From Rural Zimbabwe to Native Reservations: Similarities in - - PowerPoint PPT Presentation
From Rural Zimbabwe to Native Reservations: Similarities in Attitudes and Cultural Practices Influence on Health by Justice Mbizo, Dr. PH, Assistant Professor, University of West Florida Co-Presenters: Ann Bullock, MD and Terry Friend,
IHS Clinical Rounds October 10th, 2012 hosted by Susan Karol, MD IHS Chief Medical Officer
From Rural Zimbabwe to Native Reservations: Similarities in Attitudes and Cultural Practices’ Influence on Health by Justice Mbizo, Dr. PH, Assistant Professor, University
Co-Presenters: Ann Bullock, MD and Terry Friend, CNM, MSN, AAHIVS
1. Describe similarities in international social conditions that give rise to disease and premature mortality. 2. Describe the role of cultural competency in improving health interventions, and overall health outcomes in general. 3. Identify gaps in cultural training needs in their work-teams and work to develop a strategy to improve to better serve the AI/AN population. 4. Apply cultural competency skills in addressing issues related to HIV and diabetes in AI/AN communities.
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in the Master of Public Health Program at the University of West Florida. He also serves as the Program Coordinator and Academic Advisor for the MPH Program.
Matabeleland, bordering Botswana. Completing his BA and MS with distinction in the U.S., he went on to earn his Doctor of Public Health (Dr.PH) degree from Morgan State University. Research interests include social determinants of health, including the role of culture concerning chronic and infectious diseases in vulnerable and/or underserved populations. Co-presenters:
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Mollie Ayala (mollie.ayala@ihs.gov).
Cultur e and language may influe nc e
pa tie nt/ c o nsume r a nd
a ttitude s to wa rd he a lth c a re pro vide rs;
thro ug h his o r he r o wn limite d se t o f va lue s, whic h c a n c o mpro mise a c c e ss fo r pa tie nts fro m o the r c ulture s.
(Offic e of Minority He a lth, DHHS)
stima te d po pula tio n 12,619,600
de a ths/ 1,000 po pula tio n (July 2012 e st.)
nfa nt mo rta lity ra te to ta l: 28.23 de a ths/ 1,000 live b irths
DS a dult pre va le nc e ra te 14.3% (2009 e st.)
physic ia ns/ 1,000 po pula tio n (2004)
Operation Murambatsvina “Drive out the Filth”
he c ustom of ‘kugar a naka’ or ‘kugar wa naka’ also known as ‘ukunge na’
‘ukunge nwa’*
* T
he pra c tic e o f wife inhe rita nc e
re c o g nize d, Ame ric a n I ndia n a nd Ala ska Na tive trib e s a nd a ho st o f sta te - re c o g nize d trib e s.
lo w so c io e c o no mic sta tus.
Picture by Aaron Huey, 2010. Pine Ridge Reservation, South Dakota
he ra te (pe r 100,000 pe rso ns) o f HI V/ AI DS dia g no sis fo r Ame ric a n I ndia ns a nd Ala ska Na tive s wa s 10.4, c o mpa re d with 71.3 fo r b la c ks, 27.8 fo r Hispa nic s, 8.8 fo r white s, a nd 7.4 fo r Asia ns a nd Pa c ific I sla nde rs, a s o f 2005
c ulture s tha t ma y e xist
role in fighting the diabetic pandemic by health promotion aimed to keep people healthy as long as possible (hjelm, mufunda, nambozi & kemp, 2003)
Natives (AI/ANs) disproportionately compared with other racial/ethnic populations (CDC, 2002; NHIS, 2010)
Picture by Aaron Huey, 2010. Pine Ridge Reservation, South Dakota
Joyce, Vice President Joyce Banda, President of Malawi
dise a se a re g e ne tic a nd e nviro nme nta l fa c to rs, suc h a s
ur banizatio n and industr ializatio n, a s we ll a s
inc re a se d lo ng e vity a nd c ha ng e s in life style fro m a tra ditio na l he a lthy a nd a c tive life to a mo de rn, se de nta ry, stre ssful life a nd o ve r- c o nsumptio n o f e ne rg y-de nse fo o ds
he a lth c a re
t’ s the wa y pa tie nts a nd do c to rs c a n c o me to g e the r a nd ta lk a b o ut he a lth c o nc e rns witho ut c ultura l diffe re nc e s hinde ring the c o nve rsa tio n, b ut e nha nc ing it
e spe c tful o f and r e spo nsive to the he a lth b e lie fs, pra c tic e s a nd
c ultura l a nd ling uistic ne e ds o f dive rse pa tie nts c a n he lp b ring a b o ut po sitive he a lth o utc o me s
Offic e o f Mino rity He a lth, Co mmo nwe a lth F und
you navigate the terrain
values of the priority population
interventions
population