A Cultural Competence Organizational Review for community health services : Insights from a participatory approach
- Authors: Truong, Mandy , Gibbs, Lisa , Pradel, Veronika , Morris, Michal , Gwatirisa, Pauline , Tadic, Maryanne , De Silva, Andrea , Hall, Martin , Young, Dana , Riggs, Elisha , Calache, Hanny , Gussy, Mark , Watt, Richard , Gondal, Iqbal , Waters, Elizabeth
- Date: 2017
- Type: Text , Journal article
- Relation: Health Promotion Practice Vol. 18, no. 3 (2017), p. 466-475
- Full Text: false
- Reviewed:
- Description: Cultural competence is an important aspect of health service access and delivery in health promotion and community health. Although a number of frameworks and tools are available to assist health service organizations improve their services to diverse communities, there are few published studies describing organizational cultural competence assessments and the extent to which these tools facilitate cultural competence. This article addresses this gap by describing the development of a cultural competence assessment, intervention, and evaluation tool called the Cultural Competence Organizational Review (CORe) and its implementation in three community sector organizations. Baseline and follow-up staff surveys and document audits were conducted at each participating organization. Process data and organizational documentation were used to evaluate and monitor the experience of CORe within the organizations. Results at follow-up indicated an overall positive trend in organizational cultural competence at each organization in terms of both policy and practice. Organizations that are able to embed actions to improve organizational cultural competence within broader organizational plans increase the likelihood of sustainable changes to policies, procedures, and practice within the organization. The benefits and lessons learned from the implementation of CORe are discussed. © 2017, Society for Public Health Education.
Child oral health in migrant families : A cross-sectional study of caries in 1-4 year old children from migrant backgrounds residing in Melbourne, Australia
- Authors: Gibbs, Lisa , De Silva, Andrea , Christian, Bradley , Gold, Lisa , Gussy, Mark , Moore, Laurence , Calache, Hanny , Young, Dana , Riggs, Elisha , Tadic, Maryanne , Watt, Richard , Gondal, Iqbal , Waters, Elizabeth
- Date: 2016
- Type: Text , Journal article
- Relation: Community Dental Health Vol. 33, no. 2 (2016), p. 100-106
- Full Text: false
- Reviewed:
- Description: Early Childhood Caries (ECC) is the most common, preventable disease of childhood. It can affect children’s health and wellbeing and children from migrant families may be at greater risk of developing ECC. Objective: To describe ECC in children from migrant families, and explore possible influences. Basic research design: Cross-sectional analysis of caries data collected as baseline data for an oral health promotion study. Participants: The analysis sample included 630 1-4 year-old children clustered within 481 Iraqi, Lebanese and Pakistani families in Melbourne, Australia. Method: Child participants received a community-based visual dental examination. Parents completed a self-administered questionnaire on demographics, ethnicity, and oral health knowledge, behaviour and attitudes. Main outcome measure: Child caries experience. Bivariate associations between oral health behaviours and ethnicity were tested for significance using chi-square. Multivariate logistic regression analyses were performed to identify associations with ECC, adjusting for demographic variables and accounting for clustering by family. Results: Overall, 34% of children in the sample experienced caries (both non-cavitated and cavitated). For all caries lesions, parent’ length of residence in Australia, consumption of sweet drinks and parental education remained as independent predictors of child caries experience. Adding sugar to drinks was an additional risk factor for cavitation. Ethnicity was associated with some individual oral health behaviours suggesting cultural influences on health, however the relationship was not independent of other predictors. Conclusion: Culturally competent oral health promotion interventions should aim to support migrant families with young children, and focus on reducing sweet drink consumption. © BASCD 2016.