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A community health worker intervention to address the social determinants of health through policy change.
Ingram, Maia; Schachter, Ken A; Sabo, Samantha J; Reinschmidt, Kerstin M; Gomez, Sofia; De Zapien, Jill Guernsey; Carvajal, Scott C.
Afiliación
  • Ingram M; Arizona Prevention Research Center, University of Arizona, 1295 N. Martin, Tucson, AZ, 85724, USA, maiai@email.arizona.edu.
J Prim Prev ; 35(2): 119-23, 2014 Apr.
Article en En | MEDLINE | ID: mdl-24363179
Public policy that seeks to achieve sustainable improvements in the social determinants of health, such as income, education, housing, food security and neighborhood conditions, can create positive and sustainable health effects. This paper describes preliminary results of Acción para la Salud, a public health intervention in which Community health workers (CHWs) from five health agencies engaged their community in the process of making positive systems and environmental changes. Academic-community partners trained Acción CHWs in community advocacy and provided ongoing technical assistance in developing strategic advocacy plans. The CHWs documented community advocacy activities through encounter forms in which they identified problems, formulated solutions, and described systems and policy change efforts. Strategy maps described the steps of the advocacy plans. Findings demonstrate that CHWs worked to initiate discussions about underlying social determinants and environment-related factors that impact health, and identified solutions to improve neighborhood conditions, create community opportunities, and increase access to services.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Agentes Comunitarios de Salud / Defensa del Consumidor / Participación de la Comunidad / Determinantes Sociales de la Salud / Política de Salud Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: J Prim Prev Año: 2014 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Agentes Comunitarios de Salud / Defensa del Consumidor / Participación de la Comunidad / Determinantes Sociales de la Salud / Política de Salud Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: J Prim Prev Año: 2014 Tipo del documento: Article