Expanding Roles for Health Assistants in a Model Cities Health Program

González, José Luis Ortega; Woodward, Lowell H.

doi:10.2307/4595002

Health Services Reports

1974

DOI: 10.2307/4595002

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Expanding Roles for Health Assistants in a Model Cities Health Program

José Luis Ortega González¹,

Lowell H. Woodward²

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1992

2003

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Cited by 6 publications

(1 citation statement)

References 9 publications

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“…This model is used more commonly in nonindustrialized countries where professional health care providers are a scarce resource. However, many successful interventions in the United States involving lay health workers have been reported in urban, African‐American communities (12, 13). In many health care settings around the world, ‘mothers working with mothers’ have demonstrated measurable success (14, 15).…”

mentioning

confidence: 99%

An oral health promotion program for an urban minority population of preschool children

Harrison

Wong

2003

Comm Dent Oral Epid

100

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The objective of this project was to design, implement and evaluate an oral health promotion program for inner-city Vietnamese preschool children in Vancouver, British Columbia, Canada. The project comprised of four general phases: information-gathering, project planning, project implementation, and project evaluation. The information-gathering phase of the project demonstrated extensive tooth decay in young children, bottle use during the day and during sleep-time long past recommended weaning age, and a belief of many parents that primary teeth were not important. Based on this information, the project planning committee designed a program that featured one-to-one counseling supported by community-wide activities. A Vietnamese lay health counselor provided counseling to mothers with telephone follow-up that coincided with scheduled infant immunization visits to a twice-monthly Child Health Clinic for Vietnamese families. At all the follow-up assessment clinics scheduled over the 7-year duration of this continuing project, mothers who had had more than one counseling visit reported significantly less use of sleep-time and daytime bottles for their children, and their children demonstrated significantly reduced prevalence of caries compared to similarly aged children at baseline. One-to-one counseling with regular follow-up provided by a lay person of similar background and culture to the participants is an effective way to facilitate adoption of healthy behaviors and to improve oral health of children.

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mentioning

confidence: 99%

An oral health promotion program for an urban minority population of preschool children

Harrison

Wong

2003

Comm Dent Oral Epid

100

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Evaluation of a peer health worker prenatal outreach and education program for Hispanic farmworker families

Warrick¹,

Wood²,

Meister³

et al. 1992

J Community Health

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This article contains the findings from an evaluation of a prenatal education program to Hispanic migrant farmworker families using peer health workers. The focus of the evaluation was on establishing the validity of the intervention model in the target population. Data are presented on the program setting, characteristics of the clients served, and effects of the educational program on the clients and peer health workers. The evaluation identified factors that established confidence in the program model: (1) there were existing barriers to health care and health information; (2) the program served a culturally specific and disadvantaged population; (3) the prenatal curriculum was culturally sensitive; (4) the peer workers were accepted by the target community; and (5) the model did not threaten the medical community. The directions for future research are presented.

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Using lay health workers: Case study of a community-based prenatal intervention

Meister

Warrick²,

Zapien³

et al. 1992

J Community Health

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This article reports on the design and implementation of a prenatal outreach and education intervention for low income, Hispanic women living in three migrant and seasonal farmworker communities in Arizona. The program included three major elements: a Spanish language prenatal curriculum; a group of mature Hispanic women recruited from the target communities and trained as "Comienzo Sano" (healthy beginning) Promotoras (health promoters), and the organization of a support network of local health professionals. The rationale for the demonstration is reviewed, and the structure of the intervention is described. Factors which facilitated and constrained implementation of the program are identified, and guidelines are provided for other health care providers and health educators interested in developing similar programs.

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Expanding Roles for Health Assistants in a Model Cities Health Program

Cited by 6 publications

References 9 publications

An oral health promotion program for an urban minority population of preschool children

An oral health promotion program for an urban minority population of preschool children

Evaluation of a peer health worker prenatal outreach and education program for Hispanic farmworker families

Using lay health workers: Case study of a community-based prenatal intervention

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