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Building Bridges Across Cultures: Developing Cultural Competency Skills for Latino Health through a

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Title: Building Bridges Across Cultures: Developing Cultural Competency Skills for Latino Health through a


1
Building Bridges Across Cultures Developing
Cultural Competency Skills for Latino Health
through a Cultural Immersion Trip Guanajuato,
Mexico Experience
  • Debra E. Bill, MPH, PhD, CHES
  • Associate Professor, Dept. of Health, 303
  • West Chester University of PA
  • West Chester, PA 19383
  • dbill_at_wcupa.edu

2
Developing Cultural Competency
  • Important goal of educational institutions -
    preparing health professionals
  • In order to serve ever increasing minority
    communities
  • Fastest growing community - Latinos

3
Promising technique to improve cultural
competency skills of health professionals
  • (1) Immersion into culture
  • Often include international study programs with
    diverse groups
  • Short-term immersion (1-3 wks.)
  • Long-term immersion (semester)

4
Benefits reported in health literature about
experience
  • (1) Increase students cognitive development
    (Frisk, 1990)
  • (2) Overcome ethnocentrism
  • (3) Develop a more global perspective
  • (4) Improve language skills

5
Benefits (cont.)
  • (5) Increase cross-cultural communication skills
  • (6) Foster respect and empathy for others
  • (7) Improve participants self-confidence
  • (8) Help participants develop skills in working
    with multi-cultural groups

6
Educational Reform in 21st Century
  • Center on issues of intercultural competence
  • Global Classroom
  • Preparing students to work in a global world

7
Purpose of Presentation
  • (1) Describe an immersion course developed by
    health faculty from WCU

8
Rationale for Course
  • 1970s number of Mexicans migrate to Chester
    County from Guanajuato, Mexico work in mushroom
    industry

9
How are we connected . . .
  • - Chester County, PA
  • - Guanajuato,
  • Mexico?

10
Deeply connected
  • Economy
  • People
  • Places
  • 90 migrate from Guanajuato (Gto)

11
Hispanic Population (of any race) Size in 1990
and 2000Chester County, Pa
  • 1990 8,586
  • 2000 16,126 88

12
Young Families
13
Occupations Chester County
  • Mushroom Farms
  • Agriculture, horse farms
  • Construction
  • Service Industries

14
Income Mexicans Chester County
  • Many live in poverty
  • Many uninsured
  • Access barriers to health care
  • Language
  • Transportation
  • Time
  • Cultural

15
Mexican Culture and Health Workshop Bridging
Communities and Culture Summer 2000-2009,
Guanajuato, Mexico
16
  • Summer 2000 Foster Exchange Programs,
  • Developing Connection Entrée
  • No Formal Class
  • Education WCU and Univ. of Guanajuato
  • 2) Health
  • 3) Business and Community Opportunities

17
Doors Opened in 2000 Due to Discourse
18
Enroll in week long course Mexican Culture and
Health 3/6 credit course taught in Gto,
Mexico-To improve knowledge about Mexican
health, history and culture-To develop a health
project to better serve Latinos in our region.
Trip Focus 2001-2009
19
Sample course objectives
  • Opportunities to visit health care facilities
    (traditional and non-traditional) and learn about
    the health needs and structure of health care
    system in Guanajuato.
  • Meet with key health and human service leaders in
    the State of Guanajuato.
  • Tour, observe and learn about Mexican culture and
    family life.

20
Class participants
  • Faculty - Multi-disciplinary anthropology and
    public health education Latin American history
    global studies, nursing.
  • Student base diverse undergraduate and graduate
    -- many from health.
  • Working Health Professionals scholarships from
    grants to go on trip from Brandywine and
    Phoenixville Health Foundations- RFP-in our
    service area.

21
Mexico
22
Where is Guanajuato?
23
Guanajuato Colonial Jewel of Mexico
24
Alleyways of Guanajuato
25
Hotel El Meson de los Poetas
26
World Heritage Site
  • Museo Alhondiga Granaditas

27
International Cervantes Festival
28
Silver Mines of GTO
29
Diego Riviera House
30
Fieldtrip Itinerary Secretary of Health in
Guanajuato
31
Moroleon--Sewing Center
32
Moroleon Health Center Primary Health Care
Center
33
June 3, 2005
Centre de Salud Moreleón
34
June 3, 2005
35
June 3, 2005
Every Friday Free Rabies Vaccinations for Dogs
and Cats
36
June 3, 2005
Health Promotion through Art Placed throughout
the city
37
June 3, 2005
38
June 3, 2005
Rural Clinic CENTRO DE SALUD RURAL LA
ORDENA First U.S. citizens to visit this city
39
June 3, 2005
The town people prepared lunch for our visit
40
June 3, 2005
41
June 3, 2005
42
June 3, 2005
43
June 3, 2005
44
June 3, 2005
45
Traditional Healers In the
Community of San Ildefonso Cieneguilla
46
Healing Plants
47
Sweat lodge Healing Ceremony
48
June 4, 2005
http//www.tlahui.com/temaz1.html
Temazcal
49
June 4, 2005
Inside of the Temazcal
50
June 4, 2005
Photo Courtesy of Aubrey Hays
51
June 4, 2005
Photo Courtesy of Aubrey Hays
52
June 4, 2005
Photo Courtesy of Aubrey Hays
53
June 4, 2005
Photo Courtesy of Aubrey Hays
54
June 4, 2005
Photo Courtesy of Aubrey Hays
Locked In
55
June 4, 2005
Photo Courtesy of Aubrey Hays
56
June 4, 2005
Photo Courtesy of Aubrey Hays
57
Red Cross in Leon
58
Culture and Music Special Performance
of Estudiantes
59
Shopping? Learned about native
crafts and products
60
Roof Top Dancing
61
Post trip
  • Participants are required to complete a health
    project present their findings at a workshop to
    improve the health and welfare of Latino families
    residing in the Chester County region.

62
Sample Projects Class of 2001-08
  • Improving communication skills training for
    hospital staff serving Spanish speaking patients
    Brandywine Hospital, Coatesville, PA
  • Integration of bi-lingual respondents into the
    pre-hospital response in Chester County, PA.
  • Breastfeeding policies and practices a
    comparison between Guanajuato, Mexico and Chester
    County, PA
  • Diabetes and the Mexican community health
    education strategies for Latinos, Project Salud.

63
Sample Projects Class of 2001/08
  • Hepatitis A Hepatitis B immunization outreach
    Employees of the Kaolin mushroom Co.
  • Promotoras Mexico and Chester County, Maternal
    and Child Health Consortium.
  • Curanderismo traditional Mexican medicine,
    Community Volunteers in Medicine.
  • Promoting Binational Health Week in Chester
    County, Project Salud, Kennett Square.

64
Perceived Benefits by Participants
  • Personal growth
  • Professional growth

65
Personal Growth-Transformation
  • Going on the trip to Mexico has really changed
    me. I now see myself not just as a citizen of the
    United States, but as a world citizen who needs
    to think outside of the box the world is bigger
    than the tri-state area and there are so many
    opportunities to serve others .
  • What a great experience, I will never forget. I
    used to feel that I couldnt make a difference
    or I didnt have enough power to change
    something, but this trip showed me that a small
    group of people who are seeking similar goals can
    make a difference.

66
Professional Growth Improvements in Knowledge
  • Increased knowledge of the culture health of
    Guanajuato and their health care system.

67
Improvements in Attitude
  • Participants experience Culture shock,
  • as a result of being in a country where they
    are the minority.
  • Reverse role of minority (Bond Jones, 1994).
  • Feel new sense of appreciation for immigrants
    experiences in US due to language barriers and
    not being familiar with the country.

68
Professional Growth Cultural Competency Skills
  • Better Spanish speaking language skills.
  • Desire to work internationally in Mexico or
    Latin-America.
  • Develops confidence in ability to work with and
    communicate more effectively with Mexicans
    Mexican-Americans gain practice and hands-on
    field experiences working with Latinos.
  • Desire to plan, implement and evaluate culturally
    competent health education and health care
    programs to better serve Latinos in the region.

69
Benefits to University
  • Best practice methods are being developed to
    better prepare public health students and
    practitioners who are culturally competent in
    working with Latinos the fastest growing
    community in the US, PA, and Chester County.

70
Benefits to Local Mexican and Mexican-American
Community
  • Students, faculty and health professionals are
    better prepared to work with Mexicans
    Mexican-Americans due to their enhanced cultural
    competency skills.
  • Projects help improve the health/welfare of
    Mexicans and Mexican-Americans in our region.
  • More info emaildbill_at_wcupa.edu

71
West Chester UniversityPA GTO Health
SummitApril 5 10, 2009
  • Educational exchanges apart of
  • West Chester University (WCU) Guanajuato (Gto)
    Education Exchange Program in Health
  • -PA-Gto Health Summit at WCU
  • -You are invited to attend

72
West Chester UniversityPA GTO Health
SummitApril 5 10, 2009
  • Purpose to dialogue with key stakeholders from Pa
    and Gto for binational
  • health partnerships between states
  • Wed April 8th, 2009 at WCU, Skyes Ballroom 6-8
    pm, FREE, Open to all
  • First PA-Gto Binational Health Summit
  • Website West Chester University
  • College of Health Sciences to register

73
West Chester UniversityPA GTO Health
SummitApril 5 10, 2009
  • Website http//healthsciences.wcupa.edu
  • More info contact
  • Dr Debra Bill at dbill_at_wcupa.edu

74

  • BRIDGES
  • There are bridges in geography
  • from Manhattan to Brooklyn
  • There are bridges in music
  • from
    B flat to C
  • There are bridges in life

  • birth

  • marriage

  • death
  • There are bridges we can create/forge
  • between genders
  • between cultures
  • between people
  • and philosophies of healing
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