Download Milwaukee Consortium for Hmong Health

Milwaukee Consortium for
Hmong Health
Shannon Sparks, PI
Beth R. Peterman, Program Manager
Pang Vang, Project Coordinator
Mayhoua Moua, Lay Health Educators Coordinator
Lisa Phillips, Community Resource Specialist
Formation and Development
• April 2008 – April 2009
– First funding rec’d from Wisconsin Partnership
Program (WPP) for planning grant work with the
objectives of:
• Consortium formation
• Community dialogs with Milwaukee Hmong community
about cancer
• Data work with cervical cancer screening rates
Consortium Partner Agencies
• St. Michaels’ Church-fiscal
agent
• UW-Madison School of Human
Ecology -Academic Partner
• City of Milwaukee Health
Department
• UW-Milwaukee College of
Nursing Institute for Urban
Health Partnerships House of
Peace Community Nursing
Center
• WI Department of Health and
Human Services
• ABCD After Breast Cancer
Diagnosis
• American Cancer Society
• Hmong American Women’s
Association
• Chronic Disease Prevention
and Health Promotion Division
of Public Health
• 16th Street Community Health
Center
• Lee Medical Clinic
• Collaborative Center for
Health Equity (UW-ICTR)
• Planned Parenthood of WI
Milwaukee
Use of community-based
participatory research (CBPR)
• CBPR is a “collaborative approach to research that
equitably involves all partners in the research process
and recognizes the unique strengths that each brings.”
(W. K. Kellogg Foundation)
– Begins with a research topic of importance to the community
– Has the aim of combining knowledge with action and achieving
social change to improve health outcomes and eliminate health
disparities
• The Consortium has strived to involve community
members, stakeholder agencies, and academics as equal
partners in the research and implementation process
since its inception.
Advantages of using the CBPR model
in the Hmong community
• Ensures health concerns of primary concern to
the local community are prioritized.
• Local perspectives and understandings of the
health issue are integrated into research and
program implementation.
• Ensures project approaches & materials are
culturally appropriate and a good fit to
community needs.
• Helps facilitate community ownership of project.
Challenges of using the CBPR
model in the Hmong community
• Can be challenging to secure regular
participation of key stakeholders in the
context of strained community capacity.
– Less than ideal collaboration and capacity sharing
between community-based organizations with
analogous missions
• Community participation more difficult to
secure during growing season (families busy
with planting/tending gardens)
Lessons learned to-date
• Set ground rules or
expectations
• Importance of
building in team
building time!
• Have timeline
• Have a champion
• Make sure to have a
knowledgeable
priority population as
a partner
• Clarity with every
partners’ role &
responsibilities
Current project
• Lay health education and patient navigation
– Goal:
To increase rates of breast and cervical cancer
screening and reduce cancer morbidity and
mortality among Milwaukee Hmong women
through development and implementation of
culturally‐appropriate lay health education and
peer navigation programs
Current project
– Objectives:
1. Make positive changes in knowledge about and
attitudes towards cancer and cancer screening
among members of the Milwaukee Hmong
community
2. Increase rates of breast and cervical cancer
screening among Milwaukee Hmong women
3. Mentor/navigate newly diagnosed Hmong breast
and cervical cancer patients and increase
understanding of and satisfaction with the cancer
treatment process
Future directions
• Increase community, academia & agencies’
engagement & collaboration
• Use the Community Health Worker Model in
the Hmong community at a statewide level in
Wisconsin
• Address other health problems prioritized by
the local Hmong community
Thank you!
Funding for this project was
provided by the UW School of
Medicine and Public Health
from the Wisconsin Partnership
Program.
Additional thanks to the
Collaborative Center for
Health Equity, UW-ICTR