181200 Moving toward Barrios Saludables:Lessons Learned from Promotora Interventions in Latino Neighborhoods

Tuesday, October 28, 2008

Aurelia M. Moore, RN , Montgomery County Government, Silver Spring, MD
Nancy Newton, MPH , Independent consultant, Takoma Park, MD
Sonia Mora, MPH , Latino Health Initiative, Montgomery County Department of Health and Human Services, Silver Spring, MD
Gianina Hasbun, MA , Latino Health Initiative, Montgomery County Government, Silver Spring, MD
A goal of the Vias de la Salud Health Promoter Program of the Latino Health Initiative of the Montgomery County, Maryland Deparment of Health and Human Services is to promote "barrios saludables"(healthy neighborhoods) in areas where Latino population is concentrated. Central Americans immigrants are the majority of the 125,000 County Latino residents,whose health status is widely disparate from that of the non-minority population. The promotoras are trained volunteer lay health educators, who reside in and carry out their interventions in these neighborhoods. Over the last three years, the promotoras have carried out 17 caminatas-multiple-session interventions that encourage adults, children, and families to incorparte physical activity and healthy eating in their daily lives. Promotoras hold the caminatas in elementary schools, adults English as Second Language classes, and low income housing services. More than 300 Latinos (108 adults and 195 children) have participated to date.In post-intervention survey of parents whose choldren participated, 54% reported their children increased physical activity, 64% reported their children increased consumption of fruits and vegetables, and 72% reported and increase drinking water(vs soda). This paper will present, from the perspective of both the promotoras and the program management, an analysis of the factors that contribute to the move toward healthy neighborhoods and those that still represent challenges, including the current ant-immigrant movement in the nation. Quantitative and qualitative data are drawn from promotoras'reports of each caminata session, supervisor's observations, and routine feedback sessions with promotoras.

Learning Objectives:
1. State at least three key elements in a promotora-led intervention to promote physical activity and healthy eating in Latino communities. 2. describe at least three factors that facilitate the contribution of the intervention to healthy Latino neighborhoods. 3.Identify factors that are an obstacle to healhty Latino neighborhoods.

Keywords: Community-Based Health Promotion, Community Health Promoters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I participated in the planning and evaluation process of the Promotora Interventions and I co-authored the abstract.
Any relevant financial relationships? No

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.