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CHALLENGES IN PROMOTING HEALTH EDUCATION 2
The major challenge that the health care providers face in the current world is health
literacy. Without proper access to information, it becomes difficult for individuals, communities
and even organizations to process messages to help improve their health. Historically, we have
seen people go to their health care providers, to get health care education, but in this present era,
it is difficult to see doctors for consultation only. Most of the practitioners in the private sector
charge consultation fees and even those in the public sector do not have time to just sit down and
talk when they should be treating patients. Although health information is widely available
through the internet, people who are not well educated do not have much money and are few in
the community are less likely to have access to such information (Paasche-Orlow & Wolf, 2007).
The reason for this is because they do not have knowledge on internet use and might not even
own smart phones. Youths on the other hand do not have challenges in accessing the health
information, since they can easily Google on their phones or from cyber cafes. The less educated
minority, therefore have to see health providers and this may be a good way for them but what
happens when the nurse they know is not there? What if the nurse who they have developed a
bond with gets transferred? This method of delivering information has many challenges that are
related to health education literacy (Schillinger, Bind man, Wang, Stewart & Piette, 2004). The
first major challenge is building of trust between the practitioner and the patient. In cases where
the practitioner is not of their age, they do not feel comfortable explaining their problems to
them. Some dont even return to the same practitioner each time they visit the hospital making it
difficult for practitioners to follow up on their health education. The time dedicated for attending
patients maybe limited such that practitioners do not have time to fully communicate with the
patients, where the patients maybe slow in expression and the practitioners do not get to
understand what they mean. For example, in some hospitals, the nurses give out printed
CHALLENGES IN PROMOTING HEALTH EDUCATION 3
brochures, articles or books which some patients might take time to read while others may not.
Especially those who are not well educated may find it challenging to understand the information
written due to use of scientific terms making it difficult to promote health education.
Healthcare providers can overcome the challenges of differing points of view by creating
a learning environment that is built on mutual trust, acceptance and respect. Where the patient
can consider the practitioner their closest friend with whom they can share their problems. The
aim of this being to provide education that positively impacts the life of the patient and involves
them in decision making. For example, in the Hispanic culture, they have beliefs that it is better
to take on the traditional practices when it comes to illness. They use herbs and consult religious
people before they can actually seek treatment from a practitioner. They believe that sickness is
an act of God that is a form of punishment for not living well. Nurses should therefore
continually develop their knowledge in practicing their own culture which will help them to
avoid being bias. There is need for patient assessment which can help determine their level of
health literacy, so that nurses can make decisions based on the assessment they made rather than
their feelings. The process of teaching is not easy and requires assessing, prioritizing learning
needs and how to implement the strategies that are designed to tackle the identified learning
needs (Chang & Kelly, 2007). For example, my neighbor, Lydia who is a campus student, had a
baby in her apartment when we were freshmen. She did not go to hospital and as a result she and
the baby lost a lot of blood. When she took the baby to hospital, the doctor found that the babys
hemoglobin was low and she needed blood transfusion. Due to her cultural beliefs, Lydia was not
for the idea and the doctor suggested that the baby should be fed on foods that were rich in iron
and vitamin B. Hence Lydia and her baby had to eat a lot of fruit and vegetable to supplement for
CHALLENGES IN PROMOTING HEALTH EDUCATION 4
the Vitamins that were in deficit. In this case, it is the doctor who provides an alternative which
References
Chang M & Kelly A. (2007). Patient Education: Addressing Cultural Diversity and Health
Literacy Issues. 27(5), 411-417. Retrieved on 3rd Nov 2016 from; www.medscape.com
Paasche - Orlow, M.K & Wolf, M.S, (2007). The casual pathways linking health literacy to
Schillinger D, Bind man A, Wang F, Stewart A, & Piette J, (2004). Functional health literacy and