Global Mph Barriers Immigrants Women

Sapna Pandya, MPH Director of Programs South Asian Health Initiative Center for Immigrant Health Barriers to Health Care for Immigrant Women

Brainstorm ,[object Object],[object Object],[object Object],[object Object]

Generalization: A Definition ,[object Object],[object Object],[object Object]

Stereotyping: A Definition ,[object Object]

CULTUR (e) AL COMPETENCE ,[object Object],[object Object],[object Object]

What is culture? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Can “culture” influence care provision? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Broader social barriers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Specific barriers to health ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Health of South Asian women ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

WHY? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

WHY? (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Understanding Religion & Faith to Care Effectively for Patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Communicating ‘Mental Health’ ,[object Object],[object Object],[object Object],[object Object],[object Object]

LGBT Community ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Transgender Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Developed for SVH by NY Assoc. for Gender Rights Advocacy (NYAGRA) and the Transgender Legal Defense & Education Fund (TLDEF).

Can immigration influence care provision?

[object Object],[object Object],[object Object],[object Object],[object Object]

NYC Immigrant Demographics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sources: New York City Department of Planning; U.S. Census Bureau (2003)

The Language of Immigration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How does one get a “Green Card”? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Immigrant Workers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Special Registration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What was the total income of Latino immigrants in the U.S. in 2004? ,[object Object],$1 billion $100 billion $500 billion

What % of this income was spent in the United States? ,[object Object],Sources: Pew Hispanic Center; National Immigration Law Center; National Conference of State Legislatures; INEGI (Instituto Nacional de Estad.stica, Geograf.a e Inform.tica) 43% 73% 93%

Contributions made by immigrants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ Our assumption is that about three-quarters of other-than-legal immigrants pay payroll taxes," - Stephen C. Goss, Social Security's chief actuary

Who is Insured? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Potential Reasons for Health Disparities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

“ Health Systems” aka Logistics Level Barriers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

“ Patient Associated” aka Structural Access Barriers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

From a provider’s viewpoint… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Title VI of the Civil Rights Act of 1964 ,[object Object]

The Language Barrier ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

In New York City, ___% of the overall population has limited English ability.

Proportion of Population that is LEP 48% Pakistani 70% Chinese 64.5% Russian 50% Spanish 36.1% Italian 27% Indian 21% Filipino

Language Barriers: Impact on Health Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

So…what is being done? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Data cited from: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Resources to Learn More ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Developed for SVH by NY Assoc. for Gender Rights Advocacy (NYAGRA) and the Transgender Legal Defense & Education Fund (TLDEF).

Global Mph Barriers Immigrants Women

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