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Similar to Maryland Network Against Domestic Violence (MNADV) Workshop - Providing Culturally Relevant Services to African Immigrants
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Maryland Network Against Domestic Violence (MNADV) Workshop - Providing Culturally Relevant Services to African Immigrants
- 1. CULTURAL AND SOCIETAL BARRIERS AND OBSTACLES TO SERVICES AND BEST PRACTICES NOVEMBER 15, 2016 Lillian Agbeyegbe, DrPH, CHES, CPH Executive Director
- 2. LEARNING OBJECTIVE • Discuss cultural reflections on faith and community values, and their impact on seeking services. • Societal obstacles to seeking services. • Discussion on best practices – both academic and intuitively.
- 3. OUTLINE • Understanding the African Immigrant • Cultural and Faith Perspective on Community Services • Societal obstacles to Seeking Services • Best Practices – Academic and Intuitive
- 4. WHO IS AN AFRICAN IMMIGRANT?
- 5. WHO IS AN AFRICAN IMMIGRANT?
- 9. MARRIAGE Non-African Immigrant Perspective: Two partners Involved Priority: Individuals Practice: Respond to individual discontentment
- 11. MARRIAGE African Immigrant (Faith) Perspective: An everlasting union Priority: Save marriage at all cost Practice: Overlook and endure
- 12. INTIMATE PARTNER VIOLENCE – NON-AFRICAN IMMIGRANT • Physical and Non-Physical • UnacceptablePerspective • Remove self and children • Seek help as necessaryPriority • Law enforcement • LegalPractice
- 13. INTIMATE PARTNER VIOLENCE – AFRICAN IMMIGRANT • Mainly physical • Should be toleratedPerspective • No “dirty linen” in public • Maintain “all is well” imagePriority • Non-disclosure • Seek faith family interventionPractice
- 14. SERVICES Food Stamps Thrift Store Counselling A means to an end PERSPECTIVE • Not culturally acceptable • For those “suffering” Ensure continuity in ability to function PRIORITY • Maintain appearances Seek services as necessary PRACTICE • Do not seek services • Do not accept when offered
- 15. SOCIETAL OBSTACLES - AWARENESS Individual Perception • Perceived Susceptability • Perceived Severity Modifying Factors • Demographic variables • Knowledge • Cues to Action Likelihood of Action • Perceived Benefits • Perceived Barrier Health Belief Model – 1950 by Hochbaum, Rosenstock and Kegels
- 16. SOCIETAL OBSTACLES - AWARENESS Behavior Environmental Factors Personal Factors • Social Cognitive Theory – Albert Bandura (1986, 1997) • Reciprocal Determinism • Self-Efficacy
- 17. SOCIETAL OBSTACLES – LAW ENFORCEMENT Amadou Diallo, Tamir Rice, Eric Garner, Aaron Sterling, Rumain Brisbon, Akai Gurley, Sean Bell
- 18. SOCIETAL OBSTACLES – LAW ENFORCEMENT • Trust • Gender • Training
- 20. SOCIETAL OBSTACLES – IMMIGRATION Spousal Visa No Documents VAWA U-Visa
- 21. BEST PRACTICES– ACADEMIC • Awareness of their values, beliefs and biases • Knowledge of their clients’ values, belief and cultural practices • Skills to use culturally appropriate and sensitive intervention strategies
- 22. BEST PRACTICES– ACADEMIC • Greater value for “Risk to others” • “Barriers” more important than “Risk”
- 23. BEST PRACTICES– ACADEMIC • Value on Spirituality • Lack of trust in system • Encourage greater collaboration and community participation
- 24. BEST PRACTICES– ACADEMIC • Go to family; Go to cultural/social leaders; Go outside community • Ally with “Progressive” leaders; Engage Women and leaders; Community Outreach
- 25. BEST PRACTICE – RISK COMMUNICATION Risk communication is an interactive process of exchange of information and opinion among individuals, groups, and institutions. It involves multiple messages about the nature of risk and other messages, not strictly about risk, that express concerns, opinions, or reactions to risk messages or to legal and institutional arrangements for risk management.” - National Research Council Committee (1989) Professional Knowledge African Immigrant Fear
- 26. BEST PRACTICES– INTUITION Building Survivor Trust • Beyond “Statistics” • Reality outside “Domestic Violence” Industry
- 27. BEST PRACTICES– INTUITION Survivor Educated Embraces “Foreign” Culture “Rejects” Own Culture Not-Educated Maintains Own Culture Embraces Foreign Culture Building Community Trust
- 28. ENGAGING RESEARCHERS African – born Immigrants Not African- American Study as distinct population
- 29. CALL TO ACTION • Two-way communicationC • Incorporate information into programsI • Community-wide educationE • Research to document population-specific knowledgeR
- 31. Contact Lillian Agbeyegbe, DrPH, CHES, CPH lilagbeyegbe@gmail.com www.therestofalife.com Tel: 469-878-6834