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J Health Care Poor Underserved. 2006 May;17(2):256-64.

Understanding the success of promotoras in increasing chronic diseases screening.

Author information

1
Southwest Center for Community Health Promotion, Mel and Enid Zuckerman College of Public Health, University of Arizona, USA. kerstin@u.arizona.edu

Abstract

The purpose of this qualitative study was to elicit information on why a promotora (or, community health worker (CHW)) increased adherence to chronic disease screening among women along the U.S.-Mexico border. After completion of the intervention, women and clinic staff who participated in the promotora phase of a randomized, controlled study answered structured, open-ended questionnaires. Clinicians from two non-participating clinics were also interviewed. Content analysis found that the promotora's roles included health education and the facilitation of routine and follow-up care. Clients appreciated the promotora's socio-cultural characteristics, as well as her personal skills and qualities, and described her as a trained, natural helper whose personalized support removed barriers to health care and helped women to take care of themselves. Most clinicians recommended working with a CHW to increase adherence to chronic disease prevention practices. A CHW can play a crucial role on a health care team and interventions should tap into this resource.

PMID:
16702713
DOI:
10.1353/hpu.2006.0066
[Indexed for MEDLINE]

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