Sweden. Results of this research showed that these children farmworkers want to work because they want to become personally and economically autonomous. Children and childhood are part of the consumer culture society. The study also found that the jobs of these children farmworkers did not affect their schooling and education. A call is made to consider children’s work as an expression of their agency and refrain from perceiving children as vulnerable beings in need of protection but instead, consider their perspective. Further research is needed in an ethnographic field with a more significant sample, including the teachers’ standpoint.