Document Type



Master of Arts


Comparative and International Education

First Adviser

Wiseman, Alexander W.


Foreign public health practitioners, medical doctors, and humanitarian workers, are often the providers of global health interventions. As a result, there are cultural challenges that arise when outsiders provide health education for individuals from distinctly different sociocultural realities. This study, guided by the principles of "cultural competence," examined a community health worker training program in Haiti, led by non-Haitian trainers. The training program provided public health information to 126 Haitian participants. The study specifically examined the application of the principle of culture competence in the training textbook used during this training program. Three criteria filtered and identified the degree of cultural competence demonstrated in the training textbook: language, resources, and racial representation. A qualitative content analysis approach determined the frequency of mismatched areas and inferred concepts for analysis of the text. The author's personal field observations provided contextual information according to the three areas of analysis, which provided a triangulated research perspective. Overall, based on the reported demographic statistics of the trainees and supporting cultural competence literature, the textbook content data analysis showed mismatches, or inconsistencies of culturally competent uses of cross-cultural curriculum, in the program content based on language, resources, and racial representation. These mismatches were identified in the textbook in the areas of analysis according to the principle of cultural competence in that program design must tailor its information to the individuals and communities' unique cultural and linguistic needs. Overall, mismatches in the textbook were most apparent in the language category with resources and racial representation showing fewer inconsistencies.