Participatory Rural Appraisal for Community Assessment of Health Needs in Rural Haiti: A Pilot Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/621998
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Participatory Rural Appraisal for Community Assessment of Health Needs in Rural Haiti: A Pilot Study
Other Titles:
Community-Based Health Promotion
Author(s):
Knowles, Amy L.; Neal, Penelope Lynn
Lead Author STTI Affiliation:
Epsilon Sigma-at-Large
Author Details:
Amy L. Knowles, PhD, MPH, RN, Professional Experience: 2009-Present, Assistant Professor, King College, Bristol, TN 2004-2009, Research Nurse Coordinator, University of Tennessee College of Veterinary Medicine, Knoxville, TN 1995-2004, Public Health Nurse, Knox County Health Department, Knoxville, TN Responsible for teaching and research to RN-BSN and MSN students on topics related to social and cultural perspectives of healthcare and ethical issues. Received Excellence in Research Award by Sigma Theta Tau Gamma Chi chapter. Recipient of training preceptorship at Radiation Effects Research Foundation in Hiroshima, Japan. Numerous presentations at local, state, and national scientific meetings. Author Summary: Dr. Amy Knowles teaches in the RN-BSN, MSN, and DNP programs at King University in Knoxville, Tennessee and has experience in qualitative research. She first began serving in Haiti in 1993, and has maintained frequent visits within the country. Dr. Knowles also global health experience in with atomic bomb survivors in Hiroshima, Japan and worked as the Director of the Global Health Development with the Medical Benevolence Foundation.
Abstract:

Purpose:

The country of Haiti has a population of 10 million people and is the poorest country in the Western Hemisphere. The nation ranks 168 out of 187 on the Human Development Index (WHO.int; MidwivesforHaiti.org). While there has been limited research in Haiti, the majority of previous work focuses on specific disease topics, such as Human Immunodeficiency Virus (HIV) transmission and prevention (Conserve et al., 2014). What is missing from the literature is a comprehensive review of the significant health issues affecting Haitians, especially in the rural areas, and an opportunity of empowering the locals to participate in identifying their greatest health challenges and prioritizing their health needs. The purpose of this study was to gain a better understanding of the comprehensive health needs of a rural village in Haiti. Knowledge gained from this study will be utilized for the development of a community health nursing program, which will embed healthcare workers into remote Haitian communities.

Methods:

The Conceptual Model for Partnership and Sustainability in Global Health served as the framework for this study (Leffers & Mitchell, 2010). The Participatory Rural Appraisal (PRA) methodology, as endorsed by the World Health Organization as a best practice (Loewenson et al., 2014), was utilized to identify particular health needs of the community and develop strategies and priorities for health needs and interventions. This type of participatory action research generates knowledge of a social system with the aim of bringing about change (Sethi & Belliard, 2009).

Results:

Results from the PRA mapping, scoring, transect walk and focus group discussions were analyzed for trends and themes. Findings from this study prioritize the overall health and community needs as determined by the community members. A desire for mutual goal setting and community ownership of strategies to improve health was discovered. Additionally, sustainable partnerships with mutual health and education goals are needed to optimize the health of the community.

Conclusion:

This research provided partnerships with community leaders to empower them to identify and develop strategies to address their own health needs. This completed pilot study will be replicated into other rural communities and knowledge gained from this community assessment will be used to assist in training of community health nurses. A follow-up PRA of the selected community will be conducted after a community health nurse initiative has been embedded in the region to determine effectiveness of the program.

Keywords:
community health planning; global health; Haiti
Repository Posting Date:
20-Jul-2017
Date of Publication:
20-Jul-2017
Other Identifiers:
INRC17O13
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleParticipatory Rural Appraisal for Community Assessment of Health Needs in Rural Haiti: A Pilot Studyen_US
dc.title.alternativeCommunity-Based Health Promotionen
dc.contributor.authorKnowles, Amy L.en
dc.contributor.authorNeal, Penelope Lynnen
dc.contributor.departmentEpsilon Sigma-at-Largeen
dc.author.detailsAmy L. Knowles, PhD, MPH, RN, Professional Experience: 2009-Present, Assistant Professor, King College, Bristol, TN 2004-2009, Research Nurse Coordinator, University of Tennessee College of Veterinary Medicine, Knoxville, TN 1995-2004, Public Health Nurse, Knox County Health Department, Knoxville, TN Responsible for teaching and research to RN-BSN and MSN students on topics related to social and cultural perspectives of healthcare and ethical issues. Received Excellence in Research Award by Sigma Theta Tau Gamma Chi chapter. Recipient of training preceptorship at Radiation Effects Research Foundation in Hiroshima, Japan. Numerous presentations at local, state, and national scientific meetings. Author Summary: Dr. Amy Knowles teaches in the RN-BSN, MSN, and DNP programs at King University in Knoxville, Tennessee and has experience in qualitative research. She first began serving in Haiti in 1993, and has maintained frequent visits within the country. Dr. Knowles also global health experience in with atomic bomb survivors in Hiroshima, Japan and worked as the Director of the Global Health Development with the Medical Benevolence Foundation.en
dc.identifier.urihttp://hdl.handle.net/10755/621998-
dc.description.abstract<p><strong><strong>Purpose:</strong></strong></p> <p>The country of Haiti has a population of 10 million people and is the poorest country in the Western Hemisphere. The nation ranks 168 out of 187 on the Human Development Index (WHO.int; MidwivesforHaiti.org). While there has been limited research in Haiti, the majority of previous work focuses on specific disease topics, such as Human Immunodeficiency Virus (HIV) transmission and prevention (Conserve et al., 2014). What is missing from the literature is a comprehensive review of the significant health issues affecting Haitians, especially in the rural areas, and an opportunity of empowering the locals to participate in identifying their greatest health challenges and prioritizing their health needs. The purpose of this study was to gain a better understanding of the comprehensive health needs of a rural village in Haiti. Knowledge gained from this study will be utilized for the development of a community health nursing program, which will embed healthcare workers into remote Haitian communities.</p> <p><strong>Methods:</strong></p> <p>The Conceptual Model for Partnership and Sustainability in Global Health served as the framework for this study (Leffers & Mitchell, 2010). The Participatory Rural Appraisal (PRA) methodology, as endorsed by the World Health Organization as a best practice (Loewenson et al., 2014), was utilized to identify particular health needs of the community and develop strategies and priorities for health needs and interventions. This type of participatory action research generates knowledge of a social system with the aim of bringing about change (Sethi & Belliard, 2009).</p> <p><strong>Results:</strong></p> <p>Results from the PRA mapping, scoring, transect walk and focus group discussions were analyzed for trends and themes. Findings from this study prioritize the overall health and community needs as determined by the community members. A desire for mutual goal setting and community ownership of strategies to improve health was discovered. Additionally, sustainable partnerships with mutual health and education goals are needed to optimize the health of the community.</p> <p><strong>Conclusion:</strong></p> <p>This research provided partnerships with community leaders to empower them to identify and develop strategies to address their own health needs. This completed pilot study will be replicated into other rural communities and knowledge gained from this community assessment will be used to assist in training of community health nurses. A follow-up PRA of the selected community will be conducted after a community health nurse initiative has been embedded in the region to determine effectiveness of the program.</p>en
dc.subjectcommunity health planningen
dc.subjectglobal healthen
dc.subjectHaitien
dc.date.available2017-07-20T19:42:02Z-
dc.date.issued2017-07-20-
dc.date.accessioned2017-07-20T19:42:02Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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