University of Texas Health Science Center at San Antonio, Long School of Medicine, San Antonio, Texas, United States of America.
Glob Health Promot. 2020 Sep;27(3):6-14. doi: 10.1177/1757975919848111. Epub 2019 Nov 17.
Water, sanitation, and hygiene issues present barriers to health in rural Dominican Republic. Limited access to adequate water, sanitation, and hygiene accompanies a prevalence of water, sanitation, and hygiene-related diseases. To address these issues, an education and behavior change program using community health clubs has been adapted for areas at greatest risk of water, sanitation, and hygiene disease transmission. To support this initiative, a protocol was created to evaluate 147 images from a community health clubs toolkit for Dominican agricultural communities, or bateyes, to determine image comprehension and cultural appropriateness, as well as the demographic variables associated with visual literacy. A total of 112 interviews were completed across seven bateyes located near the city of La Romana; 60 images were determined to require additional adaptation. Further analyses demonstrated that age and education were significantly associated with greater visual literacy. These results reinforce that educational visual aids require testing for cultural appropriateness and that future work should be conducted to investigate factors that contribute to visual literacy.
水、环境卫生和个人卫生问题是多米尼加共和国农村地区健康的障碍。获得充足水、环境卫生和个人卫生条件的机会有限，加上与水、环境卫生和个人卫生相关疾病的流行，使得这一问题更加严重。为了解决这些问题，针对水、环境卫生和个人卫生疾病传播风险最高的地区，采用社区卫生俱乐部的方式，制定了一项教育和行为改变计划。为了支持这一举措，为多米尼加农业社区（或称为 bateyes）制定了一项协议，用以评估社区卫生俱乐部工具包中的 147 张图片，以确定图片的理解和文化适宜性，以及与视觉素养相关的人口统计学变量。在拉罗马纳市附近的七个 bateyes 进行了总共 112 次访谈；确定有 60 张图片需要进一步调整。进一步的分析表明，年龄和教育与更高的视觉素养显著相关。这些结果表明，教育视觉辅助工具需要进行文化适宜性测试，未来的工作应该调查影响视觉素养的因素。
