Refugee Health Care

Paper Summary:

This paper examines the healthcare needs of a particular community, or rather of a particular sub-community within the larger community of Watts, in Los Angeles. Still best known as the place of the first series of Los Angeles riots this century, it remains a poor neighborhood whose residents often feel that their portion of the American Dream is an inappropriately small one. This paper examines what might be seen as the collective health of the neighborhood of Watts and specifically of a group of refugees living within this community, immigrant Vietnamese who have come to the United States during the past three decades and who maintain a very fragile status within both the neighborhood of Watts itself and the larger city of Los Angeles. The paper discusses the history of the neighborhood of Watts, its present social and economic situation and community nursing in the neighborhood.

From the Paper:

"Another area that would be most subject to amelioration through community nursing is the arena of pre-natal care. All women want to have healthy babies, but the barriers to giving birth to a baby with no initial health problems is substantial for poor women. Studies among poor minority women communities have found that transportation difficulties, long waiting time, and having too many other problems were the most common impediments to care reported by all women regardless of their adequacy of prenatal care use. Any attempt to increase the quality of pre-natal care in a community like Watts must be attuned to these social conditions, for the best contemporary pre-natal care has everything to do with culture and very little to do with high-tech medicine (Chatters et al. 1998, pp. 689-90)."

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