1. SCR CONNECTions November 16, 2011 This presentation is eligible for 1 hour MLA CE at the conclusion of the session. You will be provided with a link to the evaluation form at the conclusion of the webinar.

2. Health Information Resources for Refugee Populations SCR CONNECTions November 16, 2011 Cheryl Rowan, Public Health Coordinator

3. Definitions Refugee: “a person who is unable or unwilling to return to his or her country of nationality because of persecution or a well- founded fear of persecution on account of race, religion, nationality, membership in a particular social group, or political opinion.” ~Immigration and Nationality Act Somali refugees in Kenyan camp: http://www.kpbs.org/photos/galleries/2010/sep/27/somali- refugees / http://www.kpbs.org/photos/galleries/2010/sep/27/somali- refugees /

4. U.S. Refugee Statistics 73,293 refugees in 2010 Top countries: Iraq, Burma, Bhutan Refugee “cap” each year 22,113 persons granted asylum in 2010 Top countries: China, Ethiopia, Haiti

5. Unique Health Issues

6. Importance of Cultural Competency What is culture? One definition: Characteristic features, beliefs, social norms, and way of life shared by a racial, religious, or social group, or by people in a specific place or time It’s not just about the words! Differences between Western Caucasian and East Asian facial expressions /  - Western emoticons primarily use the mouth ^.^/;_; - Eastern emoticons primarily use the eyes

7. Culture and Patient Health Beliefs about objects, symbols, food, the body, blood, non-traditional medicine, etc. Communication styles and norms Role of relationships Ways of learning new information Role of translations and interpreters

8. Organizations which Work with Refugees UNHCR: Office of the United Nations High Commissioner for Refugees Established December 14, 1950 by the United Nations General Assembly Coordinates interactional action to protect refugees and resolve problems worldwide http://www.unhcr.org/cgi-bin/texis/vtx/home

9. Organizations which Work with Refugees U.S. Committee for Refugees and Immigrants (USCRI) Mission: “To address the needs and rights of persons in forced or voluntary migration worldwide by advancing fair and humane public policy, facilitating and providing direct professional services, and promoting the full participation of migrants in community life.” http://www.refugees.org

10. Resources – Websites Refugee Health Information Network (RHIN) http://www.rhin.org Multilingual health information (more than 80 languages) for health providers, refugees and asylees Large section on cultural guidance Country Conditions Reports Multiple formats (print, audio, video)

11. Resources - Websites MedlinePlus – Health Information in Multiple Languages http://www.nlm.nih.gov/medlineplus/languages/ languages.html Selected topics now in 47 languages other than English Accessible directly from the homepage Search by language or health topic Strict criteria for translations

12. Resources - Websites EthnoMed http://ethnomed.org Merged material from former 24 Languages Project Background information on cultures and cultural competency Patient education materials

13. Resources - Websites SPIRAL: Selected Patient Information Resources in Asian Languages http://spiral.tufts.edu/index.html Patient information resources for Asian language speakers Several new topics, including: breast feeding, diabetic diet, first aid, and high blood pressure

14. Resources – Websites Healthy Roads Media http://www.healthyroadsmedia.org/index.htm Multiple languages; multiple formats Includes iPod video and multimedia

15. Resources – Websites Health Information Translations http://healthinfotranslations.org/ Health topics include Diagnostic Tests and Disaster Preparedness Linked to from MedlinePlus! (see Marshallese)

16. Emergency Preparedness for Culturally Diverse Communities Perspective of a “disaster” culture “Disaster culture” in many countries “Everything is from Allah” Spiritual leaders are preferred source of information Limited economic resources are barrier

17. Questions/Wrap-Up Reminder: 1 hour MLA CE Credit for today Also eligible from recording through November 30, 2011 Next SCR CONNECTions: Wednesday, December 14th Topic: Technology Full 2 or 3 hour class now available: From Beyond Our Borders: Providing Health Information to Refugee Populations Thank you for joining us today! Developed by NN/LM SCR Staff. This project funded by the National Library of Medicine, National Institutes of Health, Department of Health and Human Services under contract HHSN276201100007C with the Houston Academy of Medicine-Texas Medical Center Library.