Civic and Community Engagement Commons^™

The Ethics Of Medical Voluntourism: The Conceptualization And Management Of ‘Doing Harm’ Within The Business, Katelyn Dohler

Independent Study Project (ISP) Collection

Although medical voluntourism programs are rapidly growing in popularity, deep ethical controversies overly the industry. In particular, understanding how the field of medical voluntourism follows a business model sheds insight on the sources of tension and conflicts of interest that can arise within organizations and the sector as a whole. However, understanding the roles of individual motivations and societal pressures in the development of these ethical controversies is relatively unexplored.

Through an inductive thematic analysis of data gathered from literature review and expert interviews, this project investigates these driving factors behind the rapidly growing business, how these driving factors contribute …

El Impacto De La Pandemia En La Formación De Los Hábitos De Alimentación En Niñes Pequeñes En La Villa 21-24 En Barracas, Buenos Aires / The Impact Of The Pandemic In The Creation Of Nutritional Habits In Young Children In Villa 21-24 In Barracas, Buenos Aires, Hannah Seewald

Independent Study Project (ISP) Collection

Durante la Pandemia COVID-19 en Argentina, la inflación aumentó, y el desempleo aumentó especialmente entre los trabajadores informales, lo que dejó a muchos de ellos dependientes de los comedores comunitarios y de la ayuda nutricional para alimentar a sus familias. La violencia doméstica y la pobreza aumentaron aún más. Problemas estructurales como la falta de agua potable y los cortes de luz, situaciones que suelen enfrentar los habitantes de la Villa 21-24, Barracas, Buenos Aires, continuaron. Las escuelas se cerraron y la instrucción presencial se suspendió, en ese contexto los grupos comunitarios trabajaron para alcanzar los suministros adecuados de alimentos. …

The Multi-Step Approach To Covid Prevention In The Casamance Region, Saraí Hernandez Salguero

Independent Study Project (ISP) Collection

Located in the Oussouye Department approximately 43 kilometers away from the city of Ziguinchor in the Basse Casamance region of southern Senegal is the Oussouye commune where I had the pleasure of staying for three weeks. I had learned that the inhabitants of this village were not significantly impacted by the Covid-19 virus since it became global knowledge at the start of 2020. As of March 2020, the village had only reported 69 active cases and the department saw only 8 deaths in total. I sought to figure out what could be the cause of this and through a series …

Medical Trust In Pediatric Care In The United States, Talia Feldscher

Independent Study Project (ISP) Collection

Trust is a critical aspect of the patient-provider dynamic, but in the U.S., its importance is overlooked in many medical settings, especially among those from low socio-economic groups. As the disparities in American healthcare are being recognized on a larger scale, it is necessary to further uncover why this is the case, and how to begin to remedy this disparity. This study presents an original qualitative data set of perspectives from four current health/mental health practitioners, based on their experiences with their pediatric patients, and how the concept of trust is critical to their service provision. Supported by literature, this …

The Cultural And Systemic Influence On Substance Use Disorder, Christina Seery

Independent Study Project (ISP) Collection

The opioid epidemic is an extensive global problem, but it is not random that it is most severe in the United Sates. It is commonly believed that the individuals with substance use disorder and the health care system are at fault, however many people disregard the impact culture and systems have on substance use disorder. I tackled this gap by conducting formal qualitative interviews with experts in the field of addiction and dissecting academic work. After this research it is apparent that the American culture and institutions has made individuals vulnerable to become addicted to opioids while other similar European …

Los Comedores Populares Argentinos En Tiempos Del Covid-19: El Rol De Los Comedores Durante La Pandemia: El Sistema Alimentario Y La Acción Del Gobierno Argentino, Katrina Frei-Herrmann

Independent Study Project (ISP) Collection

Durante la pandemia mundial de COVID-19 a principios del 2020, muchos países enfrentaron enormes desafíos desde el punto de vista económico y de salud pública. Argentina tomó las medidas rápidas y drásticas para combatir la propagación del virus, que incluyó un largo período de cuarentena con controles muy estrictos. Esto llevó a un alto costo económico en el cual muchos trabajadores perdieron sus empleos y fuentes de ingresos. Como resultado, un creciente número de personas debieron depender de ayuda de instituciones sociales para sobrevivir o atender sus necesidades básicas como el alimento. Los comedores populares – que han existido desde …

“En Defensa Por La Salud”: Los Actores Sociales En La Construcción Del Movimiento Social En Chile, Karina Martinez

Independent Study Project (ISP) Collection

This investigation aimed to describe the construction of the social movement for health demands in the frame of the social outbreak in Chile in October 2019. In addition to identifying the main health demands of this movement, it also had a focus on understanding the role of social organizations in the construction of the movement and placing it within the broader socio-political movement that arises from the social outbreak. The research design was qualitative and descriptive. Having been a remote investigation, it was largely based on literature review with the support of information from a semi-structured interview. Regarding the results, …

La Ciudad Versus El Campo: La Calidad De Vida De Los Adultos Mayores Aymara Entre Arica Y Putre, Clare Rogowski

Independent Study Project (ISP) Collection

The elderly population in Chile is increasing rapidly. In indigenous villages in the interior of Chile, like Putre, the younger generation is leaving to pursue education and employment opportunities in cities, in this case Arica. In many cases no one stays to take care of the elders. As the elderly begin to grow older and require greater support, the younger generation seeks to move their family members to the city so that they can care for them. While this provides for greater connection to family and access to medical care for the elderly relatives, the elderly loses their connection to …

Pensaba Que Te Había Olvidado: El Daño Duradero De La Trauma Que Viene De Tortura En La Dictadura Chilena, Antonia Mcdonnell Capossela

Independent Study Project (ISP) Collection

Research question: Is there a more useful model to characterize the torture that was implemented in Chile using the context of theory and history to establish an in-depth understanding of the symptomology and effects of the experience of torture survivors?

Objective: The general objective of this study is to establish the origin of the methods of torture used during the Pinochet dictatorship and use these results to suggest a model of reparations that is more wholistic. The specific objectives are to understand the intervention and instruction by the CIA in Chile, to study the testimonies of torture during the dictatorship …

When Crayons Meet Tibetan Living Room Walls: Early Childhood In Exile, Emma Hart

Independent Study Project (ISP) Collection

This study aims to understand early childhood caregiving among Tibetan refugees living in Nepal. Due to the brain’s enormous developmental plasticity from ages zero to three, children’s experiences during this period are extremely important to explaining their future learnings in school, interactions with people, and engagements with their surroundings. Through interviews and observations, Tibetan parents shared their conceptions of early childhood, parent-child interaction norms, dreams for their children, and how their status as refugees in Nepal affects these. Research was conducted in two Pokhara district Tibetan settlements and one settlement in Mustang. Connected by the flow of children and adults …

When Knowledge Flows: A Case Study Of Village Health Workers’ Motivations In Jamkhed, Selaem Hadera

Independent Study Project (ISP) Collection

Across the field of global health, there have been many attempts to cater to the health needs of the most marginalized populations. Community health workers (CHWs) are individuals that live in the communities they serve and are typically low-­‐income women with little to no formal education. After a period of training by their program, they enter their communities equipped as a bridge between the community and the health system. Although CHWs do play a substantial role in health delivery and education, the structure of CHW programs varies widely, but a common characteristic of these programs is that the CHWs are …

Definiendo La Concepción De La Salud Mental Y Espiritual: La Influencia De La Biomedicina Y La Religión Occidental En La Comunidad Mapuche De La Araucanía, Maya Salvio

Independent Study Project (ISP) Collection

Research Question: In what ways has occidental religions and the biomedical health system influenced the conception of mental health in the Mapuche community in the Araucania?

Objectives: The general objective of this study is to identify the ways in which mental and spiritual health are conceptualized by the Mapuche community and identify the influences of occidental religion and biomedicine in Carahue and Saavedra. The specific objectives are to identify the conceptions of mental and spiritual health among the three predominant ideologies, characterize their perceptions of anxiety and depression (two occidental mental illnesses), identify the relationships between the three ideologies, and …

Deaf Or [Insert Ethnicity Here]? The Impact Of South African Sign Language And Deaf Community Membership On The Ethnic Identities Of Three Deaf Students In Cape Town, Leanna Quach

Independent Study Project (ISP) Collection

South African Sign Language (SASL) is the language used by most members of the Deaf community in South Africa. SASL, much like other signed languages, has a long history of development, acceptance, and non-acceptance. The history of SASL is undeniably intertwined and affected by the political history of South Africa. This article examines the relationship between ethnicity, language, and identity in the context of South African Sign Language and the Deaf community. It seeks to understand how the use of South African Sign Language as one’s main language affects one’s identity and their identification with their racial group. The article …

¿Cómo Amigos Comparten La Salud? Las Redes Sociales Y Factores De Riesgo. / How Do Friends Share Health? Social Networks And Risk Factors., Joanna Emerson

Independent Study Project (ISP) Collection

Research question: How are health risk factors shared between people by means of their social networks? Objectives: The main objective of the study is to determine the correlation between a person's social network and which health risk factors are most prevalent in network members. The first specific objective is to evaluate the rates of the most common risk factors in social networks and how these disperse throughout the network. The second is to analyze whether people with similar health risk factors have similar social tendencies. The final objective is to identify the risk factors most transmittable through social networks. Background: …

La Psiquiatría Comunitaria En La Corporación Bresky / Community Psychiatry In The Bresky Corporation, Connery O’Brien

Independent Study Project (ISP) Collection

The purpose of this paper is to provide insight on the community model of rehabilitation for individuals with mental health disorders in Chile with a specific focus on schizophrenia. Stigmas surrounding mental health are still very prevalent in this society. These stigmas make it difficult for patients to integrate themselves into society, and in turn, add stress to the patients’ families, who must support and care for them. The community model of mental health rehabilitation is important to consider in the efforts to re-integrate these patients into society. La Corporación Bresky, a rehabilitation center in Peñablanca, will be used as …

Accessing Canal Pride: The Intersection Of Identities For Lgbt People With Physical Disabilities At A Global Event, Margaret Webb

Independent Study Project (ISP) Collection

This research is the study of the intersection between queerness and disability within the context of Amsterdam Gay Pride, specifically the Canal Parade. The study examines the intersection between LGBT identity and physical disability at the event and in surrounding organization and events within the Amsterdam LGBT community. The primary research question was: how does Amsterdam Canal Pride’s accessibility affect both the positioning of the LGBT and disabled identifying community in Amsterdam and the relevance of the event as a place of activism and celebration? Five interviewees identifying as lesbian or gay, possessing a physical disability, participating in activism within …

Promoción De La Salud En La Ciudad De Buenos Aires: Un Estudio Sobre El Trabajo De Los Promotores De Salud Y Las Percepciones De Su Rol En La Comunidad. / Health Promotion In The City Of Buenos Aires: A Study Of The Work Of Community Health Workers And Perceptions Of Their Role In The Community, Elizabeth Sherwin

Independent Study Project (ISP) Collection

Contextual information: At the global level, inequities exist with respect to access and quality of healthcare. Primary Health Care is a strategy to respond to these inequities. It adopts an integral concept of health that includes no only illness but also the wellbeing of a person affected by many environmental factors. It is a strategy that aims to improve access to medical care and health information through health promotion and has the goal of giving the population more control over their health. Community health workers, people from the same neighborhood in which they work promoting health, are recognized on the …

Exploring Barriers: An Analysis Of Access To Effective Tuberculosis Care In Cape Town, Yvonne Okaka

Independent Study Project (ISP) Collection

My independent study project (ISP) examines factors that hinder access to tuberculosis (TB) healthcare and its effective implementation in Cape Town. In order to expand research on the topic, important barriers will be examined and explained. This project is relevant due to the high prevalence and mortality rates of tuberculosis in South Africa, as well as the fact that an overwhelming emphasis on HIV can lead to overlooking the serious nature of TB as a public healthcare issue. It is hoped that this study will provide more insight into improving access to TB care, and be a resource for those …

Cleft Lip And Palate In India: Determining The Socioeconomic Factors That Influence Quality Of Life And Treatment Received, With A Focus In Rural Nainital District, Uttarakhand State, Ellery Ward

Independent Study Project (ISP) Collection

Cleft lip and cleft palate are birth defects that range in severity, and may cause serious physical and social challenges to those who are born with them. This project sought to determine the socioeconomic factors that influence the lives of people with cleft lip and or cleft palate in India, and the treatment, or lack thereof, which they receive. Specific focus was given to the rural and mountainous area of Nainital district in Uttarakhand state. This study was carried out with the assistance of the Aarohi organization located in the Satoli village in Nainital district. Interviews with one plastic surgeon …

Socio-Cultural Barriers To Family Planning Access, Aasha Jackson

Independent Study Project (ISP) Collection

This paper attempts to discern barriers to family planning access and use in the Manguier quarter of Yaoundé, Cameroon based on research collected during a three week period. Questionnaires and interviews were used to measure women’s use of and opinions towards family planning consultations and methods. The spread of rumors regarding negative side effects, mistaken beliefs about family planning, husband’s disapproval, and the availability of contraceptives elsewhere were found to be the major deterrents to the use of family planning by women in this study. This research shows the need for campaigns to educate women and men alike on the …

Los Colores De La Edad, Kerry Johnson

Independent Study Project (ISP) Collection

La vejez ecuatoriana está a punto de convertirse en la población más importante del país en las siguientes décadas. El estado está elaborando planes para establecer la infraestructura de apoyo que necesitará la población de ancianos que está creciendo, pero es importante que entendamos cómo ayudarlos de la manera más adecuada. La tradición del cuidado en la casa de los hijos está cambiando, pero no es necesariamente un retraso si es que en otro lugar encuentran la compañía, el amor y las amistades que necesitan. Dentro de un asilo de ancianos es posible crear estas características si uno recrea en …

Adding Injustice To Injury - Health Perceptions, Plurality, And Power In The Ongoing Bhopal Disaster, Ruth Markwardt

Independent Study Project (ISP) Collection

Standards of health, human rights, and development are typically defined and dictated by policymakers instead of the populations directly affected by so-called development efforts. This paper seeks to contextualize global development efforts by highlighting specific local realities among the community of Bhopal Disaster survivors in Madhya Pradesh, India. As the site of the world’s largest industrial disaster, a disaster which is not over but ongoing, Bhopal represents an important population to highlight as the disaster continues. The Political Ecology of Health model was used to highlight political and environmental influences on community health. Within Political Ecology, this study takes a …

Fa’Amatala Lau Tala: Samoan Pregnancy And Childbirth Narratives, Elsa Kendall

Independent Study Project (ISP) Collection

Pregnancy is, for each individual woman, situated in a particular historical, social, and cultural understanding of her own body; the experience cannot be divorced from these components that inform what is deemed unhealthy or inappropriate. Most social research regarding pregnancy and childbirth focuses on economic and political implications. This study explored personal narratives of Samoan women’s experience with pregnancy and childbirth to shed light on cultural aspects of events. Seven women were interviewed as key informants using informal, unstructured interviews to better understand these topics, and are presented as a compilation of stories of the most intimate parts of their …

Pepfar Problems: How Does The United States’ Presidential Emergency Program For Aids Relief Empower Women?, Caitlin H.

Independent Study Project (ISP) Collection

This study looks to examine how the Presidential Emergency Program for AIDS Relief (PEPFAR) works to achieve one of its key goals, the empowerment of women, in the Western Cape. Human immunodeficiency virus (HIV) affects women disproportionately, around the world and in South Africa. Thus, women should be a key focus of Acquired Immunodeficiency Syndrome (AIDS) relief and HIV prevention. This paper analyzes the work of PEPFAR to empower women through three lenses. Women’s empowerment in general is discussed, to see how organizations view their own methods of empowerment. PEPFAR’s work with sex workers is examined, as they are often …

Living With Autism In Vietnam, Libie Motchan

Independent Study Project (ISP) Collection

This paper examines the many implications of living with Autism in Vietnam on both affected children and their families. The lack of information, statistics and awareness of autism in Vietnam is reflected in the limited treatment resources available. This study calls attention upon what problems parents are most affected by what they feel needs to change. It also looks at the current sentiment and understanding of autism and its perceived causes. The results of this paper come from background research, observation at clinics and special education facilities, interviews with professionals in the fields of psychology and education, interviews with parents …

Art As A Cure: Analyzing Healthcare Treatment For The Mentally Ill Through The Lens Of Art Therapy Programs In Dakar, Senegal, Sofia Porter-Castro

Independent Study Project (ISP) Collection

Mental illness is a malady that affects roughly 2.3 million people in Senegal ("Statistics by Country” 2012), but the wide and sometimes opposing range of healing practices suggests that the attitudes surrounding mental illness are still largely contested. This is especially true in Senegal’s capital, where advances in medicine in big city hospitals are growing while ties to traditional beliefs and practices remain strong. Alternative therapies, such as art therapy, provide an opportunity for practitioners to explore different techniques for treating the mentally ill while still integrating elements of the local culture. It is precisely this integration that this paper …

Filling The Gap: An Examination Of Hiv/Aids Treatment And Prevention At Uganda Cares Masaka, Andrew Robert Mcasey

Independent Study Project (ISP) Collection

A six week internship was conducted at Uganda Cares Masaka, a HIV/AIDS treatment organization, to learn about the development issues surrounding the HIV/AIDS pandemic. The internship was aimed at gaining practical experience at an HIV/AIDS clinic to learn about the challenges faced and the strategies used by Uganda Cares as wells as the effectiveness of their strategies. Uganda Cares represents a collaborative relationship between the private, international HIV treatment and advocacy group, the AIDS Healthcare Foundation (AHF), and the public Ministry of Health (MOH) in Uganda. A final objective of the internship was to gain an inside perspective on this …

Comunicación Entre Personal Médico Y Pacientes Indígenas Un Estudio De La Medicina Intercultural En Huancarani, Cusco, Peru, Jordan Cahn

Independent Study Project (ISP) Collection

Esta investigación describe la relación entre personal médico y el paciente en un contexto intercultural. La ubicación del estudio es un centro de salud en la comunidad rural de Huancarani, Cusco, Perú. El personal médico viene de un perspectivo occidental y mayormente hablan castellano mientras que los pacientes son de orígenes indígenas y hablan quechua. El objetivo de la investigación es para observar la interacción intercultural entre el personal médico y los pacientes para determinar si las barreras culturales y preferencias para biomedicina o medicina tradicional infringen la calidad de servicios médicos. El personal médico prefiere la biomedicina y ve …

Connecting Cultures: Msmcbj’S Alternative Methods To Mental Health Therapy Within The Aldeia Indigenous Reserve And The Bom Jardim Favela, Emily Rasowsky

Independent Study Project (ISP) Collection

For my Independent Research Project I observed how community integration and connecting individuals back to the indigenous cultural idea of community work together to improve upon the mental health of individuals in the Favela of Bom Jardim, Fortaleza and the Pitaguary Indigenous Reserve or Aldeia. I examined how the Movimento de Saude Mental Comunitara do Bom Jardim (MSMCBJ) organization provides individuals within Bom Jardim a space to build a supportive community, based in indigenous ideals, while simultaneously providing professional and social opportunities for the Pitaguary tribe to create a sense of cultural valorization and how both of these aspects lead …

The Importance Of Play To Childhood Development: A Child’S Right To Play While Living With Hiv/Aids, Rachel Bambrick

Independent Study Project (ISP) Collection

This is a social analysis paper that explores child development and a child’s right to engage in play activities while living with HIV/AIDS in South Africa. Through experiences volunteering at the Children’s Rights Centre, interviewing occupational therapy professors, and living and playing in various communities in KwaZulu-Natal, the study looks into play development for children living with HIV and the policies put in place to protect their rights to play and develop. Primary data was triangulated against secondary sources, most of which were found while volunteering at the Children’s Rights Centre in Durban. The study looks at the stigmas surrounding …