Eve Goddard
Research Mentor(s): Amy Buckenmeyer
Mentor Department: Systems, Populations, and Leadership
Authors:
Session: Session 2 (10:00am – 10:50am)
Presentation Type: Poster 11
Abstract
Health disparities in Nicaragua are in part shaped by gender, socioeconomic status, and environmental factors, impacting individuals across all age groups. This study employed community-based participatory research (CBPR) to center the perspectives and health concerns of rural community members, aiming to advance environmental justice. Through the CBPR program, 200 families received improved cookstoves as a sustainable alternative to open-fire cooking, addressing related health and lifestyle concerns. From the program’s implementation in 2011 to 2018, participants were assessed through pre- and post-implementation interviews, evaluating women and children’s respiratory, ocular, and cardiopulmonary health. The intervention yielded a significant reductions in headaches, respiratory illness, and headaches (p<.001) demonstrating measurable improvements in health outcomes associated with household air quality. This study highlights the intricate relationship between health equity and environmental justice and underscores the necessity of integrating community voices in the design, execution, and evaluation of global health initiatives. Notably, this remains the only documented improved cookstove program that has sustained impact over seven years. Future research on environmental justice in Nicaragua must continue prioritizing community-driven approaches to ensure lasting and effective health interventions.
