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WELCOME
“PHOTOVOICE – REVEALING A
   NEW SONG IN THE EXISTING
             CHOIR”
       A PRESENTATION BY:
• ELIZABETH KELLY, PH.D., RN.,
  CNS-CH, BC-HSP
• MARION SCOTT, MSN., RN.,
  BC-HSP
EXAMPLES FROM THE EXISTING
           CHOIR
• FOUR DIFFERENT DEFINITIONS
  OF A CHW
• LANGONE REPORT (2011)
• ROBERT WOOD JOHNSON FDT
  REPORT (2010)
PHOTOELICITATION -
              SHOWED
• WHAT DO YOU SEE IN THE PHOTOGRAPHS?
• WHAT IS HAPPENING IN THE PHOTOGRAPHS?
• HOW DOES THIS RELATE TO OUR LIVES?
• WHY DOES THIS PROBLEM OR STRENGTH EXIST?
• HOW CAN WE BECOME EMPOWERED BY OUR
  NEW SOCIAL UNDERSTANDING?
• WHAT CAN WE DO ABOUT ADDRESSING THESE
  ISSUES? (WALLERSTEIN & BERNSTEIN, 1988)
NEW SONGS FROM CURRENT CHWs
• PRESENCE OF CHWS IN HOUSTON
• GETTING TO KNOW THE COMMUNITY
• CHWs LOOK CLOSELY AT COMMUNITY BASED
  ISSUES – BREAST HEALTH, THE DOULA ROLE
• CHW COMMUNITY BASED LEARNING
  ACTIVITIES AND STRATEGIES
• BREAST CANCER SURVIVORS BECOME CHWs
• FUTURE SONGS FOR THE CHW TO SING
CHW PRESENCE IN
   HOUSTON
COMMUNITY HEALTH WORKERS ARE A PART OF
 HOUSTON’S HISTORY – 135 YEARS OF SERVICE
   TO THE COMMUNITY AT GREATER ZION
           MISSIONARY CHURCH
A CURRENT CHW
AT THE CHURCH
GETTING TO KNOW OUR
    COMMUNITIES
HOW ARE MY CHILDREN TO CROSS
THIS BUSY STREET TO THE SCHOOL?
A GROCERY STORE
A GROCERY STORE
SOMEONE’S HOME
SOMEONE’S HOME
A WORSHIP CENTER
A WORSHIP CENTER
A PARK
A PARK
THIS SIGN SAYS A LOT
FILLING UP THE CAR
CLINIC
CLINIC AND HOSPITAL
CLINIC AND HOSPITAL
CHWs WORK WITH
COMMUNITY BASED
  HEALTH ISSUES –

EXAMPLE: BREAST
    HEALTH
Fifth Ward
THE FIFTH WARD IS
AN HISTORICAL
POLITICAL
DISTRICT LOCATED
NORTHEAST OF
DOWNTOWN
HOUSTON.
•FEMALES 18-21, 21-40
  BREAST HEALTH KNOWLEDGE IN THE 5 WARD   TH

  ANDZZZ 45-60 HAVE
 • According to the City of • Females, 18 – 20, 21-44,
VERYDept. of
   Houston, LITTLE SPECIFIC   45-60, have very little

  INFORMATION AS health       related to breast IT
   Health and Human           specific information
   Services , Office of

  RELATES TO BREAST
   Surveillance and Public
   Health Preparedness

     HEALTH IN FIFTH
                     WARD.
A CLOSER LOOK AT BREAST CANCER
THROUGH THE EYES OF FORT BEND
       COUNTY WOMEN
Non-Hispanic black
 women make up 15%
   of the Fort Bend
County Population and
   Comprise 18% of
    Breast Cancer
  incidence, yet they
account for 24% of all
    Breast Cancer
       Deaths…
African American women in Fort
Bend County are more likely to be
 diagnosed with Breast Cancer in
 later stages, with larger tumors,
  and have higher mortality rates
      than any other group…
ANOTHER CHW
PROGRAM COMMUNITY
 BASED HEALTH ISSUE

THE DOULA PROGRAM
FEELING THE JOY FOR SOMEONE YET
          TO BE KNOWN
Hold My Hand
EVEN BABIES ARE SURPRISED THAT
 NOT ALL MOTHERS BREASTFEED
MAKING OUR CHW
EDUCATION COME ALIVE
COMMUNITY BASED CHW
     ACTIVITIES
    FOR CHANGE
STAY IN THE PINK, GET A
    MAMMOGRAM
WEAR THE PINK
TOGETHER WE GROW A BEAUTIFUL
            TREE
BREAST CANCER
SURVIVORS BECOME
      CHWs
AS SURVIVORS WE CAN ONLY SEE TO
THE CORNER NOT AROUND IT, YET WE
           REACH FOR IT
CAN YOU WALK IN MY SHOES AT AGE
    24 WITH A BREAST CANCER
          DIAGNOSIS?
THE COURAGE TO GO ON
FUTURE SONGS COMING
    FROM CHWs
ON THE GROUND
    ALL ALONE
WHERE IS MY MOMMY?
Will There Be A Cure When I Grow Up?
REFLECTION,
PARTICIPATION AND
    PLANNING
PHOTOVOICE PRINCIPLES
• PARTICIPATORY, COLLABORATIVE FROM THE
  BEGINNING WITH THE COMMUNITY
• PHOTOGRAPHS HAVE A PURPOSE
• PHOTOGRAPHS REVEAL A PERSON’S
  EXPERIENCE
• SHOW POSSIBILITIES FOR ACTION
• ALLOWS FOR EVALUATION OF PERSON AND
  COMMUNITY
PHOTOVOICE STRATEGIES
• CAPTURES VISUAL IMAGE OF ENVIRONMENT,
  EXPERIENCES TO SHARE WITH OTHERS
• “REVEALS DEPTH OF WAY THE WORLD
  WORKS,” (WANG, 1992)
• INCREASES INDIVIDUAL STATUS AND
  DEVELOPS COMMUNITY ACTION
• RAISES “CRITICAL CONSCIOUSNESS” (FRIERE,
  1974)

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Presenting the work and learning of community health worker students

Editor's Notes

  1. This presentation has three other authors who are not able to attend. We are grateful for their help with this presentationBonnie ZinkGloria RobinsonThe late Mary Harrison
  2. Incidence: a measure of the risk of developing some new condition within a specified period of time. Although sometimes loosely expressed simply as the number of new cases during some time period.New health promotion strategies are imperative or the death toll will keep rising.2011Expected Fort Bend & 2012 Expected Fort Bend
  3. This disparity is the focus of my presentation and portfolio… Mortality rate: the death rate, which reflects the number of deaths per unit of population in any specific region, age group, disease, or other classification, usually expressed as deaths per 1000, 10,000, or 100,000. Mosby's Medical Dictionary, 8th edition. © 20092011 County Fort Bend Cancer Stats