142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

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Building capacity in nutrition & diabetes education in the Bhutanese refugee community in Tucson

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 10:30 AM - 10:45 AM

Kristen O'Flarity, MPH , Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ
Ram Upreti, BS , Bhutanese Mutual Assistance Association of Tucson (BMAAT), Tucson International Alliance of Refugee Communities (TIARC), Tucson, AZ
Soraya Franco, BS , Pima County Health Department, Women, Infant, & Children's Program, Tucson, AZ
Kasey Brixius, MS, RD , University of Arizona Nutrition Network, Tucson, AZ
Purna Budathoki, BA , Bhutanese Mutual Assistance Association of Tucson (BMAAT), Tucson, AZ
Santa Gurung, BS , Bhutanese Mutual Assistance Association of Tucson (BMAAT), Tucson, AZ
Bishnu Tiwari, BA , Bhutanese Mutual Assistance Association of Tucson (BMAAT), Tucson, AZ
Karen A. Heckert, PhD, MPH, MSW , Health and Human Performance Department, Central Oregon Community College, Bend, OR
Bhutanese refugees are among the largest resettled groups in Pima County, Arizona. Resettled refugees suffer from a variety of health conditions following their long residence in refugee camps and as they make the significant adjustment to living in the United States, including nutrition related diseases.  This community-led project aimed to continue and expand a multi-phased capacity building education model and partnership led by the University of Arizona Mel & Enid Zuckerman College of Public Health in collaboration with the Bhutanese Mutual Assistance Association of Tucson (BMAAT) and the Pima County Health Department (PCHD).   Project goals were: 1) to increase the Bhutanese refugee community’s capacity to address their own health needs by training 12 BMAAT Community Health Promoters, 2) to increase access to health information & services for the Bhutanese through nutrition & diabetes education and outreach, and 3) to increase the cultural capacity of mainstream health service providers to serve the refugee community.  A comprehensive and culturally tailored curriculum was developed and evaluation tools were tested to measure program progress and outcomes. Among the program results were: 12 trained BMAAT Community Health Promoters, 8 community outreach sessions with 200 adult Bhutanese, increased enrollment in PCHD’s WIC, Food Plus, and Health Start programs, and the new role for the BMAAT Community Health Promoters as reliable & informed human resources.  This project will be sustained through the ongoing university-community partnerships. The model will be replicated with other refugee groups through the Refugee Integrated Service Providers Network (RISP-Net).

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the social, political and cultural factors that forced the Bhutanese to become refugees in Nepal. Discuss the partnership’s 2-stage process that has enabled the Bhutanese community in Tucson to build its competence and confidence to effectively promote and access healthcare services. Explain the methods used to design a culturally appropriate nutrition & diabetes community health promoter project for Bhutanese refugees.

Keyword(s): Community-Based Partnership & Collaboration, Nutrition

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: The past five years have been dedicated to understanding culturally appropriate curriculum and program design through rigorous study and application. I have spent the past year working closely with the Bhutanese refugee community and their leadership in Pima County in order to plan, implement, and evaluate this innovative community-based project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.