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Aten Primaria. 2014 Dec;46(10):531-40. doi: 10.1016/j.aprim.2014.03.002. Epub 2014 May 16.

[RIU project: perceived changes by health agents and professionals after a health intervention in an urban area of socioeconomic disadvantage].

[Article in Spanish]

Author information

1
Fundación para el Fomento de la Investigación Biomédica y Sanitaria de la Comunitat Valenciana (FISABIO), Valencia, España. Electronic address: avinyo_ado@gva.es.
2
Fundación para el Fomento de la Investigación Biomédica y Sanitaria de la Comunitat Valenciana (FISABIO), Valencia, España; Centros de Salud Pública de Valencia y Alzira, Valencia, España; Departament d'Infermeria, Universitat de València, Valencia, España.
3
Fundación para el Fomento de la Investigación Biomédica y Sanitaria de la Comunitat Valenciana (FISABIO), Valencia, España; Oficina del Plan del Cáncer. Dirección General de Salud Pública, Valencia, España; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España.
4
Departamento de Sociología II, Universidad de Alicante, Alicante, España.
5
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España; Departamento de Salud Pública, Universidad de Alicante, Alicante, España.

Abstract

OBJECTIVE:

To describe how health agents and professionals working in a community project perceive the changes related to the population health status and their use of health-care services after the RIU intervention in an urban area of socioeconomic disadvantage.

DESIGN:

A qualitative descriptive study based on individual and group interviews and participant observation conducted between October 2008-July 2009.

LOCATION:

Raval (Algemesí-Valencia)

PARTICIPANTS:

We selected by purposive sample 7 women health agents, all persons who completed the intervention, and 10 professionals for their involvement in the intervention.

METHOD:

We conducted a group interview with the women at 6 months and a group and 7 individuals interviews both at 9 months of intervention. We realized a thematic descriptive analysis from health promotion framework. We used participant observation in a meeting with professionals at 9 months and analyzed field notes as: appraisal project, detected changes, challenges and recommendations.

RESULTS:

Women acquired information about health, contraception, pregnancy and heath services; they noted changes in self-care and social skills and leadership; they internalized the role of health worker disseminating what they learned and showed improvement in self-esteem and social recognition. They caused changes in the people related on health care and access to services. Professionals didn't incorporate at their work the community perspective; they valued positively the project; professionals and women agreed on improving access and use of services and closeness population-professionals.

CONCLUSIONS:

RIU increases the capabilities of the participants, their social recognition and improves access and use of health services.

KEYWORDS:

Agentes comunitarios de salud; Community health workers; Desigualdades en la salud; Gender and health; Género y salud; Health Promotion; Health inequalities; Participación social; Promoción de la salud; Social participation; Social vulnerability; Vulnerabilidad social

PMID:
24837167
DOI:
10.1016/j.aprim.2014.03.002
[Indexed for MEDLINE]
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