Profiles, Perceptions and Motivations of Community Health Workers of NGOs in a Border City of US-Mexico
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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.
KeywordsCommunity health workers Health promotion Community health services Community health education Promotoras
- 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).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.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.Google Scholar
- 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.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.Google Scholar
- 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.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.CrossRefGoogle Scholar
- 17.Rojas, R. M. R. (1995). Permanencia de los promotores comunitarios en las acciones de salud; dos programas en México. Tijuana: UABC Thesis.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 22.Silverman, D. (2003). Interpreting qualitative data: Methods for analysing, talk, text and interaction (2nd ed., pp. 233–235). London: Sage.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.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.Google Scholar
- 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.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
- 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.
- 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
- 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.Google Scholar