250371 Community health workers WIN: Women's health improvement network

Monday, October 31, 2011

Julie Ann St. John, MA, MPH, CHWI , Center for Community Health Development, School of Rural Public Health, TAMHSC, San Benito, TX
Graciela Castillo, LMSW , Social Work Department, Nuestra Clinica Del Valle, Pharr, TX
Lucy Ramirez , Executive Director, Nuestra Clinica Del Valle, Pharr, TX
Monica L. Wendel, DrPH, MA , Center for Community Health Development, School of Rural Public Health, College Station, TX
The local FQHC, school of public health, and private providers in Hidalgo County, Texas worked together on the WIN project, with the purpose to detect and treat breast cancer among Hispanic colonia women and to demonstrate the effectiveness of utilizing promotores (community health workers) as case managers. The methodology for the project included: 1) local physician secured 250 free mammograms; 2) recruited providers to provide specialty care; 3) designed screening survey based on ACS risk factors; 4) organized large screening events; 5) prioritized women to receive free mammograms based on number of risk factors; 6) secured project funding through a County grant for specialty care and case management; 7) trained promotores in case management; 8) scheduled screening mammograms; 9) sent result letters; 10) followed up with clients with abnormal results and referred to FQHC; 11) promotores continued case management until cases were closed; 12) continued adding additional clients based on available funds; and 13) evaluated project outcomes. Results included: promotores trained in case management; 606 women initially screened; 250 women received free screening mammograms; 31 of the original 250 clients needed follow-up care; over 150 additional clients added in January-April 2009; over 700 procedures and appointments provided; and over 750 women served. Given the mortality rate in border-residing Hispanic women is 42.1/100,000 and that Hispanic women living along the U.S.-Mexico border are less likely than White women to receive routine breast cancer screenings, there is a great need for projects like WIN that are culturally relevant and successful.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
1) List and discuss risk factors associated with breast cancer. 2) Define service coordination/case management. 3) Evaluate and discuss utilizing community health workers to provide case management services for women undergoing the disease management process for breast cancer.

Keywords: Lay Health Workers, Breast Cancer Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the project manager and have several years experience in public health research.
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.