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Promoting cultural sensitivity; a practical guide for tuberculosis programs that provide services to Karen persons from Burma
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Promoting cultural sensitivity; a practical guide for tuberculosis programs that provide services to Karen persons from Burma
  • Description:
    Introduction -- Background -- Cultural competency in tuberculosis service delivery -- How information for the guide was gathered -- Intended audience -- How to use this guide -- Clarification of Terms -- 1. Burma history and immigration to the United States -- 2. Karen of Chinese culture -- 3. Health status of Karen Burmese -- 4. Common perceptions, attitudes, and beliefs about tuberculosis among Karen Burmese -- Conclusion -- Appendix A. Using Kleinman's questions to understand patients' perceptions of tuberculosis -- Appendix B. Tips for working with interpreters -- Appendix C. Tuberculosis and cultural competence resources -- Appendix D. Centers for Disease Control and Prevention study summary -- Appendix E. Karen terms and phrases -- Appendix F. Tuberculosis screening policies for persons overseas -- Appendix G. Guide references

    "Promoting Cultural Sensitivity: A Practical Guide for Tuberculosis Programs Providing Services to Karen Persons from Burma is part of a series that aims to help tuberculosis (TB) program staff provide culturally competent TB care to some of our highest priority foreign-born populations. Other Guides in the series focus on persons from China, Laos, Mexico, Somalia, and Vietnam (Centers for Disease Control and Prevention, 2010). http://www.cdc.gov/TB/publications/guidestoolkits/EthnographicGuides/default.htm. This Guide is intended for health care providers, community-based workers, program planners, administrators, health educators, and resettlement agencies that work with Karen (pronouncedka-RENN) communities. This Guide is designed to increase the knowledge and cultural sensitivityof health care providers, program planners, and any others serving Karen persons from Burma.The ultimate aim is to foster provision of culturally competent TB care and services for Karen people in the United States (U.S.). Some of the information in the Guides, such as the practical tips, can be directly applied; while other sections are more informative and will help providers better understand the background and socio-cultural context of the population. It is hoped that a deeper understanding of pertinent issues will heighten the cultural sensitivity of TB care providers, enhance communication, and improve the overall effectiveness of organizations and staff in cross-cultural settings. The content of these Guides was gathered in two ways. First, an in-depth review of TB-related epidemiologic, behavioral, and ethnographic literature on Karen Burmese in the U.S. was performed. Secondly, in 2007, the Division of Tuberculosis Elimination (DTBE) at the Centers for Disease Control and Prevention (CDC) undertook a qualitative study to describe ethnographic aspects of the increasing burden of TB among Karen persons from Burma residing in two U.S. cities. Findings from this original research are also included in this Guide. This mirrored the 2003 CDC study that explored five cultural groups (see http://www.cdc.gov/tb/publications/guidestoolkits/EthnographicGuides/default.htm for copies of these Ethnographic Guides)." -- p. 5

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