Promotores as partners in a community-based diabetes intervention

Among the health disparities affecting Hispanic Americans are the high rates of type 2 diabetes, which are almost twice those of white Americans. To address these high rates, the LA VIDA (lifestyle and values impacting diabetes awareness) diabetes intervention program targets Hispanics who have or are at risk for diabetes in Hidalgo and Grant counties in southwestern New Mexico. Promotoras, community health workers (CHWs), are a pivotal component of LA VIDA in their role as health care navigators for their fellow Hispanic community members. Employed by Hidalgo Medical Services (HMS), a federally qualified health center that offers multiple health services in a health commons,LA VIDA promotoras also offer family support services. The promotoras contribute to reducing diabetes health disparities by improving access to health care and social services, facilitating enrollment in educational and physical activities, and supporting lifestyle changes.

Promotoras participate as partners in community activities that build capacity, contribute to sustainability and promote policy change. For example, since its inception, promotoras have participated in the Food and Nutrition in the Schools Committee (FANS ), which has developed and implemented a school wellness policy for two school systems in Grant County. Also, promotoras planned and implemented restaurant intervention program highlighting diabetes and heart friendly menu items at local restaurants.

Through their understanding of cultural nuances and knowledge of community resources, LA VIDA Promotoras make it possible to transcend cultural barriers and promote change. Promotoras build capacity in their communities and offer promise for future sustainability.