Cultures and Health: Reducing health inequities through cultural competency

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Cultures and HealthReducing health inequities
through cultural competency

Presented by Dr. R. Masi 1017 Wilson Ave.,
406 Toronto, On 416 638 4196 email
Ralph.Masi_at_Utoronto.ca
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Cultural CompetencyVsCultural Sensitivity

• Cultural competency implies clearly delineated
  objectives,standards, content and evaluation

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Cultural Competency Knowledge, attitudes and
skills
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Qualifications

• Definitions
• Background vs. citizenship
• Use of generalizations
• Religion not Culture
• Caveats
• Similarities vs. differences
• Uniqueness of the person

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KNOWLEDGE

• Acquire a basic understanding of the influence
  that culture has on health care.
• Develop an understanding of the variety of
  cultural norms and values  
• Understand the determinants of health status as
  affected by cultural and racial backgrounds,
  variants
• To develop an awareness of the impact of racial
  discrimination within health care delivery,
• Develop an understanding of the social and
  community context of the peoples

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KNOWLEDGE (cont)

• Understand the importance and value of
  perceptions of health and illness by racial and
  cultural groups,
• Be aware of the biological, metabolic, and
  genetic variables
• Genetic
• Metabolic
• Biological
• Mortality Morbidity
• Intercultural differences of verbal and
  non-verbal cues.

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ATTITUDES

• Fully appreciate the impact of discrimination and
  their own specific cultural values, beliefs and
  norms have.
• Best taught using experiential techniques

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SKILLS

• Exchange of Information
• Empathy
• Understanding
• Mutual Respect
• Confidence

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Barriers to Health Care

• Inappropriate service provision
• Insufficient cooperation and coordination
• Inaccessible facilities
• Inadequate financial resources
• Intolerant or insensitive attitudes

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A Population Health approachis essential to any
overall success in reducing health inequitiesA
CASE EXAMPLE
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Improving the Health of Canadians An
Introduction to Health in Urban Places Canadian
Institute for Health Information
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Residences for pregnant teens during this time
period at Rosalee Hall (Bendale), Benthany Home
(North Riverdale), Massey Centre (Broadview
North) and Jessies (Regent Park) contribute to
the significantly higher teen birth rates in
three of the LHPAs with the highest rates on this
map.
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Health Planning A values based reality

• Inclusiveness vs. comprehensiveness
• Interpretation vs. medical program
• Equity vs. equality
• More resources for some vs. equal resources for
  all
• Life circumstances vs. medical end points
• Basic needs vs. medication
• Public vs. Private

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• If the misery of our poor be caused not by the
  laws of nature, but by our institutions, great is
  our sin.
• Charles Darwin
• If suffering be caused not by the laws of nature,
  but by our institutions, great is our (mistake)