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PROMOTORAS & COMMUNITY HEALTH WORKERS NETWORK Promotores & Community Health Workers Addressing Health Disparities © 2008 Visión Y Compromiso

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PROMOTORAS & COMMUNITY HEALTH WORKERS NETWORK

Promotores & Community Health Workers

Addressing Health Disparities

© 2008 Visión Y Compromiso

• Who are the Promotor and Community Health Workers?

• How Promotores are addressing health disparities.

• Next Steps

Who Are Promotores & Community Health Workers?

• Promotores are community members who carry on a tradition practiced worldwide – documented as early as the 17th century, that found its way into Latin America in the 1960’s and 1970’s and eventually migrating to the U.S.

• Today Promotores are found across the U.S., and are represented in subpopulations of every ethnic group.

• In California, Promotores are mainly Spanish speaking women – and a growing population of men – of every age group and economic background.

Vision y Compromiso Network

• 14 Regions throughout California– Larger cities (L.A. , San Diego & Bay Area)– Rural areas (Central Calif. and No. Cal.)– Coastal region

• 4,000 Promotores statewide• Promotores Include:– Health Educators– Outreach & Case Workers– Community Health Workers– Volunteers & Advocates

Structure• 14 Leadership Committees in CA – Advocate on statewide and local

issues

• Regional Coordinator Committee– Nominated or volunteer to be

regional leader– All decisions of priority and

direction happen within committee

• Advocacy Committee– Provides legislative guidance to

network– Provides leadership and coordination

to advocacy activities

How Promotores Do What They Do…

• They stay current on the issues

• They strategize …• They take advantage of every

learning/training opportunity or they create it– Popular education– Incorporating adult learning

styles

• Most importantly they know how to reach the community they serve

Promotores: Address Health Disparities • Educate and inform the Latino community:

Education: Parental involvement. Immigration: Identifying available services, changes,

keeping community up to date on reform efforts. Health care: Systems change, public coverage

program assistance, location of clinics and other services

• Advocacy (on all of the above) Annual legislative Day Consistent advocacy and connectivity Mobilization on our issues

Addressing Health Disparities in New Ways

• Centers for Medicaid and Medicare new ruling: Non-clinical services are reimbursable and can be provided by non-clinical staff. VyC is working with other organizations to create state

policy• Promotores’ ACA role will demonstrate ability to

reach communities: Certified Outreach Educators Enrollment Entities will demonstrate ability to reach

communities.• Local project to address inconsistent coverage

among children could create statewide policy.

Next Steps

• Obtain professional recognition for Promotores.– Create certification process– Can result in job availability for Promotores

• Utilize knowledge, experience and abilities of Promotores in the creation of policy.

• Increase Advocacy presence.

¿Questions?Mari Lopez

[email protected]