Professor of Clinical Population and Family Health and Clinical Sociomedical Sciences
Past Research: Professor Findley has long been interested in research on internal migration. Her 1977 volume, Planning for Internal Migration: A Review of the Issues and Policies, first introduced her pragmatic perspective of assessing the intended and unintended migration consequences of development programs, and she later generalized that approach when she introduced contextual modeling to the study of migration flows in the Philippines and Mali. More recently, she has developed contextual models for the health transition, and she co-edited a series of three volumes on the health transition. She has used contextual and social networking models to inform the logic models upon which her child health promotion interventions have been based in New York City.
Present Research: Findley has used evidence regarding social networking and peer influence on health behavior changes as a basis for developing two child health promotion coalitions in NYC, the Start Right and Asthma Basics for Children coalitions. Under Findley’s leadership, the Northern Manhattan Start Right Coalition has closed the immunization disparity gap for 10,000 Latino and African American children, going from 30% below to above the national and city averages. Her studies document the effectiveness of these strategies to overcome disparities faced by children of immigrant parents. Findley’s team now has additional support from CDC/NIP for immunization studies to test alternative strategies to provide reminders and promote immunizations in alternative community settings, such as through day care programs. Findley’s asthma research involves testing a multilevel intervention (provider, school or center, teacher, parent advocate/peer, community health worker) to stimulate improved asthma management for children. Findley is participating in two national, cross-site analyses aimed at comparing the alternative effectiveness of different elements of asthma education and support programs.
Simultaneously, she has continued her work on migration and health promotion in Africa. In 2002, she launched a program to document the effect of climate variability on migration, development and health in Niono, Mali. The team also has documented the influence of climate variability and its intra-annual manifestation (seasonality) on childhood illnesses. She has brought her expertise on migration and population surveillance to the In-Depth network, for which she serves as an advisor and editor of a forthcoming volume on the application of population surveillance to the study of dynamic migration and health interactions at 13 sites in Africa and Asia.
Future Research: Findley will continue to investigate contextual models of migration and health behaviors, community-based influences on child health promotion behaviors, the role of social networks and peer influences on parental behaviors and child health promotion. She and her coalitions (Start Right and ABC) are expanding their activities to test strategies for community-based obesity prevention. She is continuing to develop climate and “season-smart” interventions to reduce child mortality and morbidity from seasonally and climate susceptible illnesses (ARI, diarrhea, and malaria). After initial tests involving the Millennium Village site in Mali, she plans to work with the Earth Institute and colleagues in the In-Depth network sites to test the effectiveness of this approach as an alternative strategy for enhancing community health worker capacity and reducing preventable childhood deaths in Africa.
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