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Implementing empowerment-based Lay Health Worker programs: a preliminary study.

Catherine D'Arcy1,2, Ann Taket1, Lisa Hanna1

  • 1School of Health & Social Development, Faculty of Health, Deakin University, Geelong, Australia.

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|April 25, 2018
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Summary

Lay Health Worker (LHW) programs enhance health promotion by addressing enablers and barriers from the LHW perspective. This study highlights the importance of LHWs in empowerment and ecological models for effective community engagement.

Keywords:
community health promotionempowermentevaluationimplementation

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Area of Science:

  • Public Health
  • Health Promotion
  • Community Health

Background:

  • Lay Health Worker (LHW) programs are effective in community health promotion.
  • Understanding factors influencing LHW program effectiveness is crucial, especially for empowerment and ecological theory-based models.
  • Existing evidence on these specific LHW models is limited.

Purpose of the Study:

  • To explore enablers and barriers to implementing an empowerment and ecological theory-based LHW model from the LHWs' perspective.
  • To identify factors influencing the effectiveness of LHW programs in a specific context.
  • To contribute to the evidence base for implementing diverse LHW models.

Main Methods:

  • A qualitative case study was conducted in Melbourne, Victoria.
  • Data were collected from 11 LHWs through anonymized online activity logs and semi-structured interviews.
  • Deductive-inductive thematic analysis was employed, guided by five pre-defined themes from LHW literature.

Main Results:

  • Findings supported previously reported enablers and barriers to LHW program effectiveness and implementation.
  • Key subthemes included the LHW's bridging role, the empowerment model's impact, program integration, and program inclusiveness.
  • The LHW perspective provided valuable insights into practical implementation challenges and successes.

Conclusions:

  • Effective implementation of empowerment and ecological theory-based LHW programs requires attention to identified enablers and barriers.
  • LHWs play a vital role in bridging community needs and health interventions.
  • This research enhances understanding for diverse LHW models in various settings and supports complex systems-based health promotion.