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How student community health workers have come to observe and learn more about their communities in order to become change agents with the community.
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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)