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Lay Health Promoter (LHP) Program Working Group of Creciendo Juntos


Lay Health Promoter (LHP) Program Working Group of Creciendo Juntos Jan Wolfe, FNP Co-facilitator of the Lay Health Promoter Working Group, Creciendo Juntos – PowerPoint PPT presentation

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Title: Lay Health Promoter (LHP) Program Working Group of Creciendo Juntos

Lay Health Promoter (LHP) ProgramWorking Group
of Creciendo Juntos
  • Jan Wolfe, FNP
  • Co-facilitator of the Lay Health Promoter
    Working Group, Creciendo Juntos
  • Clinical Director, Rural Health Outreach Program
  • Nila Saliba
  • Co-facilitator of the Lay Health Promoter
    Working Group, Creciendo Juntos
  • UVA Cancer Center
  • Katie Burke, MS
  • Co-facilitator of the Lay Health Promoter
    Working Group, Creciendo Juntos
  • Community Educator, Planned Parenthood Health

  • Creciendo Juntos (Growing Together) is an
    inter-agency and inter-community network for
    issues related to the Latino/Hispanic community
    in Charlottesville City, Albemarle County, and
    surrounding areas.
  • Lay Health Promoter Program (LHP) is a working
    group of Creciendo Juntos. The LHP has been used
    successfully in Latin America to enhance health
    services to underserved populations. The model
    utilizes informal support systems in communities,
    typically training several members as
    promotoras who, in turn, engage and inform
    their families, friends, and neighbors on
    important health issues and connect them to their
    medical services.

Activities to date
  • May 2007, start of LHP working group meetings.
    Linda Hemby, Dilcia Colindres, Jan Wolfe, Martha
    Trujillo, Ivonne Lopez, and Lindsey Holcomb.
  • Discussion with Karen Bunn, Director of LHP
    program at Cross Over Health Center in Richmond,
  • Creciendo Juntos September plenary with LHP group
    and Karen Bunn.
  • Hispanic outreach fair in Southwood, September
  • Began conducting health needs assessment among
    residents in Southwood, November 2007-present.

US Census Bureau stats on Latinos in
  • In 1990, the Latino population was at 1.16 of a
    total population of 108,381.
  • In 2000, grew to 2.52 of a total population of
    124,258 individuals.
  • In 2005, grew to 4.25 of a total population of
    161,712 individuals.
  • Census figures show that during the last decade,
    the Latino population in Virginia increased
    105.6, compared to the overall population growth
    of 14.4. (Nowak 2004)
  • Similarly, while the total population of Central
    Virginia grew by 21.6, the increase for Latinos
    was 151.8. (Nowak 2004)
  • A recent report indicates that Latino growth may
    be even higher in our area. School enrollment is
    a strong indicator of the trends in the general
    population, and these figures represent a 384
    increase in the LEP student body over the past
    nine years in Albemarle, and a 555 increase over
    ten years in Charlottesville. (Charlottesville/Al
    bemarle Commission on Children and Families,
    2005) Most of these LEP students are Latinos.

  • The 100-acre Southwood Mobile Home Park is
    located off of 5th street extended, about a mile
    from the 120 exit of interstate 64. It was opened
    in the mid 1970s and contains some 360 trailers.
  • Actual number of residents is unknown estimates
    are between 1,800 and 3,000. All of its residents
    are low income over half are Spanish speaking
    Mexicans, Salvadorans and Hondurans.

Overview of Southwood Health Survey
  • Latino residents of 65 trailers were interviewed,
    between October 20th and November 15th, 2007.
  • Comparison 19 Latinos in 3 focus groups in
  • A draft report February 16th
  • Report presented March
  • Linda Hemby, sociologist coordinating survey and
    tabulating results.

Already recognized health needs from
conversations with Latinos in Southwood
  • Mental Health
  • -stress, anxiety, and depression related to
    immigration, language barriers, and other
  • Chronic disease management
  • -respiratory diseases, diabetes, kidney problems.
  • Birth control

Top ten leading causes of death in the U.S. in
2002 for Latinos
  • Heart disease
  • Cancer
  • Unintentional injuries
  • Stroke
  • Diabetes
  • Chronic liver disease and Cirrhosis
  • Homicide
  • Chronic lower respiratory disease
  • Pneumonia and Influenza
  • Birth defects
  • Source http//

Goals of the LHP program
  • Initiated as a means to meet the obvious need for
    basic health knowledge of Latino residents in
    Charlottesville/Albemarle area.
  • Established to empower and equip Latino citizens
    to be involved in the process of improving their
    health, the health of others, and the health of
    their communities.
  • Program based on the idea that individuals who
    understand disease prevention and wellness are
    more likely to remain in good health, become
    efficient health educators in their communities,
    and good health care consumers when they do
    require medical attention.

Trained LHP will be able to
  • Effectively help others access the heath care
    system and resources they need, thus reducing the
    number of individuals who postpone early
  • Participate in a variety of community outreach
    events and possibly volunteer with health related
    organizations (depends on a variety of factors)
  • Use this educational outreach opportunity as a
    stepping stone to other opportunities (continue
    their education, acquire pt/ft paid position,

Program Outline
  • First class from the Southwood community.
  • LHP program offered without charge to Southwood
    residents who are interested in becoming LHP.
  • 15 participants per class.
  • 32-hour course taught over an 8-week period. 4
  • Begin September 16th, 2008 until October 30th.
    Graduation will be November 6.
  • Classes meet twice a week (Tuesday/Thursday) from
  • The hope is to hold classes at the Boys and Girls
    Club space in Southwood. Awaiting confirmation-
    space unavialable
  • Meetings will be held at the ACOB

Program outline contd.
  • Fall 2008 class Fall 2009 class 30
  • Training content will range from basic
    information about medical resources in the
    community, hand washing and healthy eating
    habits, to more complicated issues such as
    detection of high blood pressure, breast cancer,
    and diabetes to a name a few.
  • Classes are structured to encourage participation
    and sharing of experiences.
  • Participants recruited from flyers, newspaper
    articles (Nuevas Raices), door-to-door
    solicitation in Southwood, church bulletins, word
    of mouth, etc.

  • Participants receive 32 hours of instruction and
    are required to give back 20 hours within a
    6-month period.
  • Record card to keep track of their time.
    Signatures are required.
  • 20-hours can be accomplished by
  • -talking about what was learned with family,
    friends, and/or community neighbors.
  • -helping with outreach events (fairs, screenings,
    etc.) planned by the LHP program or other health
    related organization.
  • -volunteering/interning with health related
    agencies who might be in need of an interpreter,
    educator, someone to design handouts/materials,

Volunteer/intern program
  • Solicit volunteer/intern positions with local
    health/service organizations.
  • Allow trained/graduated lay health promoters to
    select from the options and seek out those
    positions on their own.
  • It is up to the local organization and the lay
    health promoter to work out a schedule since we
    only require them to give back 20 hours total.
  • Organization signs the record card.

Other options for documented LHPs.
  • Attend ESL classes or go to the
    interpreter/translator training in Harrisonburg
    (out of their pocket)
  • Continue to help with outreach fairs and events
    in the commmunity.
  • Continue on with education (PVCC, CATEC, etc.
  • Apply for PT/FT jobs

  • For those without their papers we will see if
    there are any health/service organizations
    willing to take on an undocumented volunteer.
  • If not, undocumented lay health promoters will
    have these options to complete their necessary
  • -educate their families, friends and neighbors
    about what they learned.
  • -volunteer with outreach fairs and screenings
    coordinated by creciendo juntos, churches,
    community groups, etc.
  • Can work towards getting their papers.
  • Take ESL classes if needed.

Evaluation component
  • Creation of pre and post tests for each class
    session to determine learning.
  • Community service evaluation creation of a
    simple checklist for agencies or folks they
    worked with re knowledge base, dependability,
    would you participate in our volunteer/internship
    program again, etc.? 
  • Evaluation at end of program in November to
    identify pros and cons of program. Ask
    participants if they would recommend program,
    what would you change, favorite parts, etc.?

  • Graduation ceremony November
  • Certificates of accomplishment
  • Continuing education

Ways to get involved
  • Serve as a trainer/instructor
  • Logistics
  • Creation of evaluation tools
  • Financially donate, grant writing, fundraising,
  • Promotion/marketing
  • Other donations food/snacks for LHPs, child
    care, materials, etc.
  • Other ideas?
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