Online Program

Thinking Big in a small place: Changing Transportation through CHW advocacy efforts in US/Mexico border community

Monday, November 2, 2015 : 8:50 a.m. - 9:10 a.m.

Alicia Sander, Promotora, Health Promotion-Disease Prevention, Mariposa CHC, Nogales, AZ
Maia Ingram, MPH, Deputy Director, Arizona Prevention Research Center, University of Arizona, Tucson, AZ

Rosie Piper, Health Promotion-Disease Prevention, Mariposa Community Health Center, Nogales, AZ
Community health workers (CHWs) are natural community leaders and community change agents who work to improve the health of their community.  While natural leadership may incline individuals to be identified or drawn to the CHW profession, CHWs have both an interest and need for specific training in community advocacy, or  inspiriting and teaching others how to gain influence over factors impacting their lives and to give them the tools to achieve their goals Community Health Workers from Mariposa Community Health Center in Nogales, Arizona participated in Acción para la Salud (Action for Health), a participatory research project conducted by the University of Arizona Prevention Research Center. This presentation will tell the story of how three Promotoras de Salud applied their advocacy training to address the lack of public transportation expressed by the Nogales community. The session will review the purpose of the Acción para la Salud project and describe the basic advocacy principles addressed by the curriculum developed by the project. The strategies that the Promotoras used to effect environmental change--in this case to improve public transportation between the international border, public housing neighborhoods and a critical access hospital--will be discussed. The session will conclude with how the same advocacy concepts can be applied by CHWs in many settings as change agents regarding the community environment and policies to address social determinants of health that affect health and wellbeing.

Learning Areas:

Advocacy for health and health education
Assessment of individual and community needs for health education
Diversity and culture
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Demonstrate possible roles for CHWs in advocacy as change agents for environmental and policy change that promote health and wellness. Describe the Acción para la Salud curriculum used to build CHW advocacy. Demonstrate how the advocacy strategies can be applied by CHWs in various settings.

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

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working in the Public Health arena for more than 20 years and have have assisted in the design and implementation of multiple health promotion programs.My professional focus has been on the prevention of chronic disease, healthy eating and active living.
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.