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Students are a health resource in a rain forest community

Posted 2:31 p.m. Thursday, March 29, 2012

[caption id="attachment_10448" align="alignright" width="400" caption="From left, UW-L students Rachel Boldt and Cassandra DeHaro sit in a mango tree in the jungle of Costa Rica. The two are completing their Community Health Education degrees in the Central American country."]UW-L students Cassandra DeHaro and Rachel Boldt[/caption] Every day in the jungle is a new adventure. That’s what UW-L students Cassandra DeHaro and Rachel Boldt say as they learn how to become future health educators in the rain forests of Costa Rica. The two are offering health education and health promotion programs in San Miguel, Costa Rica, spring semester as part of their degree requirements in Community Health Education. But their efforts are also meeting a community need in a city of 2,000. On any given day the two can be found taking blood pressure at local clinics, holding water aerobics classes in a community pool, growing vegetables in a garden with elementary school kids or learning about health needs of locals as they travel from house to house with a primary care technician from San Miguel. They also spread the word — in Spanish — about health topics such as hand-washing, exercise, nutrition and the risk of diabetes. “One thing that is surprising is the sheer abundance of fruits and vegetables, yet the extreme lack of consumption of these vitally important foods to one’s health,” says Boldt. DeHaro says she is also surprised by the abundance of land that goes uncultivated. “People could grow crops year round and do not take advantage of this,” she says. The two try to serve as role health models — particularly for their host families. “Our host families quickly noticed how we value exercise and healthy eating. Slowly, but surely, members of our family are starting to make changes in their diet and lifestyle habits,” says Boldt. “We look forward to seeing what can happen by the end of our time here in San Miguel.” DeHaro and Boldt’s global experience is typical of undergraduate students in UW-L’s Bachelor of Science in Community Health Education program. The last semester of their senior year, all undergraduate candidates complete a 560-hour experience like this before graduation. It’s called a preceptorship and is similar to an internship, however, students have mentors at the work sites. Students in the past have gone to places such as Australia, England and British Columbia. Others stay within the United States or even near La Crosse, working at Mayo Clinic, Gundersen Lutheran, the La Crosse County Health Department, Coulee Council on Addictions and other sites. [caption id="attachment_10465" align="alignright" width="400" caption="From left, Rachel Boldt and Cassandra DeHaro pictured in Costa Rica. Read more about their travels at cassandralorilei.tumblr.com."]Rachel Boldt and Cassandra DeHaro[/caption] “It is the most anticipated part of the program. Candidates can’t wait,” says Gary Gilmore, professor and director, Graduate Community Health/Public Health Programs. “It gives them the opportunity not only to refine their skill sets but also to communicate and connect with unique and distinct cultures.” Boldt and DeHaro speak Spanish every day. They’ve encountered culture shock as well as new ideas about healthcare. “I am learning and witnessing the health status/health care system of a new country,” says Boldt. “This experience is expanding my horizons and challenging me daily.” And they are challenged to lead as they collaborate with TELL Volunteers, a grassroots non-profit organization in San Miguel focused on revitalizing the community of San Miguel and the surrounding areas. “The projects we are involved in are grassroots. In other words, we plan, implement and evaluate everything,” says DeHaro. “We are responsible for making our programs sustainable so that when we leave our programs will continue to live on without our help.”

Community Health Education

Community Health Education is an undergraduate program which prepares students to be future community health educators. Health educators go on to work for schools, hospitals, non-profits, governmental agencies and other sites with the goal of positively influencing the health behavior of people and the living and working conditions that influence their health. The program places a heavy emphasis on primary prevention — risk factors such as alcohol and tobacco use as well as health promotion — and protective factors such as a balanced diet and getting enough sleep. All graduates complete the preceptorship. Preceptor means mentor and each site is carefully vetted to ensure there is a mentor for students. In 2007, UW-L was the first university in the nation to have its undergraduate Community Health Education program accredited by the Council on Education for Public Health, the same credentialing organization that has accredited the Master of Public Health in Community Health Education Program since 1992. Gilmore says most students hear about the program by word-of-mouth and, once they start, very few quit. A total of 168 students are currently completing it. About one third of graduates go on to pursue an advanced degree — typically a master’s in public health.

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