Description
The Médico en Tu Casa/Salud en Tu Vida (MTC/STV) health program bring free health care services to the homes of residents of Mexico City. Despite international recognition of the program, their implementation evaluation of the program does not include the point of view of its recipients or other city locals. Creating a space for the voices of the lay community to be heard is essential, but can be a challenge. Using the culture-centered approach, this study seeks to highlight the voices of residents whom the MTC/STV program is designed to serve in conjunction with people who work directly for the programs. These perspectives were gathered via face-to-face interviews that took place in Mexico City and analyzed using grounded theory with sensitizing concepts emerging from the culture- centered approach. Results found positive and negative program perceptions existed for both employees and Mexico City residents. In addition, both groups generally believed in the mission of the program and provided suggestions for future program growth. As expected from the culture-centered approach, the interdependent relationships between culture, agency, and structure shed light on the ways in which the voices of the general public are currently being overshadowed. Findings highlight the importance of giving voices to those that use the program and implications for future program research and practice. Keywords: Health, cultured-centered approach, grounded theory, Latin America, Mexico City
