Development of Cultural Competence
Sociologist Louis Wirth defines marginalized groups as groups of people who are singled out in the daily activities of the society due to their physical and cultural practices and therefore regarding themselves as objects of discrimination.
The marginalized groups are found in every continent in the world and these are the people who face quite a number of challenges due to their minority and thus their voices cannot be heard in any environmental engagement.
I was able to interview one of the persons who belong to this group in one of the cities in the US. Anthony Ojigba is a Nigerian born American citizen who stays in the New York City. He is blind and though is disabled I could communicate and could obtain a lot of information from him. He belongs to the Ibo people in Nigeria and even though he has for a while in the US he still has his cultural beliefs.
It came to my understanding that a man should always be the head of the house and must accept the responsibilities to the community whenever he is chosen by the council of elders or the council of chiefs in leadership. He gets to understand the new environment since the development of nursing health care centers as his faith was in the traditional herbal medicine from forests whereby he could easily describe the kind of medicine for various diseases to people who understand him better.
However, living in the US seemed rather challenging because he faced so many barriers in accessing safe, efficient or patient centered health facilities. “The physicians don’t respect me whenever I go for medication.” That is what he could say. The other barriers he encounters in accessing health care is communication and accessing information since the type of medication can not be written by Braille. This is why he actually has a negative perception on professional health care and also the belief of the traditional herbs.
Africa people and culture (2010) explains Ibo as the most populous people in Nigeria having a population of about thirty million. They believe there is a supreme god called “Chukwu” who has other gods as his children known as the “Umuagbara” and the spirit of the dead people called the “Ndi Ichie”. They belief in the reincarnation and that life is a continuous trend where a person transform into another living thing upon his death.
Decisions are made by anyone in the village right from the group of elders to the chiefs, secret societies and even sometimes women associations. It also entails that man has so many powers and authorities in a village or a society and the negative culture is that a woman and the disabled persons are the lesser persons in the community and do not contribute to the community.
Blind people are usually ignored in every aspect of living as being contributing any economic activity in the society. Blind person just like any other person needs good attention and excellent health care in nursing centers and also some assistance by other people so that he/she can take right dosages as prescribed by the doctor. A nursing officer should be able to handle the blind person in the right way like having the patient taking the dosage only at his presence.
African guide (1996-2010). African People and Culture.