NEW CITIZENS, NEW PATIENTS
Sexually Transmitted Diseases (STD) Workshop
Maternal and child health Workshop
Sexual and Reproductive health Workshop
Workshop to train NGO trainers
New Citizens, New Patients is a health education programme aimed at the immigrant population established in Spain. The activities developed are linguistically and culturally adapted to each of the target groups, mostly from Sub-Saharan Africa, the Maghreb, Latin America and Central and Eastern Europe.
The programme is not only aimed at the immigrant population, but we also train professionals and NGO volunteers. In our Training of Trainers workshops we provide the staff of our partner organizations with the necessary tools so that they themselves can strengthen the knowledge and mechanisms previously acquired in our workshops.
The objectives of the programme are:
- To inform a specially vulnerable group, from a medical and social point of view, about the infectious diseases they may suffer or acquire.
- To inform this population so that its members adopt a preventive behavior with respect to infectious diseases.
- To train the volunteer and professional staff of NGOs in achieving effective communication in order to transmit health information to the immigrant population.
- To develop didactic, linguistic and culturally adapted material for the target population and for the service of professionals and volunteers of partner NGOs.
The methodology used for the elaboration of the informative materials, culturally adapted to the participants and written in their native languages (Wolof, Bambara, Poular, etc.) or working languages (Spanish, English, French, Arabic, Romanian and Portuguese), started from a qualitative research based on discussion groups to define the knowledge, attitudes, practices, myths and beliefs of each group in the relation with the different diseases and in-depth interviews.
Once the materials have been developed, the workshop follow a similar educational approach divided into two parts: a previous Knowledge, Attitudes and Practices (KAP) survey, followed by an educational session lasting approximately 90-120 minutes.
The programme is structured into seven methodologically similar sub-programmes, focusing on infectious diseases (HIV, Chagas disease, tuberculosis) and basic health issues (Spanish Health System, Health and Travel, Maternal and Child Health and Sexual and Reproductive Health, Food and Nutrition).
Additionally, other topics may be added depending on the requests made by the institutions with which we collaborate or as advised by the health professionals of the National Reference Unit for Tropical Diseases of the Infectious Diseases Service of the Ramón y Cajal University Hospital.
HIV PREVENTION WORKSHOPS AND EARLY DIAGNOSTIC TESTS
Workshops to strengthen the knowledge, attitudes and practices of the immigrant population towards HIV/AIDS and early diagnostic tests.
Qualitative and quantitative studies developed during the last years in our programme, highlighted that there were differences with respect to knowledge, attitudes and practices related to HIV, depending on the area of origin of the participants. Culture determines our perception of life and also the way we understand health and disease. The same applies to the perception of HIV, a condition that can also be burdened with high stigma and in which gender, age and religious intersections are of special relevance when it comes to prevention.
A significant improvement in the beneficiary population’s knowledge, attitudes and practices towards HIV and AIDS is achieved after the first educational workshop. The workshop influences knowledge and attitudes more directly than practices.
The experience and work that Salud Entre Culturas has been developing since 2006 are reflected in “Practical Manual for Conducting HIV Prevention Workshops with Immigrants” (Spanish version).
To download the educational leaflet on HIV/AIDS click here.
To download the educational leaflet on HIV/AIDS for sub-Saharan population click here.
RAPID HIV SCREENING IN NGO’s
Since 2009, rapid HIV tests and counselling have been offered in NGOs in the Community of Madrid. The quality contribution that Salud Entre Culturas brings to the rapid HIV screenings resides in the methodology that is developed. The counselling strategy aims to modify a person’s knowledge, attitudes, beliefs and/or behaviour and consists of two parts:
1) Counselling pre-test: is provided individually and consists of informing about HIV and other STDs, transmission routes and methods of prevention, advantages of testing, possible outcomes and where to get more information.
2) Counselling post-test: will depend on whether the test result is positive or negative. It deepens the prevention and the comprehension of the diagnosis respectively.
In order to raise awareness among the general public of the importance of prevention and early diagnosis, Salud Entre Culturas has been actively participating, together with other organizations, in the diverse public activities that are organized on important dates such as International HIV Testing Day, International AIDS Day, International Women’s Day, and so on.
Workshops to strengthen the knowledge, attitudes and practices of the Latin American population towards Chagas disease.
The workshops to strengthen the knowledge of Chagas disease among the Latin American population have a small methodological variation. They are conducted by community health workers trained within the Fundación Mundo Sano, as part of their programme “Mothers committed to Chagas disease: acting here and there“.
The objectives of this sub-programme are:
- To strengthen the knowledge of this disease and the available resources for its detection and follow-up in the view of the potential public health problem it represents.
- To inform the Latin American population residing in Spain (especially those at greatest risk, such as women of gestation age or from Bolivia) about Chagas disease in terms of prevention, development of the disease, diagnosis, treatment, etc.
To download the educational leaflet on Chagas disease, click here. (Spanish version)
Workshops to strengthen the knowledge, attitudes and practices of the immigrant population towards tuberculosis.
Following the methodology adopted for the rest of the pathologies, prior to the elaboration of the educational material, a qualitative research was carried out based fundamentally on discussion groups and in-depth interviews with immigrants representing the target population of the project. This study, titled “Sociocultural Aspects of Tuberculosis in Ethnic Minorities in the Community of Madrid: A Qualitative Approach” was developed during 2009.
To download the educational leaflet on Tuberculosis, click here.
SPANISH HEALTH SYSTEM
To download the explanatory table on the Spanish Health System, click here. (Spanish version)
HEALTH AND TRAVEL
Immigrants who once settled in the host country travel to their countries to visit friends and relatives are currently the group of travellers most at risk of acquiring infectious diseases. This is especially important for children and pregnant women.
The lack of a risk perception when travelling to their countries and the absence of pre-trip health advice are important factors contributing to this situation.
The essential objective of the sub-programme is to inform immigrants residing in the Community of Madrid about diseases related to travel to the tropics, the precautions to take before, during and after the trip, and where to go to receive the necessary vaccinations and prophylaxis.
An information campaign was launched in 2010, in which intercultural mediators travel to embassies and consulates of sub-Saharan African countries to leave information leaflets in several languages on the precautions that people from tropical areas should take when they decide to visit friends and family in their countries of origin.
This information is also distributed in travel agencies, Centres for the Participation and Integration of Immigrants in the Community of Madrid, health centres and other places where people tend to go before the start of the holiday period.
In addition, various mass media are contacted, both general and those aimed specifically at immigrants in order to reach a greater number of beneficiaries.
To download the educational leaflet on Health and Travel, click here. (Spanish version)
MATERNAL AND CHILD HEALTH AND REPRODUCTIVE HEALTH
These are two topics that are in high demand, both by NGO professionals working with immigrants and by immigrants themselves.
- The workshops on Maternal and Child Health are given by a health professional; they deepen and debate on topics such as pregnancy, childbirth, the puerperium and newborn care.
- In the Sexual and Reproductive Health workshop, the physiology of the female and male sexual organs is explained, the different contraceptive methods are discussed, and the negotiation and decision making about the most appropriate method for each person is discussed.
ALIMENTATION AND NUTRITION
The demand for this new line of work has been transmitted to us through the participants in our other health promotion programs. Following our research methodology, 10 in-depth interviews were carried out with immigrants from various Latin American countries. From the analysis of the results obtained, the guidelines for the workshops have been elaborated, as well as the contents of the educational material, especially adapted for families with children.
To download the educational leaflet on Alimentation and Health, click here (Spanish version)