Online Program

Harvesting from within: Implementing a health ambassador model to educate migrant farmworker women about HPV and cervical cancer

Tuesday, November 3, 2015

Khaliah Fleming, MPH, CHES, Tampa Bay Community Cancer Network, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL
Vani Simmons, Ph.D., Department of Health Outcomes & Behavior, Moffitt Cancer Center, Tampa, FL
Cathy Meade, PhD, Moffitt Cancer Center, Tampa, FL
Clement K. Gwede, PhD, MPH, RN, Health Outcomes and Behavior, Moffitt Cancer Canter and Research Institute, Tampa, FL
Margarita Romo, Farmworkers Self-Help, Inc., Dade City, FL
Background: The Tampa Bay Community Cancer Network (TBCCN) is a community-academic partnership that aims to reduce cancer disparities among medically underserved populations within the Tampa Bay area. Since its inception in 2005, TBCCN community partners have worked collaboratively to design educational programs responsive to community needs and priorities. Planned in collaboration with a community partner, Farmworkers Self-Help, Inc., (FSH), we recently implemented a series of charlas (talking circles) on the topic of cervical cancer and HPV prevention utilizing women from a farmworker community as health ambassadors (embajadoras)   Purpose: This presentation describes the development and novel design, implementation, and evaluation data from our embajadoras de salud project. Methods: Six women from the migrant farmworker community were trained as health ambassadors. Approaches in the design of the curriculum included iterative community member input and the selection and training of embajadoras to ensure that the content was appealing, culturally and linguistically appropriate and relevant to the needs of those attending the charlas. Then, a total of 60 women from the community participated in the charlas and received HPV, cervical cancer and Pap screening resources and education. Results: Findings from pre and post-test assessments indicated an improvement in scores in the areas of cervical cancer screening self-efficacy, Pap intentions, and HPV Knowledge among charla attendees. Furthermore, ambassadors expressed a sense of pride and ownership in their roles as educators. Conclusion: Findings support the use of the health ambassador model in this community for delivery of HPV/cervical cancer and cervical cancer screening information and resources.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs

Learning Objectives:
Explain the procedure for designing a health ambassador pilot program in collaboration with a community partner Describe novel approaches for migrant farmworker centered health education Evaluate the effectiveness of the health ambassador pilot program

Keyword(s): Cancer and Women’s Health, Community Health Workers and Promoters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a certified health educator and current outreach core co-director for the Tampa Bay Community Cancer Network (TBCCN).In this role, I am responsible for the development, implementation and evaluation of cancer-related outreach/educational activities for medically underserved communities (including farmworkers).I have led two main projects focusing on creating culturally and linguistically appropriate cancer-related educational materials or the Latino farmworker population in the Tampa Bay area.
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.