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Profiles, Perceptions and Motivations of Community Health Workers of NGOs in a Border City of US-Mexico

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Abstract

To analyze the profile, perceptions and motivations of Community Health Workers (CHWs) from non-governmental organizations (NGOs) in the border city of US-Mexico and to describe the type of community interventions they perform. we surveyed 121 CHWs from 9 NGOs participating in a monthly meeting between May and July of 2009. Each participating CHW answered a structured questionnaire. Furthermore, two focus groups were held, in which 10 and 8 CHWs participated, respectively. Qualitative and quantitative analyses were carried out on the data obtained. 70% of the CHWs had 9 years or less of formal education. With respect to community work, 61% volunteered between 1 and 5 h weekly; only 40% received some form of economic support. The most commonly reported activities were distribution of informational materials (59.5%) and promotion of health fairs (52.9%). Analysis of focus group discussions lead to the development of four conceptual categories: personal development, motivation, perception of their community participation and institutional relationship, some of the testimonies are “…just because the people do not respond does not mean we give up. No, we must work, persist, promote and raise awareness of the people…”, “…when they compensate us, it is not really a payment. We are there because we get results, we do it happily… It is voluntary…” CHWs are an important human resource for communities. Institutions focusing on primary care should view these community players as social capital, which could improve the effectiveness of prevention strategies and achieve greater coverage of health services.

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References

  1. Viswanathan, M., Kraschnewski, J., Nishikawa, B., Morgan, L. C., Thieda, P., & Honeycutt, A. et al. (2009). Outcomes of community health worker interventions. Evidence report/technology assessment. Rockville, MD: RTI International–University of North Carolina (June 2009. Report No.: 181).

  2. Han, H.-R., Kim, K. B., & Kim, M. T. (2006). Evaluation of the training of Korean community health workers for chronic disease management. Health Education Research, 22(4), 513–521.

    Article  PubMed  CAS  Google Scholar 

  3. Lehmann, U., & Sanders, D. (2007). Community health workers: What do we know about them? The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers. Geneva: World Health Organization.

  4. Pérez, L. M., & Martinez, J. (2008). Community health workers: Social justice and policy advocates for community health and well-being. American Journal of Public Health, 98(1), 11–14.

    Article  PubMed  Google Scholar 

  5. Schneider, H., Hlophe, H., & Rensburg, Dv. (2008). Community health workers and the response to HIV/AIDS in South Africa: Tensions and prospects. Health Policy and Planning, 23, 179–187.

    Article  PubMed  Google Scholar 

  6. Lewin, S., Dick, J., Pond, P., Zwarenstein, M., Aja, G., & Wyk, B. v., et al. (2008) Trabajadores sanitarios legos en la asistencia sanitaria primaria y comunitaria. (Revisión Cochrane traducida). La Biblioteca Cochrane Plus. (Electronic Version). p. 2.

  7. Gibbons, M. C., & Tyus, N. C. (2007). Systematic review of US based randomized controlled trials using community health workers. Proyect Muse Scholarly journals online (serial on the Internet). Available from http://pchp.press.jhu.edu.

  8. Kane, S. S., Gerretsen, B., Scherpbier, R., et al. (2010). A realist synthesis of randomised control trials involving use of community health workers for delivering child health interventions in low and middle income countries. BMC Health Services Research, 10, 1–7. http://www.biomedcentral.com/1472-6963/10/286. Accessed 23 Sept 2011.

  9. Swider, S. M., Martin, M., Lynas, C., & Rothschild S. (2010). Project MATCH: Training for a Promotora Intervention (p. 36.). The Diabetes Educator.

  10. Love, M. B., Gardner, K., & Legion, V. (1997). Community health workers: Who they are and what they do. Health Education Behavior, 24, 510.

    Article  PubMed  CAS  Google Scholar 

  11. U.S, Department of Health and Human Services Health Resources and Services Administration. (2007). Community health worker national workforce study. San Antonio: University of Texas Health Science Center, Professions BoH.

  12. Ramos, I. N., May, M., & Ramos, K. S. (2001). Environmental health training of Promotoras in colonias along the Texas-Mexico Border. American Journal of Public Health (Field action report), 91(4), 568–570.

    CAS  Google Scholar 

  13. Teufel-Shone, N., Drummond, R., & Rawiel, U. (2005). Developing and adapting a family-based diabetes program at the U.S.-Mexico border. Preventing Chronic Disease (serial on the Internet), 2(1). Available from http://www.cdc.gov/pcd/issues/2005/jan/04_0083.htm.

  14. Olney, C. A., Warner, D. G., Reyna, G., Wood, F. B., & Siegel, E. R. (2007). MedlinePlus and the challenge of low health literacy: Findings from the Colonias project. Journal of the Medical Library Association, 95(1), 31–39.

    Google Scholar 

  15. Balcázar, H., Alvarado, M., Cantu, F., Pedrego, V., & Fulwood, R. (2009). A Promotora de Salud model for addressing cardiovascular disease risk factors in the us-mexico border region. Preventing Chronic Disease, 6(1), 8.

    Google Scholar 

  16. Hunter, J. B., de Zapien, J. G., Papenfuss, M., Fernandez, M. L., Meister, J., & Giuliano, A. R. (2004). The impact of a Promotora on increasing routine chronic disease prevention among women aged 40 and older at the U.S.-Mexico border. Health Education & Behavior, 31(4), 18S–28S.

    Article  Google Scholar 

  17. Rojas, R. M. R. (1995). Permanencia de los promotores comunitarios en las acciones de salud; dos programas en México. Tijuana: UABC Thesis.

  18. Castillo Udiarte R. (2004). Cómplices de Sueños. Testimonios de promotoras comunitarias de Tijuana. Mexicali: Los Niños de Baja Califonia A.C., Universidad Iberoamericana Tijuana y Universidad Simon Fraser, Canadá.

  19. Niños, L. (1998). Experiencias de una Promotora Comunitaria. Tijuana, B.C.: Historia Oral Nuestras Vivencias.

    Google Scholar 

  20. Castillo Udiarte R. (2007). Cómplices de sueños. Tijuana: Consejo Nacional para la Cultura y las Artes.

  21. Zayas, C. F., & Pérez, A. B. (2005). Escuela de promotoras comunitarias. Una experiencia de educación popular desde la perspectiva de género. Decisio Educación Popular (serial on the Internet) p. 10.

  22. Silverman, D. (2003). Interpreting qualitative data: Methods for analysing, talk, text and interaction (2nd ed., pp. 233–235). London: Sage.

    Google Scholar 

  23. Arenas-Monreal, L., Paulo-Maya, A., & López-González, H. E. (1999). Educación popular y nutrición infantil: Experiencia de trabajo con mujeres en una zona rural de México. Rev Saúde Publica, 33(2), 113–121.

    Article  PubMed  CAS  Google Scholar 

  24. Castro-Perez, R., & Hernandez-Tezoquipa, I. (1993). Opiniones de los diversos actores sobre la participacion comunitaria en salud y planificacion familiar. Salud Publica de Mex, 35(4), 376–392.

    CAS  Google Scholar 

  25. Ingram, M., Sabo, S., Rothers, J., Wennerstrom, A., & Zapien, J. Gd. (2008). Community health workers and community advocacy: Addressing health disparities. Journal of Community Health, 33, 417–429.

    Article  PubMed  Google Scholar 

  26. Cerqueira, M. T. (Ed.). (2006). Promocion de la Salud en las Americas: Revision del Progreso desde la Declaracion Ministerial de Mexico. Washington, DC: Panamerican Health Organization-World Health Organization.

  27. Kebriaei, A., & Moteghedi, M. S. (2009). Job satisfaction among community health workers in Zahedan District, Islamic Republic of Iran. La Revue de Santé de la Méditerranée orientale, 15(5), 1156–1163.

    CAS  Google Scholar 

  28. Low, L. K., Moffat, A., & Brennan, P. (2006). Doulas as community health workers: Lessons learned from a volunteer program. Journal of Perinatal Education, 15(3), 25–33.

    Article  Google Scholar 

  29. Whitley, E. M., Drisko, J., Everhart, R. M., & Samuels, B. A. (2007). Standardized academic education prepares competent community health workers. American Journal of Health Studies, 22(2), 121–126.

    Google Scholar 

  30. Kash, B. A., May, M. L., & Tai-Seale, M. (2007). Community health worker training and certification programs in the United States: Findings from a national survey. Health Policy, 80, 32–42.

    Article  PubMed  Google Scholar 

  31. Wadler, B. M., Judge, C. M., Prout, M., Allen, J. D., & Geller, A. C. (2011). Improving breast cancer control via the use of community health workers in South Africa: A critical review. Journal of Oncology. http://www.hindawi.com/journals/jo/2011/150423/. Accessed 23 Sept 2011.

  32. Mock, J., McPhee, S. J., Nguyen, T., et al. (2007). Effective lay health worker outreach and media-based education for promoting cervical cancer screening among vietnamese american women. American Journal of Public Health, 97(9), 1693–1700.

    Article  PubMed  Google Scholar 

  33. Farquhar, S. A., Wiggins, N., Michael, Y. L., Luhr, G., Jordan, J., & Lopez, A. (2008). Sitting in different chairs: Roles of the community health workers in the poder es salud/power for health project. Education for Health, 21(2), 1–8.

    Google Scholar 

  34. Rahman, S. M., Ali, N. A., Jennings, L., Seraji, M. H. R., Mannan, I., Shah, R. Z., et al. (2010). Factors affecting recruitment and retention of community health workers in a newborn care intervention in Bangladesh. Human Resource Health, 8, 12.

    Article  Google Scholar 

  35. Rosenthal, E. L., Brownstein, J. N., Rush, C. H., Hirsch, G. R., Willaert, A. M., Scott, J. R., et al. (2010). Community health workers: Part of the solution. Health Affairs, 29(7), 1338–1342.

    Article  PubMed  Google Scholar 

  36. DiClemente, R. J., Crosby, R. A., & Kegler, M. C. (2002). Emerging theories in health promotion practice and research: Startegies for improving public health (pp. 228–254). San Francisco: Jossey-Bass.

  37. Sapag, J. C., & Kawachi, I. (2007). Capital social y promoción de la salud en América Latina. Rev Saúde Pública, 41, 139–149.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Public Health, Universidad Autonoma de Baja California, School of Medicine and Psychology, Apdo. Postal # 113-A, Mesa de Otay, CP 22350, Tijuana, B.C., Mexico

    Beatriz Alfaro-Trujillo, Ana M. Valles-Medina & Adriana C. Vargas-Ojeda

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  1. Beatriz Alfaro-Trujillo
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  2. Ana M. Valles-Medina
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  3. Adriana C. Vargas-Ojeda
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Correspondence to Ana M. Valles-Medina.

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Alfaro-Trujillo, B., Valles-Medina, A.M. & Vargas-Ojeda, A.C. Profiles, Perceptions and Motivations of Community Health Workers of NGOs in a Border City of US-Mexico. J Community Health 37, 583–590 (2012). https://doi.org/10.1007/s10900-011-9486-z

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