162445 Community health worker advocacy study

Monday, November 5, 2007

Ashley B. Wennerstrom, MPH , Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ
Jill De Zapien , Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ
Maia Ingram, MPH , Deputy Director, Arizona Prevention Research Center, University of Arizona, Tucson, AZ
Samantha Sabo, MPH , Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ
Community health workers' (CHW) intimate knowledge of the needs of their community places them in a unique position to advocate for large-scale change that could increase social capital and ultimately have a sustainable, community-wide effect on health. Although there is ample evidence of the effectiveness of the CHW model for improving individual health outcomes, little research has been dedicated to examining CHWs' role as individual and community advocates.

A quantitative and qualitative study was conducted with CHWs throughout the state of Arizona in community based organizations, community health centers, and health departments. A 43-question survey and CHW interviews focused on CHW demographics, job setting, prevalence of the various types of advocacy currently being conducted by CHWs, and frequency of participation in leadership and professional trainings. This presentation will explore associations between advocacy and job setting, education, years of CHW experience, and training. Presentation will also include qualitative information from semi-structured interviews with 20 CHWs on experiences with professional training, leadership, advocacy, perception of role, and barriers to advocacy.

Learning Objectives:
1. Understand that advocacy is an essential component of the community health worker (CHW) model. 2. Understand how CHWs can effect changes in policy. 3. Understand the associations between advocacy and job setting, education, and years of CHW experience among CHWs in Arizona. 4. Identify characteristics of CHWs that may need training or encouragement to participate in advocacy.

Keywords: Community Health Promoters, Public Policy

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.