Purpose Vietnam is experiencing high rates of young adult migration from rural hometowns to urban cities in search of new economic and social opportunities. However, limited internal migration research has examined the well-being of this population once they are in the urban destinations, as well as their interactions with the new lifestyles in the cities. Thus, the purpose of this paper is to explore the social transition of young Vietnamese migrants into city life. Design/methodology/approach In-depth interviews were conducted among ten female and six male temporary unmarried migrants, between ages of 18 and 25 years, currently living in Ha Noi through purposive sampling. Findings Despite a higher income in the city, young migrants often suffer from physical and mental health strains that decrease their overall well-being, caused by the factors such as barriers to assimilation to new lifestyles, continued attachment to origin hometowns, financial pressures, and poor living conditions. Important aspects in pre-migration expectations and actual experiences influenced the psychosocial well-being of these young migrants as they transitioned into adulthood during their migration process. Migration to the city and assimilation into city life also changed young migrants’ views on lifestyles and behaviors often considered misconducts in their rural hometowns, such as premarital sex. Female migrants faced higher stigmatization compared to male migrants, often described by fellow migrants as becoming “loose” in the new city. Originality/value The study findings highlight the important gender-specific implications for health services and programs to improve young migrants’ well-being in the city.
Mental-illness-related (MIR) stigma is recognized as a major barrier to health care. Yet very little is known about mental illness and stigma among Vietnamese populations, or how emigration and acculturation processes might affect traditional views. Focus group discussions were conducted with Vietnamese Americans in New Orleans (Louisiana) and Vietnamese nationals in Bui Chu (Vietnam), who shared historical and cultural backgrounds, in 2010 to assess differences in their perceptions of mental illness and stigma. Results show several significant differences in mental illness perceptions between Vietnamese Americans and Vietnamese nationals, while MIR stigma seemed prevalent and understanding of mental illness was low among both groups.
During emergency responses, public health leaders frequently serve in incident management roles that differ from their routine job functions. Leaders’ familiarity with incident management principles and functions can influence response outcomes. Therefore, training and exercises in incident management are often required for public health leaders. To describe existing methods of incident management training and exercises in the literature, we queried 6 English language databases and found 786 relevant articles. Five themes emerged: (1) experiential learning as an established approach to foster engaging and interactive learning environments and optimize training design; (2) technology-aided decision support tools are increasingly common for crisis decision-making; (3) integration of leadership training in the education continuum is needed for developing public health response leaders; (4) equal emphasis on competency and character is needed for developing capable and adaptable leaders; and (5) consistent evaluation methodologies and metrics are needed to assess the effectiveness of educational interventions. These findings offer important strategic and practical considerations for improving the design and delivery of educational interventions to develop public health emergency response leaders. This review and ongoing real-world events could facilitate further exploration of current practices, emerging trends, and challenges for continuous improvements in developing public health emergency response leaders.
Objective: To capture organizational level information on the current state of public health emergency response leadership training.Design: A web-based questionnaire.Participants: This multitiered assessment of health departments included two distinct respondent groups: (1) Public Health Emergency Preparedness (PHEP) Cooperative Agreement recipients (n = 34) and (2) local health departments (LHDs) (n = 169) representative of different agency sizes and populations served.Results: Overall, PHEP and LHD respondents expressed a clear preference for participatory learning with practical drills/exercises and participatory workshops as the preferred training delivery modes. Compared with technical and role-specific training, leadership training was less available. For both PHEP and LHD respondents, staff availability for training is most notably limited due to lack of time. For PHEP respondents, a common factor limiting agency ability to offer training is lack of mentors/instructors, whereas for LHD respondents, it is limited funding.Conclusions: Efforts should focus on increasing accessibility and the continued development of rigorous and effective training based on practical experience in all aspects of multitiered public health emergency response leadership.
Our objective is to illustrate how to create and maintain a healthy flow of carefully curated communication between a research team and a community of interest using the principles of cultural brokering. We begin with a brief critical review of the existing literature on cultural brokering between immigrant and academic communities. We follow this review with a case study of cultural brokering between a research team at Tulane University and the Vietnamese American immigrant community in New Orleans. We draw upon specific examples from an ongoing collaboration to illustrate types of cultural conflict that are common to academic and community collaborations, and we discuss how different types and features of cultural brokering have helped to resolve these conflicts and keep the project(s) moving forward. We summarize a set of traits, potential roles/contributions, and training and operating strategies for a cultural broker.
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