Abstract
Public policy that seeks to achieve sustainable improvements in the social determinants of health, such as income, education, housing, food security and neighborhood conditions, can create positive and sustainable health effects. This paper describes preliminary results of Acción para la Salud, a public health intervention in which Community health workers (CHWs) from five health agencies engaged their community in the process of making positive systems and environmental changes. Academic-community partners trained Acción CHWs in community advocacy and provided ongoing technical assistance in developing strategic advocacy plans. The CHWs documented community advocacy activities through encounter forms in which they identified problems, formulated solutions, and described systems and policy change efforts. Strategy maps described the steps of the advocacy plans. Findings demonstrate that CHWs worked to initiate discussions about underlying social determinants and environment-related factors that impact health, and identified solutions to improve neighborhood conditions, create community opportunities, and increase access to services.
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Acknowledgments
This publication was supported by the Cooperative Agreement 5U48DP001925-24 from the Centers for Chronic Disease Prevention and Health Promotion. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention. The AzPRC acknowledges the organizations that participate on the AzPRC research committee in carrying out this research: Cochise County Health Department, El Rio Community Health Center, Mariposa Community Health Center, Pima County Health Department, Regional Center for Border Health, and Sunset Community Health Center.
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Ingram, M., Schachter, K.A., Sabo, S.J. et al. A Community Health Worker Intervention to Address the Social Determinants of Health Through Policy Change. J Primary Prevent 35, 119–123 (2014). https://doi.org/10.1007/s10935-013-0335-y
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DOI: https://doi.org/10.1007/s10935-013-0335-y