Date of Award


Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Katherin Baumgartner


Social determinants of health in Tanzania include poverty, low educational standards, and pandemic diseases such as malaria and HIV/AIDS. Girls in Tanzania are at an increased disadvantage in educational and vocational opportunities relative to boys. They are also an identifiable 'at risk' population regarding access to health care and health education. To address vulnerability of girls, a 5 day retreat for 12 year old girls was held in July, 2014 in Ruaha Mbuyuni, a small village in Iringa region of Tanzania. Using cirlce process, focused group discussions, and creative arts, participants were given the opportunity to express their hopes, dreams, and concerns, and to share these with the group and with trusted adults. Specific goals for retreat participants were to affirm positive self-worth, to discover personal strengths and life goals, to receive accurate information on girls' health, and to foster a sense of empowerment and agency. Strengthening connections with family and to the community included forming a mentor relationship with a trusted adult of their choice, and becoming better acquainted with community women experts for questions, concerns, or advice. Each day had a theme corresponding to goals for a particular day. This was a pilot project using Florence Nightingale's knowledge of arts in healing, Madeleine Leininger's Culture Care: Diversity and Universality Theory, and Jean Watson's Caring Science Theory, applying key concepts to a very local setting in Tanzania.


SC 11.DNP.2015.Hartwig.RS

Thesis_Hartwig_2015.m4v (92061 kB)
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