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Research, nursing care and cultural diversity




REF.: 035
Country: USA

Logic of Participatory Public Health Programming in Refugee Camps: Potential Application of Research
Margaret S Wright (Peggy Sue)
RN, DrPH. California State University East Bay, Hayward, California (USA)

Mail delivery: 2901 Lorina Street; Berkeley, CA 94705 USA

Rev Paraninfo digital, 2007: 2

How to cite this document

Wright, Margaret S. Logic of Participatory Public Health Programming in Refugee Camps: Potential Application of Research. Rev Paraninfo Digital, 2007; 2. In: <http://www.index-f.com/para/n2/035.php> Consulted 17 de Agosto del 2022



Many call for a participatory mode of decision-making in refugee camp public health programs, but why � what are the expected outcomes of such programs? What is the rationale for the time and effort required to have a participatory public health program?
This study looks at how public health programs in camps use participatory decision-making. Using documents and interviews, implicit and explicit program rationales were found which were coded and placed in program logic models which were then used to develop a theoretical framework. An embedded multiple-case methodology was used which allowed for analysis of multiple types of organizations, multiple organizations within types, and even multiple programs within a single organization. Retro-active logic model development methods and theory were used to focus data collection. This embedded cases design allowed for literal and theoretical replication, and increased the application potential and validity of the research results.
This research shows that currently programs are focusing on two groups of long term goals, and program logics. The most frequent focus is on Utilitarian goals for the community health programs with outcomes of effective, efficient service delivery, community development, and sustainability. The newer focus is on Humanitarian goals, where outcomes of involvement and community harmony, and invocation of rights guide the logic of the program development.
Unfortunately, another finding is that programs and organizations are not explicitly developing a program logic, and thus are having trouble producing evidence needed to continue these participatory programs. Community health nurses can use this research to better program, and in guiding policy-makers and funders in development of policies for community health services in refugee camps. This community health nursing research will allow programs, and those who staff such programs, to more quickly develop, implement and evaluate community health programs in refugee camps. More importantly, this gives policy makers, and funders, a reference for program logic and expected outcomes that should assist in better policies and funding for the work of the community health programs, to the advantage of the refugees the programs serve, and the staff that deliver the community health services.
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