This document summarizes a presentation about Photovoice and the role of community health workers (CHWs). It provides examples of how CHWs in Houston are addressing issues like breast health and being doulas through community activities and by empowering breast cancer survivors to become CHWs. The presentation demonstrates Photovoice principles of participatory and collaborative work with communities to capture visual images that can reveal experiences and possibilities for action.
2. “PHOTOVOICE – REVEALING A
NEW SONG IN THE EXISTING
CHOIR”
A PRESENTATION BY:
• ELIZABETH
KELLY, PH.D., RN., CNS-CH, BC-
HSP
• MARION
SCOTT, MSN., RN., BC-HSP
3. EXAMPLES FROM THE EXISTING
CHOIR
• FOUR DIFFERENT DEFINITIONS
OF A CHW
• LANGONE REPORT (2011)
• ROBERT WOOD JOHNSON FDT
REPORT (2010)
4. PHOTOELICITATION -
SHOWED
• WHAT DO YOU SEE IN THE PHOTOGRAPHS?
• WHAT IS HAPPENING IN THE PHOTOGRAPHS?
• HOW DOES THIS RELATE TO OUR LIVES?
• WHY DOES THIS PROBLEM OR STRENGTH EXIST?
• HOW CAN WE BECOME EMPOWERED BY OUR
NEW SOCIAL UNDERSTANDING?
• WHAT CAN WE DO ABOUT ADDRESSING THESE
ISSUES? (WALLERSTEIN & BERNSTEIN, 1988)
5. NEW SONGS FROM CURRENT CHWs
• PRESENCE OF CHWS IN HOUSTON
• GETTING TO KNOW THE COMMUNITY
• CHWs LOOK CLOSELY AT COMMUNITY BASED
ISSUES – BREAST HEALTH, THE DOULA ROLE
• CHW COMMUNITY BASED LEARNING
ACTIVITIES AND STRATEGIES
• BREAST CANCER SURVIVORS BECOME CHWs
• FUTURE SONGS FOR THE CHW TO SING
26. Fifth Ward
THE FIFTH WARD IS
AN HISTORICAL
POLITICAL
DISTRICT LOCATED
NORTHEAST OF
DOWNTOWN
HOUSTON.
27. •FEMALES 18-21, 21-40
BREAST HEALTH KNOWLEDGE IN THE 5 WARD TH
ANDZZZ 45-60 HAVE
• According to the City of • Females, 18 – 20, 21-
VERYDept. of
Houston, LITTLE SPECIFIC 44, 45-60, have very
INFORMATION AS IT
Health and Human little specific
Services , Office of information related to
RELATES TO BREAST
Surveillance and Public
Health Preparedness
breast health
HEALTH IN FIFTH
WARD.
28. A CLOSER LOOK AT BREAST CANCER
THROUGH THE EYES OF FORT BEND
COUNTY WOMEN
29. Non-Hispanic black
women make up 15%
of the Fort Bend
County Population and
Comprise 18% of
Breast Cancer
incidence, yet they
account for 24% of all
Breast Cancer
Deaths…
30. African American women in Fort
Bend County are more likely to be
diagnosed with Breast Cancer in
later stages, with larger
tumors, and have higher mortality
rates than any other group…
51. PHOTOVOICE PRINCIPLES
• PARTICIPATORY, COLLABORATIVE FROM THE
BEGINNING WITH THE COMMUNITY
• PHOTOGRAPHS HAVE A PURPOSE
• PHOTOGRAPHS REVEAL A PERSON’S
EXPERIENCE
• SHOW POSSIBILITIES FOR ACTION
• ALLOWS FOR EVALUATION OF PERSON AND
COMMUNITY
52. PHOTOVOICE STRATEGIES
• CAPTURES VISUAL IMAGE OF
ENVIRONMENT, EXPERIENCES TO SHARE WITH
OTHERS
• “REVEALS DEPTH OF WAY THE WORLD
WORKS,” (WANG, 1992)
• INCREASES INDIVIDUAL STATUS AND
DEVELOPS COMMUNITY ACTION
• RAISES “CRITICAL CONSCIOUSNESS”
(FRIERE, 1974)
Editor's Notes
This presentation has three other authors who are not able to attend. We are grateful for their help with this presentationBonnie ZinkGloria RobinsonThe late Mary Harrison
Incidence: a measure of the risk of developing some new condition within a specified period of time. Although sometimes loosely expressed simply as the number of new cases during some time period.New health promotion strategies are imperative or the death toll will keep rising.2011Expected Fort Bend & 2012 Expected Fort Bend