Tsegay Kahsay Gebrekidan
Environmental education in Ethiopia: History, mainstreaming in curriculum, governmental structure, and its effectiveness: A systematic review
Heliyon
health literacy generally low marginalized groups leading delays accessing care poor health outcomes health disparities yet individuals groups demonstrate higher health literacy better health outcomes exceptional cases exemplify positive deviance found ways successful others identifying methods practices resources individuals used gain health literacy healthcare access may generalized application improve health literacy access care health outcomes using integrated model health literacy main objectives study 1 identify facilitators barriers strategies gain sexual reproductive health literacy healthcare access 2 explore core domains health literacy relate successful access sexual reproductive healthcare services among individuals identified positive deviants purposes mixed methods community engaged study positive deviants defined mexican american young women aged 1829 years old living rural western new york accessed sexual reproductive healthcare within past year community advisory committee formed provide communityengaged guidance support recruitment participants positive deviants participate survey semistructured interview data collection analysis simultaneous iterative results provide evidence positive deviant methods practices strategies gain health literacy access sexual reproductive healthcare findings may reveal characteristics patterns relationship health literacy healthcare access inform interventions improve health literacy make healthcare accessible demographic group context