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Even A Meadow Can Be A Jungle. Anat Jaffe. What Why How Relevance Recognition, cooperation and funding Challenges Sustainability. What?. A program designed to serve the Ethiopian immigrant community in Israel Health promotion and awareness A community-outreach program

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  • What

  • Why

  • How

  • Relevance

  • Recognition, cooperation and funding

  • Challenges

  • Sustainability


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What?

  • A program designed to serve the Ethiopian immigrant community in Israel

  • Health promotion and awareness

  • A community-outreach program

  • Implemented by Ethiopian Israelis

  • A community-based program


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Why?

  • Frustration -Professional -Personal

  • Mission- to promote health and improve the accessibility to health care services of Ethiopian immigrants to Israel

  • Highly motivated founder: Combination of Ideology, rational and emotion


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How?

  • Get to know more.. -The NE people who work with, -The E people representatives,

“Bad figures in the hand”

Conceptually an asymptomatic disease is “not a disease”


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How?

  • Get to know more.. -The NE people who work with, -The E people representatives, - The E people -Health knowledge -Health beliefs,

A physician “who can’t cure the disease, is not a good doctor”.

By extension the chronic asymptomatic situation is not understood


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How?

  • Get to know more..

  • Create an interested party - The steering committee -Absorption & immigration -Community representative -Welfare -National Insurance Institute -Ministry of Health -Clalit HMO -Joint Distribution Committee (JDC), -Israel Jewish Agency (JAFI) -Academia


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How?

  • Get to know more..

  • Create an interested party - The steering committee

  • Set goals and objectives -Ethiopian community oriented -Health care providers oriented -Research & documentation -Health awareness leadership -Self-directing of the project -Legislation and implementation


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How?Objectives

  • Creation of an infrastructure for working in the community


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Infrastructure-the key and the heart of the project

  • Group: Creation of a “Health Awareness Leadership”

  • Ministry of health Accredited training

  • Graduation ceremony

  • Continuing training in Israel and USA

  • Implant new concepts of Western chronic diseases and overcome cultural obstacles

  • “Updating” needs from the community

  • Develop educational materials.

Graduation Ceremony


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How? Objectives

  • Creation of an infrastructure

  • Development of culturally appropriate educational materials


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How? Objectives

  • Creation of an infrastructure

  • Culturally appropriate educational materials

  • Strengthening cultural pride-Dancing-Music-Art-Traditional story teller -Food-Emphasize social and family support


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Products and activities

  • Computerized presentations: life style, health and disease, nutrition, physical activity, oral health, handling drugs

  • Educational films: What is diabetes, healthy life style

  • Pamphlets: nutrition for dietitians, foot –care, oral-hygiene

  • Games: issues in nutrition

  • Recipes: for cooking classes


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Products and activities

  • Workshops, lectures

  • Health days

  • Cooking classes

  • Radio health program [national]

  • “Call for Health”-Telephone medical interpreting

  • Researches: prevalence of diabetes mellitus and cardiovascular risk factors, nutritional habits in Israel, health beliefs and attitudes, utilization of health care services


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Relevance

  • During lectures:-What do people ask?-What are the answers? -What does it mean?

  • Rating: -How many people attend?

  • External turns to staff: -By direct phone calls -Byindirect calls [social, community workers, HCP]

  • Formal evaluation -Internal[satisfaction, readiness to make changes in life style] -External[effectiveness, process, sticking to goals]

  • Reorganization: -Personnel change, Independent NGO


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Recognition, cooperation and funding

  • Formal base: -Under the umbrella of government-MC [administration, contact with key ministries and organizations]

  • Wide-scale representationin key institutions and organizations

  • Exposure: -Community events, Other Ethiopian organizations, Media, professional meetings and conferences

  • Ideology of partnership: -Women organizations, Rotary, local organizations

  • Legal and political pressure: -Members of the Knesset


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Challenges

  • Professionalmiss-concepts [fat is healthy], creation of new concepts [chronic disease], empowering women, going public Vs stigmatization

  • Free service Vs paid serviceaccessibility value-less

  • Self-directing of the projecthow to grow leaders? Who is the leader? how to let off?

  • NGO Vs government organizationIntrigues between institutions, unequal relationships

  • Coalition of minority groups


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Sustainability

Team :

devoted , representative

and trained

Needs:

Dynamic tracking and

effective interventions

Responsibility :

government action

and funding

Operational:

Administrative and

housing

Funding:

Users, privet funding

Partnerships:

HMOs


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The spirit of Tene Briut

Health promotion embedded in cultural pride and mutual support


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