Table 3: Recommendation for Policy and Practice.
Social Ecological Model Levels | Barriers | Policy/Practice Recommendations |
Organizational | • Language and translation • Unequal treatment |
• Translate patient materials and utilize translators • Hiring Marshallese staff as community health workers • Ensure culturally appropriate translations of medical concepts • Conduct internal reviews of policies • Provide cultural awareness training to employees |
Community | • Transportation • Food insecurity • Employment and employer sponsored health insurance |
• Invest in public transit • Translate driver’s license testing material • Implement health food policies at food pantries • Provide more full-time employment • Ensure employees understand their insurance benefits |
Policy | • Federal policies related to Medicaid | • Amend PRWORA to include COFA migrants within the category of qualified immigrants |