Predictors and a framework for fostering community advocacy as a community health worker core function to eliminate health disparities.
Am J Public Health
; 103(7): e67-73, 2013 Jul.
Article
en En
| MEDLINE
| ID: mdl-23678904
ABSTRACT
OBJECTIVES:
Using a mixed-method, participatory research approach, we investigated factors related to community health worker (CHW) community advocacy that affect social determinants of health.METHODS:
We used cross-sectional survey data for 371 CHWs to assess demographics, training, work environment, and leadership qualities on civic, political, and organizational advocacy. We present advocacy stories to further articulate CHW activities. The data reported are from the recently completed National Community Health Workers Advocacy Study.RESULTS:
CHWs are involved in advocacy that is community-focused, although advocacy differs by intrinsic leadership, experience, training, and work environment. We propose a framework to conceptualize, support, and evaluate CHW advocacy and the iterative processes they engage in. These processes create opportunities for community voice and action to affect social and structural conditions that are known to have wide-ranging health effects on communities.CONCLUSIONS:
The framework presented may have utility for CHWs, their training programs, and their employers as well as funders and policymakers aiming to promote health equity.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Agentes Comunitarios de Salud
/
Defensa del Consumidor
/
Disparidades en Atención de Salud
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Investigación Participativa Basada en la Comunidad
Tipo de estudio:
Diagnostic_studies
/
Evaluation_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Límite:
Adult
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Am J Public Health
Año:
2013
Tipo del documento:
Article
País de afiliación:
Estados Unidos