Introduction: North Carolina has seen a steady rise in births to Latina women in the last decade, from 2% in 1990 to 9% in 1999. This trend is projected to continue in the future. Many Latinas have limited English proficiency, while many providers have limited Spanish proficiency, creating reduced opportunity for quality communication and health education. Literature suggests that English as a Second Language (ESL) instruction provides a solid foundation for affecting knowledge, attitudes, and behavior. English acquisition is perceived as a valuable commodity by the Latino community. It also influences how effectively a patient interacts with providers, services, and her environment, which in turn impacts health outcomes. The purpose of this program is to enhance language proficiency and increase health knowledge among Latinas. Methods: Coastal Area Health Education Center and Cape Fear Community College, with support from the March of Dimes, are developing and piloting a health education curriculum for use in ESL settings. The curriculum will focus on a broad array of clinical, social, and "life skills" topics that relate to perinatal health. Examples include child spacing, folic acid, relationships, and reading/interpreting nutrition labels. Results: We will evaluate several anticipated outcomes, including: (1) increased English proficiency; (2) increased knowledge of preconceptional and perinatal health issues; (3) a greater sense of social support; and (4) increased knowledge of local services that meet individual needs. Preliminary results will be available in early 2002. Conclusion: This program provides an innovative approach to enhancing communication skills and health knowledge.
Learning Objectives: 1. Discuss the link between English as a Second Language instruction and health education 2. Describe an innovative program that meets the educational and social needs of women with limited English proficiency 3. Recognize ways to design programs for long-term sustainability
Keywords: Health Education, Perinatal Health
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