Online Program

Implementing a Community Health Worker Evaluation Framework: Strategies from the Gulf Coast

Monday, November 2, 2015

Laila Fox, MUP, MPH, Tulane School of Public Health and Tropical Medicine; Department of Global Environmental Health Sciences, Tulane University, New Orleans, LA
Cyndi Nguyen, Vietnamese Initiatives in Training, New Orleans, LA
Erica Dudas, New Orleans Musicians Assistance Foundation, New Orleans, LA
Frieda Brown, New Orleans Musicians Assistance Foundation, New Orleans, LA
Sarah Landry, Mercy Housing and Human Development, Gulfport, MS
Ginni Tran, Mercy Housing and Human Development, Gulfport
Chris Mitchell, PanCare, Freeport, FL
Kathy Boone, PanCare, Freeport, FL
Denise Hughes, 4U, Lockport, LA
In an effort to address the health disparate and disaster-prone populations in the region, the Center for Gulf Coast Health Research, Leadership and Strategic Initiatives partnered with 13 Gulf Coast federally qualified health centers and community based organizations to employ 21 community health workers (CHWs). Although CHWs have been used with increasing frequency for several years, a standardized framework for assessing their roles, training competencies and career opportunities is lacking. Limited  data exist that shed light on how successful programs operate, funding and staffing concerns, proper training, supervision and ongoing education. Lack of role clarity and the absence of standardized procedures for CHW selection, training and placement, as well as critical  support at the organizational level also affect program results.  This community-academic partnership recognized the opportunity to operationalize these needs by conducting site visits to all partner organizations. These visits included a series of semi-structured interviews and programmatic surveys with CHWs and their supervisors in an effort to provide technical assistance and create a robust evaluation strategy. The results will add to the evidence-base of critical building blocks of a successful CHW program and lessons learned for future initiatives.  The lead author will present how this process can be used to assist healthcare providers, community-based organizations and CHWs more effectively plan, manage and sustain their own CHW programs. Five CHWs and CHW supervisors will present their successes and challenges in implementing and evaluating CHW programs that address vulnerable coastal populations such as Vietnamese fisherfolk, rural/geographically isolated communities and uninsured musicians.

Learning Areas:

Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Program planning

Learning Objectives:
Describe how to implement and manage successful CHW programs Design an effective evaluation strategy for CHW programs Examine strategies for tailored support and technical assistance to CHW programs

Keyword(s): Community Health Workers and Promoters, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Laila Fox has extensive experience in survey design and qualitative interviewing techniques, as well as program planning and evaluation. she also trains all CHWs and their supervisors while providing ongoing education and technical assistance. The CHWs and CHW supervisors share invaluable firsthand experience from the field.
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.