the center for sustainable health outreach a collaboration between the university of southern...
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The Center for The Center for Sustainable Health OutreachSustainable Health Outreach
A collaboration between
The University of Southern Mississippi
and
Georgetown University Law Center
December 7, 2004
RationaleRationale
Due to cultural, linguistic, and/or economic barriers, U.S. families with the greatest health risk are often least likely to be appropriately served by the health care system.
December 7, 2004
RationaleRationale
“If the problems are in the community, the solutions are in the community.”
Gilbert Friedell, MDFormer Director of Cancer Control
Kentucky Cancer ProgramLexington, Kentucky
December 7, 2004
RationaleRationale
Community Health Workers provide services within the cultural, linguistic and other value systems of the community.
December 7, 2004
DefinitionDefinition
Lay Health Advisor/WorkerCommunity Health Advisor
Promotor(a) de SaludCommunity Health Representative
“An individual that is indigenous to his/her community and agrees to be a link between community members and the service delivery system.”
Service C., Salber E. (eds.): Community Health Education: The Lay Health Advisor Approach. Durham, NC, Duke University Health Care System, 1979.
December 7, 2004
DefinitionDefinition
Community Health Workers are an effective means of improving community health, because they serve as a vital link between communities and health care systems.
December 7, 2004
“CHWs are not trained to substitute for professionals, but rather act as counterparts to assist health care providers and other professionals in their mission to improve health and social conditions in ways these traditional providers are not able to provide.”
M.D. Barnes and J. Fairbanks
DefinitionDefinition
December 7, 2004
DefinitionDefinition
Community Health Workers can: educate individuals and communities facilitate access to needed services educate providers and health systems help craft services that are more responsive to community needs
December 7, 2004
DefinitionDefinition
Community health workers work in all areas of public health including
Maternal-child health Oral health care Chronic disease management Cancer awareness STD control
December 7, 2004
DefinitionDefinition
Continuum of Lay Health Advisor Helping
Natural Professional Helping Helping
Informal Formal End End
Adapted from Eng, Eugenia, Parker, Edith, and Harlan, Christina. (1997). Lay Health Advisor Intervention Strategies: A Continuum from Natural Helping to Paraprofessional Helping. Health Education and Behavior, 24(4), 413-417.
December 7, 2004
Community Health Community Health Advisor ProgramAdvisor Program
The CHA program recruits and trains volunteer natural helpers who seek to improve individual and community health by
identifying perceived priority health problems;
organizing self-help action in their communities;
linking people in need with available health services; and
giving advice and assistance to neighbors, friends and families.
December 7, 2004
Deep South Network for Deep South Network for Cancer ControlCancer Control
The project’s purpose is to create a community infrastructure to increase cancer awareness in the African-American population in both poor, rural areas and urban areas of Alabama and Mississippi.
December 7, 2004
CHARPs…CHARPs…
Increase awareness through formal and informal presentations
Talk with family, friends, neighbors and acquaintances about the importance of early detection, accessing screening tests, and diagnostic services
December 7, 2004
CHARPs…CHARPs…
Help people get to screening, diagnostic, treatment and follow-up services
Assist people in understanding treatment and follow-up recommendations from physicians and other health professionals
December 7, 2004
M.I.H.O.W.M.I.H.O.W.
The Maternal/Infant Health Outreach Worker program is a community-based, home visiting program aimed at improving family health and early childhood development for low-income families.
December 7, 2004
M.I.H.O.W.M.I.H.O.W.
Because they come from the same backgrounds as the families they serve, MIHOW outreach workers readily develop the trusting relationships necessary for effective home visiting.
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M.I.H.O.W.M.I.H.O.W.
M.I.H.O.W. workers conduct home visits during prenatal, infant, toddler, and childhood periods
Teaching Anticipatory guidance Social support Intervention when needed
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M.I.H.O.W.M.I.H.O.W.
M.I.H.O.W. workers also Conduct group meetings with
participants
Collect data for evaluation system
December 7, 2004
CSHO PurposeCSHO Purpose
CSHO supports Community Health Workers by providing support and technical assistance in these areas:
Public Policy Sustainability Education and Training Evaluation and Planning
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CSHO CommunicationCSHO Communication
Connections, a quarterly newsletter Web page with e-mail links Listserv Specialized direct mailings
FOR MORE INFO...
www.usm.edu/csho or e-mail us at [email protected]
December 7, 2004
CSHO CHW Inventory ProjectCSHO CHW Inventory Project
W.K. Kellogg-sponsored project to develop a national inventory of CHW programs
description of programs and CHW activities
their evaluation methodologies an annotated bibliography of articles
December 7, 2004
Vision StatementVision Statement
CSHO envisions Community Health Workers who are valued as essential, integral, powerful promoters of health, wellness and disease prevention in their communities.
December 7, 2004
Contact CSHOContact CSHO
The Center for Sustainable Health Outreach
The Univ. of Southern Mississippi
118 College Drive #10015
Hattiesburg, MS 39406-0001
(601) 266-6261 telephone
(601) 266-6262 fax
www.usm.edu/csho Web page
[email protected] e-mail