Plenary 1: The Hospital – A Staff Empowering ... - HPH-Conference

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Parallel Sessions Parallel Sessions 1: Thursday, April 12, 2007, 11.00-12.30 The programme objective is to raise migrant women’s awareness of: � Their rights to health and quality health care. � The use of social and health services during pregnancy and the post-partum period. � Contraceptive methods in order to improve sexual consciousness and reduce abortion. � Cancer screening. The strategies involved are: � Promoting health literacy among migrant women � Involvement and empowerment of migrant communities, particularly of women � Health operator and cultural mediator training � Production of multimedia health promotion materials on reproductive health in several different languages (audio CD with information booklet and sub-titled video) � Networking � Health education and information about social and health services � Mass media awareness The Mum Health Programme, that included participatory mechanisms for monitoring and evaluating the activities, has been conceived in collaboration with all the Tuscan local health authorities and is co-ordinated by L'albero della Salute, the Reference Structure for Cultural Mediation in Health. Connex to HPH Mum Health aims to instil a sense of responsibility for health, particularly reproductive health, among migrant women within the Tuscan territory, to the greater benefit of child and adult well-being. The programme aims to develop women’s health skills and to promote access to health services through participatory events and empowerment of migrant women and communities. Experiences of countries with high immigration rates, such as England, have shown the value of involving migrant groups in the implementation of programmes, promoting the health services’ proactive offer role, which involves focussing on people’s needs and their own ability to meet them. Mum Health is concerned with ‘global’ health, which is an indivisible and undivided asset, which links individual health to that of the environment and social networks. It therefore aims to foster situations of awareness and exchange between people of various different origins, types, cultural and linguistic backgrounds who all inhabit the same territory. Contact Manila BONCIANI Reference Structure for Cultural Mediation in Health, Tuscany Region L'albero della Salute Via di Galceti, 64 59100 Prato ITALY +39 057 469 22 78 info@alberodellasalute.org http://alberodellasalute.org A multicultural information campaign against breast cancer Gianni Saguatti, Rosa Costantino, Massimiliano Di Toro Mammarella This project is based on an intercultural communication campaign for the early diagnosis of breast cancer designed specifically to reach hard to reach groups as women belonging to minority ethnic groups. The underlying idea is to use different communication strategies to deliver health directly to communities, engaging them directly in health issues and to foster widespread awareness about health promotion within each community as a whole. The methodology chosen to reach the target communities involved face-to-face, awareness-raising meetings supported by information and communication campaigns, through the involvement of NGOs, using cross-cultural mediators to facilitate meetings and to translate information material. The indirect information campaign opted for synthetic, easy to understand language, and the brochures produced in the languages of the different target groups (Chinese, Philippino, Russian, Romanian, Albanian, Arabic) were edited to take into account cultural diversities and the specific needs identified in collaboration with the cross-cultural mediators, rather than merely translated from the original Italian text. The in-depth discussion of health issues and screening techniques only took place in face-to-face meetings and in the course of the constant search for feedback from the women that took part in them. Early diagnosis and / or screening tests for breast cancer were planned and coordinated with the support of cultural mediators. The fact that screening actions were spread out among various local surgeries and the breast care department of the hospital demonstrated the great flexibility of the organisation, both in terms of the different facilities used and the times of opening, which was one of the success factors. Outcomes � Synergy between hospital and public health department � Awareness raising meeting on specific nationality with high level of “quality” � Active participation of stakeholders, strategic mouth to mouth communication � Higher participation in the diagnostic tests coompared to the prevision � Letters, leaflets and documents translated into 6 languages Connex to HPH HPH is about promoting health for all, garanteeing equal access to services provided, implementing partnerships with institutions, associations and NGOs like the cross cultural mediation, and promoting active participation of users and stakeholders in the planning of actions, developing actions in 28
Parallel Sessions Parallel Sessions 1: Thursday, April 12, 2007, 11.00-12.30 the community, developing personal skills and re-orienting health services. Contact Dr. Rosa COSTANTINO Executive Manager - Research and International Relation Azienda USL di Bologna Via Castiglione, 29 40124 Bologna ITALY +39 051 658 59 04 rosa.costantino@ausl.bologna.it http://ausl.bologna.it Bridging language and literacy barriers to improve access to health Susan R. Himel, Marg Muir The Consumer Health Information-Diversity Outreach Project was initiated to address the increasing health information needs of a growing number of non-English speaking immigrants living in West Toronto. This finding had previously been identified in recommendations of a Multi-cultural Needs Assessment. The overall project goal is to address the health promotion, education and outreach issues related to interpretation, health information and disease prevention services for culturally diverse and lower literacy community members. This hospital-community collaborative project uses a community engagement and inclusion approach to address the issues that currently limit health system access for non-English speakers. Collaboration also helps ensure the project's cultural relevance and longer-term ustainability. Results to date consist of many multi-language service enhancements. These include pilot "health hotlines" in other languages for accessing interpreters, health information, community referral and 'find a doctor' services, and improved awareness of existing multilanguage resources. Ongoing is the development and evaluation of the new resources, services and methods of service delivery. Over the coming year, the multi-cultural health information capacity of providers and the awareness and delivery of these resources to diverse communities will be improved. These enhancements will lead to more equitable access to healthcare system services and resources, and increased health literacy amongst multi-cultural community members themselves. This oral presentation will describe the project, its development, the innovations and results to date in more detail, with a focus on the methods and approaches used that address health literacy and socio-cultural determinants of health. Contact BA (Hon), MES Susan R. HIMEL Coordinator, Health Information and Wellness Trillium Health Centre 100 Queensway West Mississauga ON L5B 1B8 CANADA +1 905 848 75 80 shimel@thc.on.ca http://www.trilliumhealthcentre.org/health 29
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Plenary 1: The Hospital – A Staff Empowering ... - HPH-Conference

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