Presenting the work and learning of community health worker students

WELCOME

“PHOTOVOICE – REVEALING A NEW SONG IN THE EXISTING

CHOIR” A PRESENTATION BY:• ELIZABETH KELLY, PH.D., RN.,

CNS-CH, BC-HSP•MARION SCOTT, MSN., RN., BC-

HSP

EXAMPLES FROM THE EXISTING CHOIR

• FOUR DIFFERENT DEFINITIONS OF A CHW• LANGONE REPORT (2011)• ROBERT WOOD JOHNSON FDT

REPORT (2010)

PHOTOELICITATION -SHOWED

• WHAT DO YOU SEE IN THE PHOTOGRAPHS?• WHAT IS HAPPENING IN THE PHOTOGRAPHS?• HOW DOES THIS RELATE TO OUR LIVES?• WHY DOES THIS PROBLEM OR STRENGTH EXIST?• HOW CAN WE BECOME EMPOWERED BY OUR

NEW SOCIAL UNDERSTANDING?• WHAT CAN WE DO ABOUT ADDRESSING THESE

ISSUES? (WALLERSTEIN & BERNSTEIN, 1988)

NEW SONGS FROM CURRENT CHWs

• PRESENCE OF CHWS IN HOUSTON• GETTING TO KNOW THE COMMUNITY• CHWs LOOK CLOSELY AT COMMUNITY BASED

ISSUES – BREAST HEALTH, THE DOULA ROLE• CHW COMMUNITY BASED LEARNING

ACTIVITIES AND STRATEGIES• BREAST CANCER SURVIVORS BECOME CHWs• FUTURE SONGS FOR THE CHW TO SING

CHW PRESENCE IN HOUSTON

COMMUNITY HEALTH WORKERS ARE A PART OF HOUSTON’S HISTORY – 135 YEARS OF SERVICE

TO THE COMMUNITY AT GREATER ZION MISSIONARY CHURCH

A CURRENT CHW AT THE CHURCH

GETTING TO KNOW OUR COMMUNITIES

HOW ARE MY CHILDREN TO CROSS THIS BUSY STREET TO THE SCHOOL?

A GROCERY STORE

A GROCERY STORE

SOMEONE’S HOME

SOMEONE’S HOME

A WORSHIP CENTER

A WORSHIP CENTER

A PARK

A PARK

THIS SIGN SAYS A LOT

FILLING UP THE CAR

CLINIC

CLINIC AND HOSPITAL

CLINIC AND HOSPITAL

CHWs WORK WITH COMMUNITY BASED

HEALTH ISSUES –

EXAMPLE: BREAST HEALTH

Fifth Ward THE FIFTH WARD IS AN HISTORICAL POLITICAL DISTRICT LOCATED NORTHEAST OF DOWNTOWN HOUSTON.

•FEMALES 18-21, 21-40 ANDZZZ 45-60

HAVE VERY LITTLE SPECIFIC

INFORMATION AS IT RELATES TO BREAST

HEALTH IN FIFTH WARD.

BREAST HEALTH KNOWLEDGE IN THE 5TH WARD

• According to the City of Houston, Dept. of Health and Human Services , Office of Surveillance and Public Health Preparedness

• Females, 18 – 20, 21-44, 45-60, have very little specific information related to breast health

A CLOSER LOOK AT BREAST CANCER THROUGH THE EYES OF FORT BEND

COUNTY WOMEN

Non-Hispanic black women

make up 15% of the Fort Bend

County Population and

Comprise 18% of Breast Cancer incidence, yet

they account for 24% of all Breast Cancer Deaths…

African American women in Fort Bend County are

more likely to be diagnosed with Breast Cancer in later stages, with larger tumors, and have higher mortality rates than any other

group…

ANOTHER CHW PROGRAM COMMUNITY

BASED HEALTH ISSUE

THE DOULA PROGRAM

FEELING THE JOY FOR SOMEONE YET TO BE KNOWN

Hold My Hand

EVEN BABIES ARE SURPRISED THAT NOT ALL MOTHERS BREASTFEED

MAKING OUR CHW EDUCATION COME ALIVE

COMMUNITY BASED CHW ACTIVITIES

FOR CHANGE

STAY IN THE PINK, GET A MAMMOGRAM

WEAR THE PINK

TOGETHER WE GROW A BEAUTIFUL TREE

BREAST CANCER SURVIVORS BECOME

CHWs

AS SURVIVORS WE CAN ONLY SEE TO THE CORNER NOT AROUND IT, YET WE

REACH FOR IT

CAN YOU WALK IN MY SHOES AT AGE 24 WITH A BREAST CANCER DIAGNOSIS?

THE COURAGE TO GO ON

FUTURE SONGS COMING FROM CHWs

ON THE GROUNDALL ALONE

WHERE IS MY MOMMY?

Will There Be A Cure When I Grow Up?

REFLECTION, PARTICIPATION AND

PLANNING

PHOTOVOICE PRINCIPLES

• PARTICIPATORY, COLLABORATIVE FROM THE BEGINNING WITH THE COMMUNITY

• PHOTOGRAPHS HAVE A PURPOSE• PHOTOGRAPHS REVEAL A PERSON’S

EXPERIENCE• SHOW POSSIBILITIES FOR ACTION• ALLOWS FOR EVALUATION OF PERSON AND

COMMUNITY

PHOTOVOICE STRATEGIES

• CAPTURES VISUAL IMAGE OF ENVIRONMENT, EXPERIENCES TO SHARE WITH OTHERS

• “REVEALS DEPTH OF WAY THE WORLD WORKS,” (WANG, 1992)

• INCREASES INDIVIDUAL STATUS AND DEVELOPS COMMUNITY ACTION

• RAISES “CRITICAL CONSCIOUSNESS” (FRIERE, 1974)