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Even A Meadow Can Be A Jungle

Even A Meadow Can Be A Jungle. Anat Jaffe. What Why How Relevance Recognition, cooperation and funding Challenges Sustainability. What?. A program designed to serve the Ethiopian immigrant community in Israel Health promotion and awareness A community-outreach program

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Even A Meadow Can Be A Jungle

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  1. Even A Meadow Can Be A Jungle Anat Jaffe

  2. What • Why • How • Relevance • Recognition, cooperation and funding • Challenges • Sustainability

  3. What? • A program designed to serve the Ethiopian immigrant community in Israel • Health promotion and awareness • A community-outreach program • Implemented by Ethiopian Israelis • A community-based program

  4. Why? • Frustration -Professional -Personal • Mission- to promote health and improve the accessibility to health care services of Ethiopian immigrants to Israel • Highly motivated founder: Combination of Ideology, rational and emotion

  5. How? • Get to know more.. -The NE people who work with, -The E people representatives, “Bad figures in the hand” Conceptually an asymptomatic disease is “not a disease”

  6. How? • Get to know more.. -The NE people who work with, -The E people representatives, - The E people -Health knowledge -Health beliefs, A physician “who can’t cure the disease, is not a good doctor”. By extension the chronic asymptomatic situation is not understood

  7. How? • Get to know more.. • Create an interested party - The steering committee -Absorption & immigration -Community representative -Welfare -National Insurance Institute -Ministry of Health -Clalit HMO -Joint Distribution Committee (JDC), -Israel Jewish Agency (JAFI) -Academia

  8. How? • Get to know more.. • Create an interested party - The steering committee • Set goals and objectives -Ethiopian community oriented -Health care providers oriented -Research & documentation -Health awareness leadership -Self-directing of the project -Legislation and implementation

  9. How?Objectives • Creation of an infrastructure for working in the community

  10. Infrastructure-the key and the heart of the project • Group: Creation of a “Health Awareness Leadership” • Ministry of health Accredited training • Graduation ceremony • Continuing training in Israel and USA • Implant new concepts of Western chronic diseases and overcome cultural obstacles • “Updating” needs from the community • Develop educational materials. Graduation Ceremony

  11. How? Objectives • Creation of an infrastructure • Development of culturally appropriate educational materials

  12. How? Objectives • Creation of an infrastructure • Culturally appropriate educational materials • Strengthening cultural pride-Dancing-Music-Art-Traditional story teller -Food-Emphasize social and family support

  13. Products and activities • Computerized presentations: life style, health and disease, nutrition, physical activity, oral health, handling drugs • Educational films: What is diabetes, healthy life style • Pamphlets: nutrition for dietitians, foot –care, oral-hygiene • Games: issues in nutrition • Recipes: for cooking classes

  14. Products and activities • Workshops, lectures • Health days • Cooking classes • Radio health program [national] • “Call for Health”-Telephone medical interpreting • Researches: prevalence of diabetes mellitus and cardiovascular risk factors, nutritional habits in Israel, health beliefs and attitudes, utilization of health care services

  15. Relevance • During lectures:-What do people ask?-What are the answers? -What does it mean? • Rating: -How many people attend? • External turns to staff: -By direct phone calls -Byindirect calls [social, community workers, HCP] • Formal evaluation -Internal[satisfaction, readiness to make changes in life style] -External[effectiveness, process, sticking to goals] • Reorganization: -Personnel change, Independent NGO

  16. Recognition, cooperation and funding • Formal base: -Under the umbrella of government-MC [administration, contact with key ministries and organizations] • Wide-scale representationin key institutions and organizations • Exposure: -Community events, Other Ethiopian organizations, Media, professional meetings and conferences • Ideology of partnership: -Women organizations, Rotary, local organizations • Legal and political pressure: -Members of the Knesset

  17. Challenges • Professionalmiss-concepts [fat is healthy], creation of new concepts [chronic disease], empowering women, going public Vs stigmatization • Free service Vs paid serviceaccessibility value-less • Self-directing of the projecthow to grow leaders? Who is the leader? how to let off? • NGO Vs government organizationIntrigues between institutions, unequal relationships • Coalition of minority groups

  18. Sustainability Team : devoted , representative and trained Needs: Dynamic tracking and effective interventions Responsibility : government action and funding Operational: Administrative and housing Funding: Users, privet funding Partnerships: HMOs

  19. The spirit of Tene Briut Health promotion embedded in cultural pride and mutual support

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