Photovoice Essay – CHWs as Bridges between the Worldviews and Experiences
Photovoice is an innovative methodology grounded in CBPR principles which provides participants the opportunity to communicate information visually and create narratives to articulate their perspective to the researcher. The current study utilized Photovoice with ten French-African asylum-seekers living in Maine in order to document participants’ understanding of and experience with accessing healthcare and social services in a rural US state.
Findings elucidated the distinctions between participants’ African-based worldview from typical Western-based worldviews in the experience of health, disease and treatment. As is current practice, results from the Photovoice were shared with participants and contributed to the development of an intervention initiative. The critical role of the Community Health Worker in bridging and navigating the different worldviews will be discussed. We will discuss implications from the Photovoice including how such findings were used to inform the creation of a coordinated system of care model for uninsured persons post implementation of the Affordable Care Act.
Learning Areas:Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Public health or related research
Describe how the use of Photovoice can increase agency among participants, particularly those who are disenfranchised Describe how CBPR principles combine with Photovoice to increase participant involvement in intervention design Describe how Photovoice methodology can bridge participants’ worldview with researchers/public health professionals’ in order to create culturally relevant health initiatives
Keyword(s): Health Care Access, Immigrant Health
Qualified on the content I am responsible for because: I am the founder and Executive Director of Partnerships For Health and a trained clinical psychologist with expertise in qualitative research. I have taken the lead positions in various evaluation projects at a state and local level. I am a qualitative researcher with expertise in developmental evaluation, community based participatory research, and the use of innovative approaches such as Photovoice.
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.