Related Papers
Frontiers in Psychiatry
Social Vulnerability and Mental Health Inequalities in the “Syndemic”: Call for Action
Roberto Mezzina
Covid-19 is referred to as a “syndemic,” i.e., the consequences of the disease are exacerbated by social and economic disparity. Poor housing, unstable work conditions, caste, class, race and gender based inequities and low incomes have a profound effect on mental health and wellbeing. Such disparities are increasing between, among and within countries and are exacerbated by human rights violations, in institution and in society, stigma and discrimination. Social capital can mediate health outcomes, through trust and reciprocity, political participation, and by mental health service systems, which can be coercive or more open to demand of emancipation and freedom. Societal inequalities affect especially vulnerable groups, and Covid itself had a wider impact on the most socially vulnerable and marginalized populations, suffering for structural discrimination and violence. There are complex relations among these social processes and domains, and mental health inequalities and disparit...
Frontiers in Public Health
Beliefs, Perceptions, and Behaviors Regarding Chronic Respiratory Diseases of Roma in Crete, Greece: A Qualitative FRESH AIR Study
Ioanna Tsiligianni
BackgroundThe global burden of chronic respiratory diseases (CRDs) disproportionally affects Roma populations. Health interventions addressing CRD among Roma or other vulnerable groups often fail to be effective, as their implementation strategy misaligns with the local context. To design context-driven strategies, we studied CRD-related beliefs, perceptions, and behaviors among a Greek Roma population, focussing on asthma and COPD.MethodsFor this qualitative study in Crete, Greece, we used a Rapid Assessment Process. We conducted interviews and focus groups with purposively selected Roma community members (CMs), key informants (KIs) and healthcare professionals (HPs) serving the population. Data were triangulated using observations of households and clinical consultations. Key themes were identified using Thematic Content Analysis. The Health Belief Model, the Explanatory Model of Illness, and the Theory of Planned Behavior that are complementary is some aspects, guided our methodo...
Frontiers in Public Health
The Development of a Novel, Standards-Based Core Curriculum for Community Facing, Clinic-Based Community Health Workers
Rosalva Salazar
Introduction: Historically, CHW trainings have been developed to support community-based CHWs. When CHWs have been trained to engage with patients, typically such trainings have been for short term grant funded projects, focusing on a specific health intervention and not for long term, ongoing engagement of CHWs employed in clinical settings. To the best of our knowledge, this is the first such effort to describe the development of a standards-based training curriculum for clinic-based CHWs using a novel conceptual framework.Methods: Our conceptual approach for curricular development has several innovative features including: (1) a foundational consultation process with CHW national experts to inform curricular development approach, process and content; (2) utilization of the CHW Consensus Project (C3 Project) to provide curricular standards and guide learning objectives; (3) integration of three key stakeholder group perspectives (patients, healthcare teams, and healthcare systems)...
Frontiers in Communication
Digitized HIV/AIDS Treatment Adherence Interventions: A Review of Recent SMS/Texting Mobile Health Applications and Implications for Theory and Practice
2020 •
Lunthita M Duthely, EdD, MSc, MS
Frontiers in Global Women's Health
Determining a Trusting Environment for Maternity Care: A Framework Based on Perspectives of Women, Communities, Service Providers, and Managers in Peri-Urban Kenya
Charity Ndwiga
Trust in health service providers and facilities is integral to health systems accountability. Understanding determinants of trust, a relational construct, in maternity settings necessitates exploring hierarchical perspectives of users, providers, and influencers in the care environment. We used a theoretically driven qualitative approach to explore trust determinants in a maternity setting across patient-provider, inter-provider, and community-policymaker interactions and relationships in peri-urban Kenya. Focus groups (n = 8, N = 70) with women who recently gave birth (WRB), pregnant women, and male partners, and in-depth-interviews (n = 33) with WRB, health care providers and managers, and community health workers (CHWs) were conducted in 2013, soon after the national government's March 2013 introduction of a policy mandate for “Free Maternity Care.” We used thematic coding, memo writing, and cross-perspective triangulation to develop a multi-faceted trust determinants framew...
Understanding Virtual Primary Healthcare with Indigenous Populations: A Rapid Evidence Review
Sandy (Sandra M.) Campbell
Background: Virtual care has become an increasingly useful tool for the virtual delivery of care across the globe. With the unexpected emergence of COVID-19 and ongoing public health restrictions, it has become evident that the delivery of high-quality telemedicine is critical to ensuring the health and wellbeing of Indigenous peoples, especially those living in rural and remote communities. Methods: We conducted a rapid evidence review from August to December 2021 to understand how high quality Indigenous primary healthcare is defined in virtual modalities. After completing data extraction and quality appraisal, a total of 20 articles were selected for inclusion. The following question was used to guide the rapid review: How is high quality Indigenous primary healthcare defined in virtual modalities? Results: We discuss key limitations to the delivery of virtual care, including the increasing cost of technology, lack of accessibility, challenges with digital literacy, and language ...
Frontiers in Digital Health
Applying the Digital Health Social Justice Guide
2022 •
Claudia von Vacano
IntroductionDigital health, the use of apps, text-messaging, and online interventions, can revolutionize healthcare and make care more equitable. Currently, digital health interventions are often not designed for those who could benefit most and may have unintended consequences. In this paper, we explain how privacy vulnerabilities and power imbalances, including racism and sexism, continue to influence health app design and research. We provide guidelines for researchers to design, report and evaluate digital health studies to maximize social justice in health.MethodsFrom September 2020 to April 2021, we held five discussion and brainstorming sessions with researchers, students, and community partners to develop the guide and the key questions. We additionally conducted an informal literature review, invited experts to review our guide, and identified examples from our own digital health study and other studies.ResultsWe identified five overarching topics with key questions and sub...
Frontiers in Public Health
Implementation of cross-sector partnerships: a description of implementation factors related to addressing social determinants to reduce racial disparities in adverse birth outcomes
2023 •
Ashaki Jackson
To Explore the Impact of New Digital Health Services in the United Kingdom on Ethnic Minorities
NAMRATA DHINGRA
This dissertation presents an innovative solution to the disruption of PH services caused by lockdown measures last year, and the effect this had on BAME communities. Through reviewing the literature, the study conceptualizes Race and Racism in relation to poor health outcomes and perceptions of BAME communities and Ethnic minorities, with particular emphasis on a Community Organisation Model and people with lived experiences in BAME communities. This approach requires individualized attention from health professionals and community leaders to work. The chapter seeks to encourage positive health-seeking behaviors by identifying BAME individuals with low levels of digital literacy, language barriers, and digital exclusion and changing these behaviors to digital modes. It also calls for BAME NGOs to consider how digital technologies can improve lifestyles and create more positive experiences. Finally, the chapter recommends government funding for BAME organizations to develop these communities.
Frontiers in Psychology
Cultural Competence and Cultural Sensitivity Education in University Nursing Courses. A Scoping Review
2021 •
Idoia UGARTE GURRUTXAGA
When assessing the fragility that characterizes the health of an immigrant person, a culturally competent transformation of the nurse–patient teaching-learning process is necessary. Therefore, it is considered essential to incorporate cultural competence and intercultural communication in higher nursing education.ObjectiveTo determine the content and knowledge of cultural competence and intercultural communication offered in higher education in nursing courses.DesignThe Campinha-Bacote model of cultural competence was used as the primary reference.MethodA scoping review was conducted about studies published in the period 2003 and 2020. The research was conducted between May and October 2020. More than a hundred documents (books, chapters, articles, conference proceedings) have been consulted.ResultsUndergraduate nursing courses and postgraduate education move toward promoting cultural competence and sensitivity through teaching strategies.ConclusionsTeaching projects that combine mu...
