Online Program

Reducing Health Disparities and Improving Health Equity in St. Lucia

Monday, November 2, 2015

Allyson Belton, MPH, Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA
Brian McGregor, PhD, Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA
Kisha Holden, PhD, MSCR, Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA
Lisa Charles, MD, Victoria Hospital, Castries, St. Lucia
Stephen King, MBBS, FRCPC, Senate, St. Lucia Government, Castries, St. Lucia
Daraka Satcher, JD, The Satcher Group, Atlanta, GA
Derrick Beech, MD, Surgery, Morehouse School of Medicine, Atlanta, GA
David Satcher, MD, PhD, Satcher Health Leadership Institute, Morehouse School of Medicine, Atlanta, GA
Prevalence rates and poor outcomes for hypertension and diabetes in St. Lucia mirror health disparities observed among African-Americans in the U.S.  We devised a pilot study to examine risk and protective factors among these populations. We aim to discern approaches to help reduce health disparities in St. Lucia that may serve as a replicable model framework in the U.S.

Patient information obtained:   identification of client needs, concepts/understanding of chronic disease, perceptions of healthcare treatment, and social determinants of health.  Providers/administrators information obtained:  healthcare experience, chronic disease management, challenges in healthcare treatment, and consensus-building.

Utilizing a mixed methods approach, adult clients at risk for/diagnosed with diabetes (n=157) and healthcare providers/administrators (n=39) were recruited from five (5) diverse St. Lucian-based healthcare facilities to assess their views on the aforementioned topics.  Content analyses of the qualitative data were conducted.  

Preliminary analyses of qualitative data indicate: an awareness of the relatively high prevalence of diabetes and other chronic illnesses; acknowledgement of socioeconomic status (SES) on the impact of diagnoses and health outcomes; and indication of a desire for better accessibility to healthcare services and improvements to existing healthcare infrastructures.

Based on the preliminary results, investigators acknowledge that culture, tradition, and values of St. Lucians are critical to developing culturally-tailored integrative healthcare to holistically address physical, mental, emotional, and behavioral problems.  Reducing health disparities may include research training and implementation, monitoring, and tracking of local, regional and national health policies, workforce development, community health education and promotion of culturally-centered prevention and intervention approaches.

Learning Areas:

Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Identify the chronic health conditions affecting Saint Lucians and discuss the current impact on the total population. Assess patient and provider views on health status, healthcare services, and existing challenges and opportunities to improve health equity. Formulate multi-dimensional, culturally-centered prevention and intervention strategies to help reduce health disparities in St. Lucia

Keyword(s): International Health, Health Disparities/Inequities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to give this presentation on this material because I oversee research of health disparities, health inequalities, and health policy pertaining to chronic disease management and prevention in underserved populations.
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.

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