COVID-19 Crisis Creates Opportunities for Community-Centered Population Health

Goldfield, Norbert; Crittenden, Robert; Fox, Durrell J.; McDonough, John E.; Nichols, Len M.; Rosenthal, E. Lee

doi:10.1097/jac.0000000000000337

Cited by 43 publications

(44 citation statements)

References 2 publications

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“…This is an important aspect, as many of the communities served by these workers may be hesitant to engage with outsiders. Moreover, hiring CHWs and promotores (and training new individuals in this job) would contribute to job development—especially in communities hardest hit by the pandemic [ 36 , 62 , 64 , 65 ].…”

Section: Discussionmentioning

confidence: 99%

“…For instance, CHWs effectively reduced the impacts of type-2 diabetes and improved health education among a sample of Mexican American adults in the RGV [ 35 ]. In response to the COVID-19 pandemic, the need for their skills to connect marginalized communities, distribute information, and promote health behaviors has been recognized [ 36 ].…”

Section: Introductionmentioning

confidence: 99%

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Addressing Health Disparities in the Rural United States: Advocacy as Caregiving among Community Health Workers and Promotores de Salud

Logan

Castañeda

2020

IJERPH

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Rural populations in the United States are faced with a variety of health disparities that complicate access to care. Community health workers (CHWs) and their Spanish-speaking counterparts, promotores de salud, are well-equipped to address rural health access issues, provide education, and ultimately assuage these disparities. In this article, we compare community health workers in the states of Indiana and Texas, based on the results of two separate research studies, in order to (1) investigate the unique role of CHWs in rural communities and (2) understand how their advocacy efforts represent a central form of caregiving. Drawing on ethnographic, qualitative data—including interviews, photovoice, and participant observation—we analyze how CHWs connect structurally vulnerable clients in rural areas to resources, health education, and health and social services. Our primary contribution to existing scholarship on CHWs is the elaboration of advocacy as a form of caregiving to improve individual health outcomes as well as provoke structural change in the form of policy development. Finally, we describe how CHWs became especially critical in addressing disparities among rural populations in the wake of COVID-19, using their advocacy-as-caregiving role that was developed and well-established before the pandemic. These frontline workers are more vital than ever to address disparities and are a critical force in overcoming structural vulnerability and inequities in health in the United States.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Addressing Health Disparities in the Rural United States: Advocacy as Caregiving among Community Health Workers and Promotores de Salud

Logan

Castañeda

2020

IJERPH

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“…Goldfield et al 40 consider that the activities developed should include monitoring changes in the epidemiological situation and in public health strategies. According to them, these activities should aim at social acceptance, control of new cases, contact tracking, health monitoring, prevention and strict control of infections in health facilities, use of other active control interventions, continuous active surveillance activities, sharing of health data with members of the same country, and a team for the information systems team, all attributions that are already recommended by the PNAB.…”

Section: Support For Health Teamsmentioning

confidence: 99%

“…In view that the community competence is one of the differences in the CHWs work, dialogue with the population about their demands and the importance of fostering social participation and community engagement becomes essential 48 . Importantly, the CHW has taken on a leadership role (although not systematically) promoting improved communication strategies 25,40 .…”

Section: Health Educationmentioning

confidence: 99%

Agente comunitário de saúde: reflexões sobre o processo de trabalho em saúde em tempos de pandemia de Covid-19

Maciel

Santos

Carneiro

et al. 2020

Ciênc. saúde coletiva

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Resumo O objetivo deste estudo é discutir a reorganização do processo de trabalho do Agente Comunitário de Saúde (ACS) em decorrência da pandemia da Covid-19, considerando sua importância enquanto um elo de articulação entre a comunidade e os serviços de saúde. Foi realizada uma revisão de literatura nas bases de dados Biblioteca Virtual em Saúde, Scientific Electronic Library Online e Portal Brasileiro de Publicações Científicas em acesso aberto e revisão documental de notas técnicas e normativas das secretarias estaduais de saúde do Brasil. A análise baseou-se nas premissas da Atenção Primária à Saúde e nos eixos do trabalho do ACS, especialmente a competência cultural e a orientação comunitária, buscando discutir as mudanças introduzidas neste trabalho no que diz respeito aos seguintes aspectos: apoio às equipes de saúde, utilização da telessaúde e educação em saúde. Concluiu-se que a pandemia de Covid-19 demandou reorganização do processo de trabalho e dos fluxos assistenciais, e para que o ACS continue desenvolvendo suas atividades deve-se garantir condições dignas de trabalho, capacitação e educação permanente, evidenciando-se inclusive, a preocupação quanto à possível descontinuidade de outros cuidados necessários para garantir a atenção à saúde da população no território.

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“…The effort of handling mental health other health workers who have been applied based on literature (23,(27)(28)(29)(30)(31)(32)(33)(34)(35) which are: (1) social Support post-trauma and stressors (primary for example, the death of work colleagues or a secondary such as labor relations or the difficulty of the work) which is experienced during recovery is the most powerful risk factors predict status of mental health long-term; and (2) manager Support to increase better mental health. Furthermore, there are four key elements in recovery plans mental health staff evidence-based, namely: (1) Grateful, whether written or oral, which recognizes the challenging work that is done, can foster the resilience of the individual.…”

Section: The Management Of the Mental Health Of Health Workersmentioning

confidence: 99%

The Mental Health of Medical Workers During the Covid19 Pandemic: How Do We Manage It?

Kusumawardani

Nurika

Luthfiyana

2020

JKL

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Introduction: Covid-19 pandemic has occurred in many countries and caused a world health crisis. The morbidity dan mortality rate due to Covid-19 still rising until now. The outbreak of Covid-19 was not only affected the mental health of community but also affect the medical workers as the frontline. Therefore, we present an overview of the mental health outcomes in medical workers and describe the management at the organizational and personal level. Literature is obtained through searches from the ScienceDirect, PubMed, and Google Scholar databases which are further classified and summarized based on research questions. Discussion: The impact of the Covid-19 pandemic on the mental health of medical workers shows that the majority of workers experience anxiety, insomnia, depression to severe stress. The risk of mental disorders in women is higher than men, nurses are higher than doctors, and middle and junior positions are higher than senior degrees. Efforts that have been made in controlling mental health problems for workers in health services include periodic mental health monitoring, psychological support through self-care, mindfulness techniques, active listening, music therapy, internal counseling, and problem solving among ourselves. In addition, workers in health services must also get social support such as instrumental support to emotional support in the workplace. Conclusion: Medical workers in the health services have a very high risk of experiencing mental health problems during the Covid-19 pandemic so that the role of leaders in every health care facility is required in carrying out stress management activities in the workplace.

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COVID-19 Crisis Creates Opportunities for Community-Centered Population Health

Cited by 43 publications

References 2 publications

Addressing Health Disparities in the Rural United States: Advocacy as Caregiving among Community Health Workers and Promotores de Salud

Addressing Health Disparities in the Rural United States: Advocacy as Caregiving among Community Health Workers and Promotores de Salud

Agente comunitário de saúde: reflexões sobre o processo de trabalho em saúde em tempos de pandemia de Covid-19

The Mental Health of Medical Workers During the Covid19 Pandemic: How Do We Manage It?

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