Emergency Preparedness Training of Tribal Community Health Representatives

2011 ◽  
Vol 14 (2) ◽  
pp. 323-329 ◽  
Author(s):  
Lisle S. Hites ◽  
Brenda S. Granillo ◽  
Edward R. Garrison ◽  
Adriana D. Cimetta ◽  
Verena J. Serafin ◽  
...  
Keyword(s):  
Community Health ◽  
Emergency Preparedness ◽  
Tribal Community ◽  
Community Health Representatives

Health Literacy in Dentistry and Navajo Nation Community Health Representatives

2016 ◽  
Vol 6 (6) ◽  
Author(s):  
Steven P. Geiermann ◽  
◽  
Mae-Gilene Begay ◽  
Lindsey Robinson ◽  
Sharon Clough ◽  
...  
Keyword(s):  
Health Literacy ◽  
Community Health ◽  
Navajo Nation ◽  
Community Health Representatives

scholarly journals Exploring the Ethical Dimensions of All-Hazards Public Health Emergency Preparedness in Canada

2019 ◽  
Vol 34 (s1) ◽  
pp. s20-s20
Author(s):  
Alexa Caturay ◽  
Tracey O’Sullivan ◽  
Jennifer Gibson ◽  
Alison Thompson ◽  
Yasmin Khan
Keyword(s):  
Public Health ◽  
Community Health ◽  
Emergency Preparedness ◽  
Ad Hoc ◽  
Emerging Infectious Diseases ◽  
Emergency Situation ◽  
Structured Interview ◽  
Public Health Emergency ◽  
Ethical Implications ◽  
Public Health Emergency Preparedness

Introduction:With increasing disaster risks from extreme weather, climate change, and emerging infectious diseases, the public health system plays a crucial role in community health protection. The disproportionate impacts of disaster risks demonstrate the need to consider ethics and values in public health emergency preparedness (PHEP) activities. Established PHEP frameworks from many countries do not integrate ethics into operational approaches.Aim:To explore the ethical dimensions of all-hazards public health emergency preparedness in Canada.Methods:A qualitative study design was employed to explore key questions relating to PHEP. Six focus groups, using the Structured Interview Matrix (SIM) format, were held across Canada with 130 experts from local, provincial, or federal levels, with an emphasis on local/regional public health. An inductive approach to content analysis was used to develop emergent themes, and iteratively examined based on the literature. This paper presents analyses examining the dimensions of ethics and values that emerged from the focus group discussions.Results:Thematic analysis resulted in the identification of four themes. The themes highlight the importance of proactive consideration of values in PHEP planning: challenges in balancing competing priorities, the need for transparency around decision-making, and consideration for how emergencies impact both individuals and communities.Discussion:Lack of consideration for the ethical dimensions of PHEP in operational frameworks can have important implications for communities. If decisions are made ad-hoc during an evolving emergency situation, the ethical implications may increase the risk for some populations, and lead to compromised trust in the PHEP system. The key findings from this study may be useful in influencing PHEP practice and policy to incorporate fairness and values at the core of PHEP to ensure readiness for emergencies with community health impacts.

Community Health Centers and Emergency Preparedness: An Assessment of Competencies and Training Needs

2008 ◽  
Vol 33 (4) ◽  
pp. 241-247 ◽  
Author(s):  
Elizabeth Ablah ◽  
Annie M. Tinius ◽  
Leslie Horn ◽  
Chris Williams ◽  
Kristine M. Gebbie
Keyword(s):  
Community Health ◽  
Emergency Preparedness ◽  
Community Health Centers ◽  
Training Needs ◽  
Health Centers ◽  
And Training ◽  
Assessment Of Competencies

The Relationship Between Perceptions of Emergency Preparedness, Disaster Experience, Health-Care Provider Education, and Emergency Preparedness Levels

2018 ◽  
Vol 38 (4) ◽  
pp. 233-243 ◽  
Author(s):  
Charleen C. McNeill ◽  
Tim S. Killian ◽  
Zola Moon ◽  
Kelly A. Way ◽  
M. E. Betsy Garrison
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Provider ◽  
Care Provider ◽  
Emergency Preparedness ◽  
Medical Condition ◽  
Care Providers ◽  
Disaster Experience ◽  
Personal Experiences ◽  
Health Related

Objective The purpose of this study was to assess the self-reported level of individual emergency preparedness, the dependent variable, of people who attended a community health-related fair. The study’s independent variables included demographic characteristics, perceptions of preparedness, previous disaster experience, and the presence of a medical condition and were used to examine the variability in self-reported emergency preparedness levels. Methods Data came from attendees at two community health-related fairs. Multivariate analysis on 188 participants was performed. A model predicting preparedness levels with demographic variables was constructed; successive models were built adding perceptions of preparedness, personal experiences with disasters, and presence of a medical condition. Results Preparedness levels varied little across sociodemographic dimensions explaining virtually no variance in overall preparedness. Subsequent models adding perceptions of preparedness and personal experiences significantly increased the explained variance to 40%. Of participants who reported a medical condition, the model including discussions about emergency preparedness with health-care providers explained 67% of the variance in overall preparedness levels. Conclusion The strong, positive relationship between the health-care provider and preparedness levels indicates a pathway for effecting change in preparedness levels and ultimately community health after an emergency. The inclusion of such education at community events should be considered. Research agendas should include providing evidence for the contents of disaster supply kits.

scholarly journals Integrating community health representatives with health care systems: clinical outcomes among individuals with diabetes in Navajo Nation

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Letizia Trevisi ◽  
John E. Orav ◽  
Sidney Atwood ◽  
Christian Brown ◽  
Cameron Curley ◽  
...  
Keyword(s):  
Community Health ◽  
Clinical Outcomes ◽  
Glycosylated Hemoglobin ◽  
Density Lipoprotein ◽  
Community Outreach ◽  
Trial Registration ◽  
Navajo Nation ◽  
Difference In Differences ◽  
Community Health Representatives ◽  
The Impact

Abstract Background We studied the impact of Community Outreach and Patient Empowerment (COPE) intervention to support Community Health Representatives (CHR) on the clinical outcomes of patients living with diabetes in the Navajo Nation extending into the States of Arizona, Utah, and New Mexico. The COPE intervention integrated CHRs into healthcare teams by providing a structured approach to referrals and home visits. Methods We abstracted routine clinical data from the Indian Health Service’s information system on individuals with diabetes mellitus seen at participating clinical sites from 2010 to 2014. We matched 173 COPE participants to 2880 patients with similar demographic and clinical characteristics who had not participated in COPE. We compared the changes in clinical outcomes between the two groups using linear mixed models. Results Over the four years of the study, COPE patients had greater improvements in glycosylated hemoglobin (− 0.56%) than non-COPE participants (+ 0.07%) for a difference in differences of 0.63% (95% confidence interval (CI): 0.50, 0.76). Low-density lipoprotein fell more steeply in the COPE group (− 10.58 mg/dl) compared to the non-COPE group (− 3.18 mg/dl) for a difference in differences of 7.40 mg/dl (95%CI: 2.00, 12.80). Systolic blood pressure increased slightly more among COPE (2.06 mmHg) than non-COPE patients (0.61 mmHg). We noted no significant change for body mass index in either group. Conclusion Structured outreach by Community Health Representatives as part of an integrated care team was associated with improved glycemic and lipid levels in the target Navajo population. Trial registration Trial registration: NCT03326206. Registered 31 October 2017 - Retrospectively registered, https://clinicaltrials.gov/ct2/show/study/NCT03326206.

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