AbstractTuberculosis (TB) is re-emerging as a national health priority. Healthcare providers have been attempting to address the challenge of providing preventative care as well as addressing TB cases through long-term treatment plans as these cases are identified. The migrant farm worker population has come into the spotlight as highly vulnerable to this disease with highly unsuccessful outcomes in prevention and treatment. Many factors contribute to this disturbing trend, including barriers related to a specific lack of cultural competence amongst health care providers for this specific patient population and patient related barriers associated with cultural beliefs, logistics such as transportation and clinic locations, and the transient nature of the farm worker lifestyle. Thus innovations to address these barriers to services are needed. There is a need to develop unorthodox service provision locations as well as the provision of appointment times that are suitable to the workers’ needs. Interventions such as reducing wait times, providing meaningful incentives and the renovation of disease specific educational approaches may improve outcomes. Treatment strategies that incorporate the cultural beliefs and practices of this population may narrow the service gap considerably. The purpose of this case study presentation is to illustrate the issues associated with providing TB treatment to this vulnerable patient population and to discuss possible solutions and interventions to stimulate culturally competent communication and care.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share (for non-commerical purposes) the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).