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Cultural Competency

Cultural Competency. Objectives. Understand what it means to be culturally competent. Know the requirements for Healthy Start coalitions concerning cultural competency. Assess our compliance with key indicators of community involvement, including cultural competency.

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Cultural Competency

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  1. Cultural Competency

  2. Objectives • Understand what it means to be culturally competent. • Know the requirements for Healthy Start coalitions concerning cultural competency. • Assess our compliance with key indicators of community involvement, including cultural competency.

  3. Essential Service 3 Inform, educate and empower people about health issues Essential Service 4 Mobilize community partnerships and action to solve health problems Essential Service 7 Link people to needed personal health services and assure the provision of healthcare when otherwise unavailable. Identify cultural, social, and behavior factors that affect health problems in our community Interact effectively with people from diverse cultural, socioeconomic, and educational backgrounds. Identify healthcare service needs in our community. Coordinate with other groups and agencies to ensure appropriate health care services are provided to our community. Adapt healthcare service programs to take into account cultural differences in our population. Public Health Competencies

  4. Objective 1 Understanding what it means to be culturally competent

  5. What is Cultural Competency? “Cultural and linguistic competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situations.” Based on Cross, T., Bazron, B., Dennis K., & Isaacs, M. (1998). Toward a Culturally Competent System of Care.

  6. What Does This Mean? • Cultural refers to integrated patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. • Competence implies having the capacity to function effectively as an individual and as an organization within the cultural beliefs, behaviors, and needs presented by consumers and their communities.

  7. And Why is it Important? Quite simply, health care services need to be respectful of and responsive to the health beliefs and practices, and cultural and linguistic needs of diverse patient populations. E.g., Did you know…. • African American children are hospitalized 3.6 times as often as White children for asthma, and are more likely to die. • Compared to White or African American students, Hispanic students are more likely to have considered suicide, made a suicide plan, and attempted suicide. • The incidence of cervical cancer is more than 5 times greater among Vietnamese women in the United States than among White women. Vietnamese women are 47% less likely to get PAP smears. • Some American Indian cultures believe that mentioning an illness will cause the illness.

  8. And Why Else…. Despite improvements in overall health for most Americans, health disparities continue to disproportionately affect minority populations. AND Within our lifetimes, nearly half of the nation’s population will be from cultures other than White, non-Hispanic, increasing our needs to provide culturally-competent medical services to patients of diverse cultures or languages.

  9. Escambia County Perinatal Health Status 2001-2005

  10. Need for Project • PPOR Study data • Maternal health cell has highest association with fetal and infant death • In Escambia County, African-American women at greatest risk • PRAMS data • High rates of women who smoke prior, during and after pregnancy • High rates of unintended pregnancies • Low rates of women taking folic acid prior to pregnancy • FIMR data • High rates of unplanned pregnancies • Medical conditions of mother

  11. Objective 2 What are the requirements for Healthy Start coalitions concerning cultural competency?

  12. Primary Responsibility of Healthy Start To develop a comprehensive system of care for pregnant women and infants within the coalition’s catchment area.

  13. Healthy Start Standards & Guidelines • Guide to implementing Healthy Start and the use of Healthy Start funds. • Outlined in Florida Administrative Code • Used to monitor Healthy Start coalitions and Healthy Start services

  14. Specific Requirements • Community representation • Community relationships • Community involvement • Community needs assessment and • Community education

  15. Community Representation Healthy Start membership and staff shall represent the racial, ethnic, and gender composition of the catchment population

  16. Community Relationships Healthy Start coalitions shall establish relationships with community leaders and organizations to develop processes and support for community involvement, mobilization and advocacy.

  17. Community Involvement Community-based and grassroots organizations shall be involved in the needs assessment, strategic planning, funding allocation, implementation,and evaluation processes that define perinatal health issues/problems, potential solutions, and strategies.

  18. Community Needs Assessment The coalition shall consider current social, psychosocial, economic and environmental issues in the community that impact perinatal health outcomes in its planning process. The coalition shall create or take advantage of opportunities that address these community issues.

  19. Community Education The coalition shall regularly report to the community on services, education and health outcomes through the utilization of various communication methods that are appropriate for diverse segments of the population.

  20. What Have We Done? • Annual perinatal health status reviews • Fetal and Infant Mortality reviews • Racial disparities study • Small area (zip code) analyses • PPOR studies • Prematurity study • Annual Action Plan Update • Board and coalition development strategy • Community involvement strategy • Community education strategy

  21. What More Should We Do? • Provide cultural competency training to our board, staff, and providers. • Assure every component of our Healthy Start program addresses the cultural diversity of our population. • Form cooperative agreements with community agencies. • Use cultural competence as a criterion for recruitment and selection decisions. • Make our offices friendly and inviting to our clients and families. • Learn about our clients’ culture.

  22. Objective 3 Continually assess our compliance with key indicators of community involvement, including cultural competency.

  23. Our Challenge Cultural Competence Linguistic Competence Community Engagement Partnership Between Professionals & Consumers

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