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Promotoras Voice Their Challenges in Fulfilling Their Role as Community Health Workers.
Pamela Orpinas1, Rebecca A Matthew1, Luis R Alvarez-Hernandez1
1University of Georgia, Athens, GA, USA.
Female community health workers, known as promotoras de salud, face challenges like balancing work and family, language barriers, and discrimination. Their proposed solutions offer valuable insights for community health promotion and research.
Area of Science:
- Community Health
- Public Health Research
- Health Disparities
Background:
- Promotoras de salud are vital for Latinx community well-being.
- Community-based participatory research (CBPR) relies on community engagement.
Purpose of the Study:
- To identify challenges faced by promotoras.
- To document promotoras' proposed solutions to these challenges.
Main Methods:
- Qualitative study using two group interviews.
- Five promotoras from the Lazos Hispanos CBPR study participated.
Main Results:
- Eight key challenges were identified: work-life balance, power dynamics, emotional toll, language barriers, discrimination, cultural misunderstandings, transportation issues, and data collection burden.
- Solutions proposed by promotoras are rooted in their lived experiences and intersecting identities.
Conclusions:
- Promotoras' perspectives are crucial for effective health promotion.
- The findings offer practical solutions for CBPR within Latinx communities.
- Addressing promotoras' challenges can improve health equity.
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