|
Tuberculosis Epidemiologic Studies Consortium (TBESC)
Task Order 16: African refugee women’s health improvement
project
Task Order 16 seeks to provide the public health systems of
Massachusetts with practical and formative findings that will
increase tuberculin skin testing and treatment initiation and
completion in targeted foreign-born populations. African Refugee
Women’s Health Improvement Project is a program designed to address
the health disparities among foreign-born women resettled in
Massachusetts, with a particular focus on TB among Liberian, Somali
and Somali Bantu women. These Liberian, Somali and Somali Bantu
women are the main focus of the project because the majority of
these women are TB infected and are at high risk of developing
active TB disease. In addition, these women and girls have limited
knowledge about LTBI and treatment of LTBI to prevent active
disease.
Sites
Massachusetts Department of Public Health – Refugee and Immigrant
Health Program and Division of Tuberculosis Prevention and Control
Study Objectives
- Reduce TB case rates among Liberian, Somali and Somali Bantu
women in Massachusetts by identifying high risk women with LTBI
and providing culturally and linguistically responsive support
during treatment, and improved capacity of the TB services
network to deliver care to these women.
- Develop an assessment tool to collect data on the
ethnographically mediated beliefs, attitudes, and behavior that
affect TB services among Liberian, Somali and Somali Bantu women
resettled in Massachusetts.
- Interview and collect information about the TB beliefs and
attitudes of 100 Liberian and Somali Bantu women who resettled
in Massachusetts.
- Conduct focus group discussions among women recruited from
the Liberian, Somali and Somali Bantu women’s community who
resettled in Massachusetts; 6 to discuss TB and 5 to discuss
women’s health.
- Conduct a TB knowledge, beliefs and attitudes interview in
at least 80% of the 15 key community staff that work in
resettlement agencies to collect information relative to the
support (or lack of support) refugee women might receive
relative to TB treatment from people involved in their
resettlement.
- Conduct a basic TB informational sessions for at least 80%
of the 30 community agency staff that work in resettlement
agencies.
Study Design
The African Refugee Women’s Health Improvement Project will be
implemented in 3 major stages. In the pre-program stage, the
director of the Refugee and Immigrant Health Program (RIHP) and the
project coordinator will hire and train staff. In the implementation
stage, RIHP services will be extended to refugee women with
linguistically and culturally appropriate TB education, screening an
preventive therapy services, a data collection tool for the
interviews will be finalized; women will be identified to
participate in an interview that will inform us on client and
community knowledge, attitudes and beliefs related to TB through
structured interviews and focus group discussions and following an
in-person interview a basic TB training session will be given for
staff working in community agencies. In the final stage, the results
obtained from the interview will be keyed back and matched to the
RIHP database and will then be analyzed, the project coordinator
will summarize these results and prepare a final report.
Study Progress
All instruments have been developed and approved. Six focus
groups on TB conducted in 5 cities, with 59 women participating;
draft report in progress. Five focus groups on women’s health
conducted in 4 cities, with 49 women participating; coding in
progress. 104 interviews have been completed with refugee women; 20
case managers from refugee resettlement agencies have been
interviewed. Data cleaning and analysis are currently underway.
Also, findings from TO16 were used to develop and pilot an audio
drama on TB in Maay Maay (Somali Bantu language).
Last Modified: 07/25/2007
Last Reviewed: 05/18/2008 Content Source: Division of Tuberculosis Elimination
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
|
|
Back to Top of Page
If you would like to order any of the DTBE publications please visit the online order form.
You will need Adobe Acrobat Reader v5.0 or higher to read pages that are in PDF format. Download the Adobe Acrobat Reader.
If you have difficulty accessing any material on the DTBE Web site because of a disability, please contact us
in writing or via telephone and we will work with you to make the information available.
Division of Tuberculosis Elimination
Attn: Content Manager, DTBE Web site
Centers for Disease Control and Prevention
1600 Clifton Rd., NE Mailstop E-10
Atlanta, GA 30333
CDC-INFO at (1-800) 232-4636
TTY: 1 (888) 232-6348
E-mail: cdcinfo@cdc.gov
Home | Site Map
| Contact Us
Accessibility
| Privacy Policy Notice |
FOIA
| USA.gov
CDC Home |
Search |
Health Topics A-Z
Centers for Disease Control & Prevention
National Center for HIV/AIDS,
Viral Hepatitis, STD, and TB Prevention
Division of Tuberculosis Elimination
Please send comments/suggestions/requests to: CDCINFO@cdc.gov
|