Promotoras Voice Their Challenges in Fulfilling Their Role as Community Health Workers

2020 ◽  
pp. 152483992092118
Author(s):  
Pamela Orpinas ◽  
Rebecca A. Matthew ◽  
Luis R. Alvarez-Hernandez ◽  
Alejandra Calva ◽  
J. Maria Bermúdez
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Participatory Research ◽  
English Language ◽  
Health Workers ◽  
Cultural Beliefs ◽  
Community Based Participatory Research ◽  
Well Being ◽  
Emotional Impact ◽  
Community Based

Promotoras de salud (Spanish for female community health workers) are integral to efforts to enhance the health and well-being of Latinx individuals, families, and communities. The purpose of this study was to describe the challenges that promotoras face and the proposed solutions from the perspective of the promotoras themselves. Five promotoras who worked for a year as volunteers in a community-based participatory research study, Lazos Hispanos, participated in two group interviews. Eight challenges emerged—balancing their new work with their family commitments, handling their perceived imbalance of power with men, managing the emotional impact of hearing participants’ problems, facing and handling the barriers imposed by having limited English language skills, feeling discouraged by the perception of ethnocentric beliefs and discrimination from some providers, feeling disheartened by the cultural beliefs of some Latinx participants, handling the lack of transportation for themselves and for the participants, and managing the burden of data collection for the research aspect of the program. The explanation of these challenges and the practical solutions they proposed are embedded in their intersecting identities. The solutions are a valuable addition to the practice of health promotion and community-based participatory research, particularly within Latinx communities.

scholarly journals The Peru Cervical Cancer Prevention Study (PERCAPS): Community-Based Participatory Research in Manchay, Peru

2013 ◽  
Vol 23 (1) ◽  
pp. 141-147 ◽  
Author(s):  
Kimberly L. Levinson ◽  
Carolina Abuelo ◽  
Eunice Chyung ◽  
Jorge Salmeron ◽  
Suzanne E. Belinson ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Community Health ◽  
Community Health Workers ◽  
Participatory Research ◽  
Health Workers ◽  
Community Based Participatory Research ◽  
Cervical Cancer Prevention ◽  
Community Based ◽  
Research Techniques

ObjectiveCervical cancer is a preventable disease which causes significant morbidity and mortality, particularly in developing countries. Although technology for early detection continues to improve, prevention programs suffer from significant barriers. Community-based participatory research is an approach to research which focuses on collaboration with the community to surmount these barriers. The objective of this study was to evaluate the utility of community-based participatory research techniques in a mother-child screen/treat and vaccinate program for cervical cancer prevention in Manchay, Peru.Materials and MethodsHuman papillomavirus (HPV) self-sampling and cryotherapy were used for the screen/treat intervention, and the Gardasil vaccine was used for the vaccine intervention. Community health workers from Manchay participated in a 3-day educational course, designed by the research team. The community health workers then decided how to implement the interventions in their community. The success of the program was measured by (1) the ability of the community health workers to determine an implementation plan, (2) the successful use of research forms provided, (3) participation and retention rates, and (4) satisfaction of the participants.Results(1) The community health workers used a door-to-door approach through which participants were successfully registered and both interventions were successfully carried out; (2) registration forms, consent forms, and result forms were used correctly with minimal error; (3) screen/treat intervention: 97% of registered participants gave an HPV sample, 94% of HPV-positive women were treated, and 90% returned for 6-month follow-up; vaccine intervention: 95% of registered girls received the first vaccine, 97% of those received the second vaccine, and 93% the third; (4) 96% of participants in the screen/treat intervention reported high satisfaction.ConclusionsCommunity-based participatory research techniques successfully helped to implement a screen/treat and vaccinate cervical cancer prevention program in Manchay, Peru. These techniques may help overcome barriers to large-scale preventive health-care interventions.

scholarly journals A Review of Mixed Methods Community-Based Participatory Research Applications in Mental Health

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
David E. Jones ◽  
Robin Lindquist-Grantz ◽  
Melissa DeJonckheere
Keyword(s):  
Mental Health ◽  
Mixed Methods ◽  
Participatory Research ◽  
Mental Health Professionals ◽  
English Language ◽  
Community Based Participatory Research ◽  
Final Analysis ◽  
Well Being ◽  
Empirical Literature ◽  
Community Based

The aim of the paper was to methodologically review the intersection of mixed methods research (MMR) and community-based participatory research (CBPR) in the field of mental health research. We classify this intersecting approach as MMCBPR. The methodological review of empirical literature was conducted between October 2017 and March 2020 of full-text articles in Scopus, Pubmed, ProQuest Central, Web of Science, and EBSCOhost search engine databases in the English language. Twenty-nine studies meeting the inclusion criteria were included in the final analysis. We found some evidence of MMCBPR but it was limited by factors such as a lack of explicit rationales for the use of MMR and CBPR, limited evidence of long-term commitment to a community, and an ad hoc approach to the application of MMR and CBPR. These findings informed the development of practical recommendations for psychologists, mental health professionals, and researchers in the application of MMCBPR. In particular, our MMCBPR recommendations aim to advance the social justice agenda in counseling psychology, increase the rigor of MMCBPR approaches in mental health studies, and inform how advanced mixed methods applications can be used to address the complexities associated with mental health and well-being.

scholarly journals Men perspectives on attending antenatal care visits together with their pregnant partners in Misungwi district, rural Tanzania: a qualitative study

2020 ◽  
Author(s):  
Maendeleo Boniphace ◽  
Dismas Matovelo ◽  
Rose Laisser ◽  
Hadija Swai ◽  
Victoria Yohana ◽  
...  
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Community Health ◽  
Community Health Workers ◽  
Research Team ◽  
English Language ◽  
Health Workers ◽  
Cultural Beliefs ◽  
National Language ◽  
Rural Tanzania

Abstract Background: Mens’ attendance, together with their pregnant partners at facility-based antenatal care (ANC) visits is important, yet remains uncommon in parts of rural Tanzania. This study examined perspectives of men on attending with their pregnant partners in Misungwi District, Tanzania.Methods: Individual interviews (n=6) and focus group discussions (5) were conducted using semi-structured questionnaires with fathers, expectant fathers and other key informants (health providers, volunteer community health workers, Village leaders). The interviewers were researchers trained on how to conduct interviews prior field visits. The questions were asked using Tanzania National language ( Swahili).Transcripts were recorded, transcribed in Swahili Language and later on it was translated in English language. The research team conducted thematic analysis using English language by grouping related codes into themes. The main themes were obtained upon agreement with the research team. Results: Two key system/societal-level themes were identified: (1) males who attended facility-based ANC visits and experienced lack of being given ANC feedback from health care workers and partners and hence men felt excluded from visit services; and (2) traditional cultural beliefs and gender roles strongly influenced the choice not to attend visits. This resulted into men being hidden pregnancy details (secrecy) from their partners in the community. Conclusion: To maximize gender equity in maternal and health requires involvement of men at ANC visits in Misungwi. This can be achieved by addressing core traditional and systemic barriers including use of community health workers. Improved communication between partners and health care providers through provision of ANC feedback and male involvement in examination room is warranted to promote access to ANC.

A Community-Based Participatory Diabetes Prevention and Management Intervention in Rural India Using Community Health Workers

2012 ◽  
Vol 38 (6) ◽  
pp. 822-834 ◽  
Author(s):  
Padmini Balagopal ◽  
N. Kamalamma ◽  
Thakor G. Patel ◽  
Ranjita Misra ◽  
Ranjita Misra ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Diabetes Prevention ◽  
Health Workers ◽  
Rural India ◽  
Community Based ◽  
Management Intervention

Modeling the Principles of Community-Based Participatory Research in a Community Health Assessment Conducted by a Health Foundation

2009 ◽  
Vol 10 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Karen Jaynes Williams ◽  
Patricia Gail Bray ◽  
Carrie K. Shapiro-Mendoza ◽  
Ilana Reisz ◽  
Jane Peranteau
Keyword(s):  
Community Health ◽  
Participatory Research ◽  
Health Assessment ◽  
Community Based Participatory Research ◽  
Local Area ◽  
Lessons Learned ◽  
Assessment Model ◽  
Community Based ◽  
Community Health Assessment ◽  
Practical Applications

The authors discuss strategies used and lessons learned by a health foundation during development of a community health assessment model incorporating community-based participatory research (CBPR) approaches. The assessment model comprises three models incorporating increasing amounts of CPBR principles. Model A combines local-area analysis of quantitative data, qualitative information (key informants, focus groups), and asset mapping. Model B, a community-based participatory model, emphasizes participatory rural appraisal approaches and quantitative assessment using rapid epidemiological assessment. Model C, a modified version of Model B, is financially more sustainable for our needs than Model B. The authors (a) describe origins of these models and illustrate practical applications and (b) explore the lessons learned in their transition from a traditional, nonparticipatory, quantitative approach to participatory approaches to community-health assessment. It is hoped that this article will contribute to the growing body of knowledge of practical aspects of incorporating CBPR approaches into community health assessments.

Community Health Workers (CHWs) as Innovators

2018 ◽  
Vol 13 (1) ◽  
pp. 15-28
Author(s):  
Tyler Prentiss ◽  
John Zervos ◽  
Mohan Tanniru ◽  
Joseph Tan
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Underserved Populations ◽  
Low Cost ◽  
Cost Effective ◽  
Well Being ◽  
Grant Writing ◽  
Multiple Sources ◽  
Context Of Learning

Community health workers (CHWs) have a longstanding role in improving the health and well-being of underserved populations in resource-limited settings. CHWs are trusted in the communities they serve and are often able to see through solutions on community challenges that outside persons cannot. Notwithstanding, such solutions often must be low-cost, easily implementable, and permit knowledge gaps among CHWs to be filled via appropriate training. In this sense, use of cost-effective information technology (IT) solutions can be key to increasing access to knowledge for these community agents. This paper highlights insights gleaned from a pilot study performed in Detroit, Michigan with a group of CHWs in basic grant-writing training via an e-platform, the Community Health Innovator Program (CHIP). The results are discussed within the context of learning theory. It is concluded that e-platforms are necessary for CHWs to leverage knowledge from multiple sources in an adaptive environment towards addressing ever-evolving global health challenges.

scholarly journals Community-Based Interventions for Stroke Provided by Nurses and Community Health Workers: A Review of the Literature

2020 ◽  
Vol 52 (4) ◽  
pp. 152-159 ◽  
Author(s):  
Gayenell S. Magwood ◽  
Michelle Nichols ◽  
Carolyn Jenkins ◽  
Ayaba Logan ◽  
Suparna Qanungo ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Review Of The Literature ◽  
Community Based Interventions ◽  
Community Based
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