This report summarizes the achievements and results of the Promoting Malaria Prevention and Treatment (ProMPT) Ghana project. It presents the strategies used, lessons learned, and implications for future activities.
Although the use of lay health advisors (LHAs) has become a popular intervention in public health promotion projects, few programs have conducted evaluations demonstrating program impact by interviewing people actually counseled by LHAs. This study used semistructured, in-person interviews with 29 older, black women to elicit their perceptions of their interactions with the North Carolina Breast Cancer Screening Program's LHAs, and the ways in which these interactions affected their mammography attitudes and behavior.
Breast cancer screening continues to be underutilized by the population in general, but is particularly underutilized by traditionally underserved minority populations. Two of the most at risk female minority groups are American Indians/Alaska Natives (AI/AN) and Latinas. American Indian women have the poorest recorded 5-year cancer survival rates of any ethnic group while breast cancer is the number one cause of cancer mortality among Latina women. Breast cancer screening rates for both minority groups are near or at the lowest among all racial/ethnic groups.
This study assessed effectiveness of an educational community intervention taught by promotoras de salud in reducing cardiovascular disease (CVD) risk among Hispanics using a structural equation modeling (SEM) approach. Model development was guided by a social ecological framework proposing CVD risk reduction through improvement of protective health behaviors, health beliefs, contextual and social factors. Intervention participation was associated with improved nutritional consumption, but not lower CVD risk. Stronger health beliefs predicted healthier nutritional habits.
In the Screening Older Minority Women project, the authors applied a community capacity-enhancement approach to promoting breast and cervical cancer screening among older women of color. Members of informal support networks were recruited for this health promotion intervention to empower Latina and African American women to engage in positive health behaviors. The authors describe the phases of the intervention and the experiences from the community.
Breast cancer is a growing concern in low- and middle-income countries (LMCs). We explore community health worker (CHW) programs and describe their potential use in LMCs. We use South Africa as an example of how CHWs could improve access to breast health care because of its middle-income status, existing cancer centers, and history of CHW programs. CHWs could assume three main roles along the cancer control continuum: health education, screening, and patient navigation. By raising awareness about breast cancer through education, women are more likely to undergo screening.
This review was designed to find evidence of the effectiveness of CHWs in providing basic preventive and curative MNCH interventions, and to identify the factors that are crucial to their performance. The review looked at relevant English-language articles from 1998-2008 and systematically reviewed 14. The results showed that in 12/14 articles CHWs were effective in reducing neonatal/child deaths, increasing breastfeeding, reducing and treating malaria and reducing workload of health professionals.
The North Carolina Breast Cancer Screening Program (NC-BCSP) is devoted to reducing the difference between black and white women’s breast and cervical cancer screening rates and ultimately closing the breast and cervical cancer racial gap that still exists. Our project uses a lay health advisor network to increase cancer screening among older black women in rural communities of eastern North Carolina.
Community Health Workers (CHW) are used throughout the world to promote good health, provide health education, assist in the prevention of disease, and provide basic health and medical care in their communities. CHWs serve the role of front line public health workers in the U.S.-Mexico border region. In the border region, these workers are commonly known as
A complex set of social, political, historical, environmental, cultural and behavioral factors influence both the management of type 2 diabetes and the sustainability of diabetes self-care practices. No single set of interventions is capable of addressing all of these influences. Rather, multiple approaches that include education, social support, and community programs are needed. These approaches should also be directed at multiple levels, including individuals, families, communities, healthcare providers, and policy makers.