DOCSLIB.ORG

Downloads/EMMUS%20V%20Document%20Final.Pdf

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Downloads/EMMUS%20V%20Document%20Final.Pdf i Distribution Agreement In presenting this thesis or dissertation as a partial fulfillment of the requirements for an advanced degree from Emory University, I hereby grant to Emory University and its agents the non-exclusive license to archive, make accessible, and display my thesis or dissertation in whole or in part in all forms of media, now or hereafter known, including display on the world wide web. I understand that I may select some access restrictions as part of the online submission of this thesis or dissertation. I retain all ownership rights to the copyright of the thesis or dissertation. I also retain the right to use in future works (such as articles or books) all or part of this thesis or dissertation. Signature: ________________________ ________________ Dorie Josma Date ii Development and implementation of a sexually transmitted infections (STIs) and HIV education curriculum for at-risk young people and adults in rural communities in Haiti: A Special Studies Project By: Dorie Josma, B.S. Master of Public Health Hubert Department of Global Health _______________________________ Roger Rochat, MD Committee Chair iii Development and implementation of a sexually transmitted infections (STIs) and HIV education curriculum for at-risk young people and adults in rural communities in Haiti: A Special Studies Project By: Dorie Josma, B.S. Bachelor of Science in Nutritional Sciences University of Florida 2017 Thesis Chair: Roger Rochat, MD An abstract of A thesis submitted to the Faculty of the Rollins School of Public Health of Emory University in partial fulfillment of the requirements for the degree of Master of Public Health in Global Health 2019 iv Abstract Development and implementation of a sexually transmitted infections (STIs) and HIV education curriculum for at-risk young people and adults in rural communities in Haiti: A Special Studies Project By: Dorie Josma Background: In Haiti, sexually transmitted infections (STIs) and HIV education and services are less accessible in rural areas than in urban areas. Often, local clinics and grassroots organizations that play a significant role in supplying healthcare services to rural communities lack the resources to provide STIs and HIV-centered education and services. A plethora of research data has revealed an increase in prevalence and incidence rates of STIs and HIV infections among people living in rural communities. Additional research has also recommended increasing STIs and HIV education to improve people’s knowledge of sexual health and prevention methods against STIs and HIV. Purpose: The purpose of this thesis was to develop a culturally appropriate STIs and HIV education curriculum that can be implemented in health and local community organizations in rural areas in Haiti. The five-module STIs and HIV education curriculum was designed to provide health educators with a tool that they can use to increase STIs and HIV knowledge among people living in rural communities. Methods: The STIs and HIV education curriculum was developed with inputs from clinic staff from NOVA Hope for Haiti, Inc (NOVA) and community members in Cavaillon, Haiti. The project team utilized qualitative research, the Health Belief Model (HBM), and Community Based Participatory Action Research (CBPAR) to enhance curriculum development and implementation. The STIs and HIV education curriculum, consisting of five modules, was implemented at a community health organization (NOVA) and was evaluated using pre-and- post-tests and a course evaluation survey. Results: An average of 25 community members between the ages of 18-35 years old participated in the sexual and reproductive health (SRH) education project. The SRH project lasted two hours for five days, followed by an optional four-hour Training-of-Trainers session on a separate day. Pre-and-post-test evaluations showed a statistically significant improvement in knowledge among participants. The curriculum was revised, and a final curriculum was created based on inputs from the participants, clinic staff, and classroom observations. Discussion: The STIs and HIV education curriculum provides a tool that can be used to educate community members in rural parts of Haiti about STIs and HIV. It can also serve as a foundation to develop a more comprehensive sexual health education curriculum. Additionally, educational interventions are not enough to change health behaviors. Implementation of behavioral-change interventions may be necessary to improve adoption of healthy sexual health practices. v Development and implementation of a sexually transmitted infections (STIs) and HIV education curriculum for at-risk young people and adults in rural communities in Haiti: A Special Studies Project By Dorie Josma, B.S. Bachelor of Science in Nutritional Sciences University of Florida 2017 Thesis Chair: Roger Rochat, MD A thesis submitted to the Faculty of the Rollins School of Public Health of Emory University in partial fulfillment of the requirements for the degree of Master of Public Health in Global Health 2019 vi Acknowledgments I must publicly acknowledge my life companion, God, who, since I started my Master of Public Health journey at the Rollins School of Public Health (RSPH), Emory University, responded to my request to create this exact thesis. Forever will You be praised. I would like to thank myself for my dedication to the vision and for pushing forward through this testing phase of my academic career. I’d like to thank Dr. Joanne McGriff, my practicum advisor, for your support, assistance, and affirmation; you believed in the project in its entirety when most people doubted it. To my thesis committee chair, Dr. Roger Rochat, thank you for advising me and allowing me to create what I had envisioned for this thesis. I would like to thank my co-researcher and friend, Cassandra Savino. Your passion, dedication, and motivation to our project inspired me and kept me motivated all the way through. A special thank you to the NOVA Hope for Haiti, Inc. (NOVA) board, Dr. Nixon Altenord, and the clinic staff for your support. My most profound appreciation goes to the community of Cavaillon for having welcomed me, encouraged me, and participated in all aspects of the health education project. Lastly, I would like to thank my friends and family for supporting me throughout this journey. “5 Trust in the Lord with all your heart and lean not on your own understanding; 6 in all your ways submit to him, and he will make your paths straight.” (New International Version, Proverbs 3:5-6) vii Table of Contents CHAPTER 1: INTRODUCTION AND BACKGROUND ............................................................................... 1 PROBLEM STATEMENT ............................................................................................................................................. 1 PURPOSE STATEMENT .............................................................................................................................................. 2 INTRODUCTION ......................................................................................................................................................... 2 The Burden of STIs and HIV in Haiti ................................................................................................................ 2 STIs and HIV Education Curriculum Development.......................................................................................... 4 STIs and HIV Education Curriculum Implementation ..................................................................................... 5 DEFINITION OF TERMS AND ABBREVIATIONS ......................................................................................................... 6 CHAPTER 2: LITERATURE REVIEW ......................................................................................................... 9 PEARL OF THE ANTILLES ......................................................................................................................................... 9 Geography ............................................................................................................................................................ 9 Structure............................................................................................................................................................... 9 Culture ............................................................................................................................................................... 10 Demographics of Haiti ...................................................................................................................................... 10 Government ........................................................................................................................................................ 11 History of Haiti .................................................................................................................................................. 11 Poverty in Haiti .................................................................................................................................................. 13 OVERVIEW OF SEXUALLY TRANSMITTED INFECTIONS (STIS) ............................................................................ 15 SEXUALLY TRANSMITTED INFECTIONS (STIS) IN HAITI ...................................................................................... 17 STIS AND HIV EDUCATION EFFORTS IN RURAL COMMUNITIES ........................................................................
Load more

Recommended publications
  • SCALING up HEALTH SYSTEMS to RESPOND to the CHALLENGE of HIV/AIDS in LATIN AMERICA and the CARIBBEAN ACKNOWLEDGMENTSFOREWORD V
    Scaling Up Health Systems to Respond to the Challenge of Special Editions HIV/AIDS in Latin America 8 and the Caribbean Washington, D.C. June 2003 This publication was produced by the Pan American Health Organization. Partial financing was received by the United States Agency for International Development’s Regional Office for Sustainable Development within the Bureau for Latin America and the Caribbean under the terms of Grant number LAC-00-97-007-00. Regular funds of PAHO/WHO were also used. The opinions expressed in this document are those of PAHO/WHO and do not necessarily reflect those of USAID. This document can be revised, reproduced and translated, in part or in its entirety, only when the source is referenced and when it is not used towards commercial ends. TABLE OF FCOREWORDONTENTS iii Table of Contents Acknowledgments ...........................................................................................................v Foreword ...................................................................................................................... vii Part I: Current and Future Responses of Health Sector Reform to HIV/AIDS in Latin America and the Caribbean ..................................................................... 1 Introduction ....................................................................................................................3 Chapter 1: Magnitude of the HIV/AIDS Pandemic and Patterns of Transmission in Latin America and the Caribbean ............................................................................................
    [Show full text]
  • Is Tourism Haiti's Magic Bullet?
    STRATEGIC NOTE 9 | JUNE 2013 Is Tourism Haiti’s Magic Bullet? www.igarape.org.br An Empirical Treatment of Haiti’s Tourism Potential Athena R. Kolbe, Keely Brookes and Robert Muggah A french tourist negotiates the price of raspberries outside of the Baptist Mission Bakery, a popular destination for religious service groups visiting Haiti. The Haitian government has elevated tourism to the top of its development agenda. Yet prospects for success are uncertain. This assessment is the first empirical treatment of the attitudes and perceptions of tourists and service providers in Haiti. It is based on a survey of more than 2,000 tourists and 390 industry professionals. It finds that just over 3% of tourists reported crime victimizaiton and that the current tourism model should be revisited. IGARAPÉ INSTITUTE | STRATEGIC NOTE 9 | JUNE 2013 Introduction Tourism is often described as key to Haiti’s salvation. The economic potential of foreigners visiting the island nation is cited in virtually all major assessments of the country’s current development problems. This may seem at first counter- intuitive: the impoverished and disaster-stricken country has long-struggled with violence and political instability. But it is increasingly regarded as necessary. Immediately after the January 2010 earthquake it was recognized that strategic investments would be needed to secure Haiti’s economy once foreign aid had diminished.1 Tourism was recently elevated to a top priority by Haiti´s current administration and the Ministry of Tourism. The government hopes that an influx of foreign currency generated by tourist dollars could help lift the country out of aid-dependency.2 This is not as surprising as it may seem.
    [Show full text]
  • On Leaving and Joining Africanness Through Religion: the 'Black Caribs' Across Multiple Diasporic Horizons
    Journal of Religion in Africa 37 (2007) 174-211 www.brill.nl/jra On Leaving and Joining Africanness Th rough Religion: Th e ‘Black Caribs’ Across Multiple Diasporic Horizons Paul Christopher Johnson University of Michigan-Ann Arbor, Center for Afroamerican and African Studies, 505 S. State St./4700 Haven, Ann Arbor, MI 48109-1045, USA [email protected] Abstract Garifuna religion is derived from a confluence of Amerindian, African and European anteced- ents. For the Garifuna in Central America, the spatial focus of authentic religious practice has for over two centuries been that of their former homeland and site of ethnogenesis, the island of St Vincent. It is from St Vincent that the ancestors return, through spirit possession, to join with their living descendants in ritual events. During the last generation, about a third of the population migrated to the US, especially to New York City. Th is departure created a new dia- sporic horizon, as the Central American villages left behind now acquired their own aura of ancestral fidelity and religious power. Yet New-York-based Garifuna are now giving attention to the African components of their story of origin, to a degree that has not occurred in homeland villages of Honduras. Th is essay considers the notion of ‘leaving’ and ‘joining’ the African diaspora by examining religious components of Garifuna social formation on St Vincent, the deportation to Central America, and contemporary processes of Africanization being initiated in New York. Keywords Garifuna, Black Carib, religion, diaspora, migration Introduction Not all religions, or families of religions, are of the diasporic kind.
    [Show full text]
  • Investing in People to fight Poverty in Haiti
    Investing in people to fight poverty in Haiti Overview ing ak m icy ol p ed as -b ce en id v e r o f s n o ti c e fl e R Investing in people to fight poverty in Haiti Overview Despite a decline in both monetary and multidimensional poverty rates since 2000, Haiti remains among the poorest and most unequal countries in Latin Amer- ica. Two years after the 2010 earthquake, poverty was still high, particularly in rural areas. This report establishes that in 2012 more than one in two Haitians was poor, living on less than $ 2.41 a day, and one person in four was living below the national extreme poverty line of $1.23 a day. Progress is evident, but much remains to be done. Extreme poverty declined from 31 to 24 percent between 2000 and 2012, and there have been some gains in access to education and sanitation, although access to basic services is generally low and is characterized by important inequalities. Urban areas have fared relatively better than rural areas, reflecting more nonagricultural employment opportunities, larger private transfers, more access to critical goods and services and narrowing inequality com- pared to rural areas. Continued advances in reducing both extreme and moderate poverty will require greater, more broad-based growth, but also a concerted focus on increasing the capacity of the poor and vulnerable to accumulate assets, generate income, and better protect their livelihoods from shocks. Special attention should be given to vulnerable groups such as women and children and to rural areas, which are home to over half of the population and where extreme poverty persists, and income inequality is increasing.
    [Show full text]
  • Aid Versus Development 1
    AID VERSUS DEVELOPMENT 1 Aid Versus Development - A Band-Aid Fix or Long Term Solution? Alexandria Asselbergs Global Perspectives Mr. Toole May 10th 2013 AID VERSUS DEVELOPMENT 2 Preface The question of providing aid versus development is frequently found in today’s headlines: should we give financial aid, or help build up an economic system within other countries? Which provide the most benefits to the country in need? Financial assistance is a popular aid method. Aid programs are often developed by Westernized first world countries for non-failed state countries (i.e. Haiti), in an attempt to relieve economic, agricultural, or medical stress. Aid has been defined in the Oxford Dictionary as, “provid[ing] support for or relief”1 to countries or people. NGOs (non-governmental organizations) and IGOs (international government organizations) provide aid by giving generous amounts of money, food, and medical supplies to countries in need. They also provide projects to assist in the building of institutions such as schools and hospitals. Development, on the other hand, is defined in the Oxford Dictionary as, “developing; growth or evolution; stage of advancement, product…”2. Often the countries that choose to provide development do so to encourage third world countries to create a sustainable economic system, which includes the creation of a job market, trade partnerships, resource development, and education. This report will examine which countries offer development, which countries would prefer to receive development, and the results development has provided to countries such as Bangladesh and Haiti. 1Aid [Def. 1]. In Oxford Dictionaries, Retrieved March 13, 2013, from http://oxforddictionaries.com/definition/english/aid.
    [Show full text]
  • Ken Decker Summer Institute of Linguistics the Young Nation Of
    ORTHOGRAPHY DEVELOPMENT FOR BELIZE CREOLE Ken Decker Summer Institute of Linguistics 1.0 INTRODUCTION TO BELIZE The young nation of Belize is located at the intersection of Central America with the Caribbean. It is the only country in Central America with English as its official language, but there is a growing Spanish-speaking population. Belize relates politically and socially with both the nations of Central America and the Caribbean region. It has a 1991 estimated population of 194,300 people, of which approximately 30 percent, identify themselves as Creoles (Barry 1992:67, 165). The English-Lexicon Creole of Belize is the most widely used second language of the country. 2.0 ATTITUDES OF CREOLES TOWARDS THEIR CREOLE SPEECH In most cases around the Caribbean, historically, Creole languages have not been accepted as legitimate languages. They have been called "bad," "broken," or "bastard" forms of more dominant languages. There has been considerable research into language attitudes in Creole communities. (For example see: Ferguson 1959, Stewart 1962, and Devonish 1986.) There has been reluctance to consider development of the Creoles because of their perceived limitations and the possible hindrance it may produce to the people's development in the more prestigious languages. However, as LePage (1980:341- 2) pointed out, Creole in one social situation may be stigmatized while in another situation it is cultivated for identification. In recent years the observation has been made1 that attitudes are changing to be more positive towards the recognition of the Creole vernaculars. Major language development is progressing in numerous Caribbean nations where Creoles are spoken, such as in Netherlands Antilles,.
    [Show full text]
  • Creolization in the Caribbean Heliana Fortes De Roux
    Creolization in the Caribbean Heliana Fortes de Roux For most Americans the Caribbean evokes spectator or manipulator of distant Carib­ an image of sunny, fine sand beaches bean transformations, but also an arena for lapped by crystalline waters. For many, it is ongoing cultural innovation. a synonym for tropical music and fun, rest The program brings together folk musi­ and relaxation, vacations and tourism. This cians, ritual practitioners, folk performers, stereotype, however, is a commercially moti­ and cooks from the islands of the Antilles to vated image that distorts the rich diversity of demonstrate the interactions between native, Caribbean cultures. The region encom­ European, African and even Asian cultures passes a wealth of cultures that have that have resulted in the creation of new evolved over centuries of complex, turbu­ cultural forms. In the Caribbean region lent, and profound interactions-within a people of diverse ethnicity live side by side. limited geographical area-among the in­ Though they do not indiscriminately share a digenous peoples of the area, Europeans uniform common culture, their lifeways from several countries, peoples from West crisscross and intermingle. If one is inter­ Africa, and in some cases, indentured ser­ ested in origins, single elements of belief vants from India and East Asia. and practices can be teased out, but in most The Caribbean program at the Festival of cases they cannot easily be attributed to any American Folklife is but one of many ways single place or time. to present Caribbean cultural traditions. The A visitor to the Caribbean program at the program traces the creative integration and Festival might wish to listen to Puerto Ricans synthesis of new cultural traditions from singing decimas, witness a Haitian Vodoun elements of diverse origin that had been ceremony or learn how to make bammies juxtaposed or had previously coexisted inde­ from cassava, a root indigenous to the New pendently.
    [Show full text]
  • State of the World's Minorities and Indigenous Peoples 2011
    Alaska (US) CANADA NORTH UNITED STATES PACIFIC ATL ANTIC OCEAN CUBA Hawaiian Islands (US) MEXICO DOMINICAN REP. HAITI Puerto Rico (US) BELIZE JAMAICA GUATEMALA HONDURAS EL SALVADOR NICARAGUA COSTA RICA VENEZUELA PANAMA GUYANA COLOMBIA Guyane (Fr.) SURINAM ECUADOR PERU BRAZIL BOLIVIA PARAGUAY SOUTH CHILE URUGUAY PACIFIC ARGENTINA Americas Maurice Bryan tretching from Alaska in the north, through African descendant populations have been managing Central America and the Caribbean Basin, to weather the economic downturn (although not S to Tierra del Fuego to the south, the necessarily to the benefit of already marginalized immense and diverse Americas region contains groups). countries with large, ethnically diverse populations, In Central and South America, remittances made up of immigrants from European, Asia-Pacific sent home from migrants in the industrialized and Middle Eastern countries, as well as tens of mil- economies of Europe and North America remained lions of indigenous and African descendant people. an important source of income for indigenous In some Central and South American states, indig- and African descendant communities. While still enous peoples and African descendant populations not regaining pre-economic crisis levels, these constitute more than 40 per cent of the national remittances did not slip any lower, and service total. sectors such as international tourism, which employ Of these groups, African descendants and many indigenous women and those of African indigenous peoples remained the most marginalized descent, began to show small gains. Nevertheless, and disadvantaged, and are particularly vulnerable rising food prices were an increasing concern in to human rights abuses. In 2010, their main most of the region.
    [Show full text]
  • Malnutrition in Haiti: Its Economic Causes and Effects
    Mary Hanley, Student Participant Cedar Rapids Xavier High School, Iowa Malnutrition in Haiti: Its Economic Causes and Effects It is estimated that as much as seventy-five percent of Haiti’s population lives in poverty. Because of this, much of Haiti is severely malnourished. Many factors can explain such high numbers: poor agricultural conditions, violence, an unpredictable political environment. This combination of unfortunate circumstances makes Haiti the poorest country in the world. It is clear that the rural and urban indigent populations of Haiti suffer malnutrition because of the country’s economic policies. Haiti is a densely populated country on the island of Hispaniola, in the Caribbean. Haiti shares the island with the Dominican Republic. About 250 Haitians crowd into each square kilometer. A typical Haitian family is large. Creole is the most common spoken language, although French and English are also spoken. Roman Catholicism is the most common religion, but Protestantism and voodoo are also practiced. Haiti is one of the least-developed countries in the Western Hemisphere, and is among the poorest of the world. It ranks 150th of 175 countries in the United Nation’s Human Development Index. In 2002, it was estimated that Haitians are the fourth most undernourished of the world, behind only Eritrea, Ethiopia, and Somalia. As a developing country, Haiti’s economy is still very small and weak. It has limited trade with other countries, and the goods it is able to trade are very expensive. Therefore, to the poor residents of Haiti who cannot afford to buy all of their food products, the months of June to August are known as “the hungry months.” Much of the country during these months goes hungry because food prices have risen so high.
    [Show full text]
  • Ethnicity and Identity in the Caribbean: Decentering a Myth
    Ethnicity and Identity in the Caribbean: Decentering a Myth Ralph R. Premdas Working Paper #234 - December 1996 2 Premdas The Caribbean as an unified region that confers a sense of common citizenship and community is a figment of the imagination. To be sure, there is a geographical expression called ‘the Caribbean’ often associated with a site, a sea, and several islands. There are also many people who describe themselves as Caribbean persons, claiming an unique identity which has its own cohering characteristics that distinguish them from others. And there are many tourists and other foreigners who can swear that they went to this Caribbean place and met real Caribbean persons. They will all convincingly attest to a Caribbean reality. The truth, however, is that the Caribbean even as a geographical expression is a very imprecise place that is difficult to define. Some analysts include Florida, the Yucatan, Nicaragua, Colombia, and Venezuela, while others exclude them altogether. It is not only an imaginary region but one that is arbitrarily appointed to its designation. It will be difficult to pinpoint precisely where this Caribbean place is, for no country carries the name Caribbean either separately or in hyphenated form. In this Caribbean place, however, and wherever we choose to locate its boundaries, it is usually visualized as an area populated by a diverse polyglot of peoples. There are whites, blacks, browns, yellows, reds, and an assortment of shades in between. There are Europeans, Africans, Asian Indians, Indonesian Javanese, Chinese, Aboriginal Indians, and many mixes. There are Christians, Hindus, Muslims, Jews, Rastafarians, Santería, Winti, Vudun, etc.
    [Show full text]
  • The Difficult Relationship Between Haiti and the Dominican Republic
    City University of New York (CUNY) CUNY Academic Works Dissertations and Theses City College of New York 2011 The Difficult Relationship Between Haiti and the Dominican Republic Wilfred Morfa CUNY City College How does access to this work benefit ou?y Let us know! More information about this work at: https://academicworks.cuny.edu/cc_etds_theses/44 Discover additional works at: https://academicworks.cuny.edu This work is made publicly available by the City University of New York (CUNY). Contact: [email protected] 1 The Difficult Relationship Between Haiti and the Dominican Republic By Wilfred Morfa International Relations Department The City College of the City University of New York Mentor Sherrie Baver, Ph.D. Professor of Political Science The City College of the City University of New York Submitted to the Faculty of the Graduate Division of the International Relations Department of the City College of the City University of New York in partial fulfillment of the requirements for the Degree of Master of Arts May, 2011 1 2 Table of contents Chapter I: Introduction……………………………………………………….…….. 3 Chapter II: Historical Context: 1697 to 1930………………………………….….…13 Chapter III: Haitian and Dominican Leaders: 1930 to the Present……………….….23 Chapter IV: Societal Influences Shaping Haitian and Dominican Foreign Policy…...43 Chapter V: External Factors Shaping Haitian-- Dominican Relations……..……..…54 Chapter VI Conclusion ……………………………………………………………..66 References……………………………………………………………………………82 2 3 Introduction Haiti and the Dominican Republic are two countries that have been plagued with conflicts, high levels of poverty, political problems, human rights violations, and failures of political leadership. The real reasons why the relationships between Haiti and the Dominican Republic have been so turbulent have been ignored by Haitian scholars, Dominican scholars and politicians from both parts of the island as well.
    [Show full text]
  • Haiti Urbanization Review Was Prepared by a Team Led by Nancy Lozano-Gracia (Senior Economist GSU10–Task Team Leader), and Consisting of Sarah E
    Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized WITH ANEYEONTOMORROW TODAY FOR ACTIONS HAITIAN CITIES: HAITIAN CITIES: ACTIONS FOR TODAY WITH AN EYE ON TOMORROW Nancy Lozano-Gracia & Marisa Garcia Lozano Editors © 2017 International Bank for Reconstruction and Development / The World Bank 1818 H Street NW Washington DC 20433 Telephone: 202-473-1000 Internet: www.worldbank.org This work is a product of the staff of The World Bank with external contributions. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The bound- aries, colors, denominations, and other information shown on aTny map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries. Rights and Permissions The material in this work is subject to copyright. Because The World Bank encourages dissem- ination of its knowledge, this work may be reproduced, in whole or in part, for noncommercial purposes as long as full attribution to this work is given. Any queries on rights and licenses, including subsidiary rights, should be addressed to World Bank Publications, The World Bank Group, 1818 H Street NW, Washington, DC 20433, USA; fax: 202-522- 2625; e-mail: [email protected]. Cover photo: © Ingrid Nelson. Further permission required for reuse. Cover design: © Ingrid Nelson. Further permission required for reuse.
    [Show full text]