Considering the changes the Lake Atitlan, Guatemala region has undergone in the last several years, ODIM (Organization for the Development of the Indigenous Maya) seeks to understand the needs of the San Juan La Laguna and San Pablo La Laguna communities, and to provide competent, culturally-aligned care that is affordable to the Indigenous Maya of this region. Using mixed-methods approaches that incorporate interviews, surveys, graphic anthropology, and evaluation methods, this study investigated (1) the formal and informal health care services (including those offered by ODIM) and how and why they are utilized by local Guatemalans, (2) Guatemalan perceptions and experiences of health, wellbeing, and illness to understand how they might influence health related behavior, and (3) community health care needs and how ODIM can fill those needs. These objectives served to inform key stakeholders of current gaps in healthcare services, provide feedback regarding the ODIM health services and programs, and provide insight into the current health needs in order to ameliorate the burden of disease and illness around Lake Atitlan, Guatemala. This study produced a comprehensive community health profile, and it discusses the current state of health care, explains the local perspectives of health care, and gives direct feedback and …

Today over 1.1 million people are living with HIV/AIDS in the United States; over the last 4 decades mortality rates have decreased largely made in part because of advancement in awareness and treatment options. Treatment adherence has long been considered a vital component in decreasing HIV/AIDS related mortality and has proven to reduce the risk of transmission. However not all patients take their medicine as prescribed. This research study, sponsored by The North Central Texas HIV Planning Council explored how Patient and Provider communication impacted treatment adherence. By utilizing a mixed-methods approach survey data and semi-structured interviews were used to collect insights from both Patients and Providers. Data gleaned through the interview process provided a perspective that could not be captured by using quantitative methods alone. The results from this research yielded multiple themes related to patient and provider communication with recommendations as to how The North Central Texas HIV Planning Council could address treatment adherence, such as Providers focus on Patients perceived severity based on their understanding of disease and illness; that side-effects remain a concern for patients and should not be dismissed; and finally that the word AIDS is perceived to be more stigmatized and as such organizations …

In 2011, African Americans in Tarrant County, Texas experienced an infant mortality rate of 14.3 per 1,000 live births. The leading cause of infant mortality in Tarrant County is prematurity and maternal nutritional status. Both maternal under-nutrition and over-nutrition are known risk factors for premature birth. Improving maternal nutrition, by reducing rates of gestational diabetes and preeclampsia, and by increasing consumption of essential prenatal vitamins and nutrients, is a road to decreasing preterm birth in African Americans. This qualitative study, based on both anthropology and public health theory, of the nutrition behavior of a group of African American expectant mothers and the experience of their health care providers and co-facilitators had a goal to provide a foundation for future development of nutrition behavior research and education for this specific population. The main finding of this study was the substantial gap of lived experience and education between the patients and their providers and co-facilitators, which hinders delivery of care and the patients’ acquiescence to nutrition recommendations. The discrepancies between the authoritative knowledge of the providers and the bodily knowledge of expectant mothers were responsible for the ineffectiveness of nutrition recommendations.

This thesis investigates the influence of organizational culture on customer experience through a comprehensive study of a global supplier of home repair products. By combining organizational analysis and consumer research, this research draws on anthropological principles to explore the nuances of family governance and their effects on behavior, customer experience, and product design. The results of this study present insightful information on product perception and actionable strategies to improve product design, branding, and messaging in order to enhance customer experience and drive sales. Drawing on organizational anthropology and the utilization of critical reflexivity, this thesis provides a deeper understanding of how family-owned businesses can leverage research to challenge their cultural assumptions about products, consumers, and their organization, in order to effectively implement customer-centric solutions and drive organizational behavior, customer experience, and product development.

The North Platte Natural Resources District (NPNRD) is one of 23 quasi-governmental organizations in the state of Nebraska that are organized by river basin and are responsible for the management of groundwater. Conversely, the state's surface water is governed by the Nebraska Department of Natural Resources under the system of prior appropriation. This study uses Foucauldian neoliberal governmentality and a contrasting theory of 'meandering' to explore the conflicting beliefs, perceptions and values that form the foundations of different notions of 'efficiency' as it pertains to water use and management in NPNRD while a political ecology lens is used to situate local perceptions within the regional context of the Platte River Basin. Study findings ultimately point to the remaining 'disintegration' of water governance despite the state's efforts to create legislation that seeks to merge ground and surface water management in practice.

This thesis describes a research study to understand the current state of human trafficking data collection practices and reporting in the province of Alberta, Canada, and gather end-user design considerations for cyberinfrastructure that will enable data sharing between multiple and diverse stakeholders. The research also examines the barriers to change and the needs of stakeholders to improve the collective understanding of human trafficking in the province. Virtual semi-structured interviews were conducted with nineteen organizations including law enforcement and community serving non-profit agencies. While the research resulted in design considerations for a cyberinfrastructure prototype, findings revealed the complexity of the human trafficking ecosystem in Alberta and suggestions for how the community of stakeholders can shift towards a sustained collaborative data sharing culture. This study responds to the need to collect actionable data from multiple sources to reflect the prevalence and context of human trafficking more accurately.

Utilizing a mixed methods approach in assessing cities and metropolitan areas with the highest rates of breast cancer disparities in African-American communities, this study presents the Affiliate perspective of the Susan G. Komen non-profit organization in combination with available socioeconomic data and academic literature. Analyzed through an anthropological lens, qualitative and quantitative data illuminate the lived experiences and dynamic circumstances in which breast cancer disparities are disproportionately experienced in 21 of the nation’s populations of African-Americans. Two main recommendations arose from this research: prioritization of granting to activities such as patient navigation, usage of patient narrative messaging, community-based participatory research methods of program development and implementation, mobile mammography delivery, usage of lay health educators, and self-advocacy education to alleviate barriers to healthcare and supplementation of the current educational activities of the Komen Affiliates through program sharing and leverage of current assets with consideration of current Affiliate capacity. These recommendations may help in alleviating breast cancer disparities present in African-American communities with the highest levels of disparities in the nation.

This study incorporated a community based assessment with a focus on community based tourism in Kalache and Hulgol, India. Kalache and Hulgol are two agrarian based communities located in the environmentally significant region of the Western Ghats. Each of these communities has considered community based tourism as a means to reduce urban youth outmigration, to diversify economic resources, and to encourage the empowerment of women. The primary goals of this study were to understand the community issues and objectives, to determine the level of support for tourism development, to determine participant attitudes toward tourism, and to determine the obstacles to tourism development. The findings of this project address the complexity of operating in the tourism industry, the impacts of tourism, and the use of community based tourism models in support of sustainable tourism.