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Pandemic-Related Funding Termination and Structural Drivers of Inequities: A Case Study of a Promotores/as-Focused
Alana M W LeBrón1, Melina Michelen1, Patricia J Cantero1
1Alana M. W. LeBrón is with the Department of Health, Society, and Behavior in the Joe C. Wen School of Population & Public Health and the Department of Chicano/Latino Studies in the School of Social Sciences, University of California, Irvine. Melina Michelen is with the Department of Health, Society, and Behavior in the Joe C. Wen School of Population & Public Health, University of California, Irvine. Gloria I. Montiel is with AltaMed Health Services Corporation, Los Angeles, CA. Patricia J. Cantero, Loreta Ruiz, Kory Razaghi, Laura Pantoja, Marisela Ramirez, Josefina Jimenez, and America Bracho are with Latino Health Access. John Billimek is with the Department of Family Medicine, in the School of Medicine, University of California, Irvine.
Abstract:
During the COVID-19 pandemic, governmental agencies expanded safety net programs to ameliorate profound economic suffering. However, structural challenges excluded many low-income, immigrant, and racially minoritized communities, deepening inequities. Promotores/as and community-based organizations (CBOs), whose models focus on addressing structural drivers of inequities, were vital to communities navigating these challenges. This analytic essay examines how terminating pandemic-related funding strained CBOs and the communities they serve. Through a case study of a midsized promotores/as model CBO, we analyze practice-based qualitative and quantitative data, alongside a qualitative study of COVID-19 promotores/as models. Findings illuminate a dual postpandemic benefits cliff. As pandemic benefits expired, individuals once again faced the economic hardships that had been temporarily alleviated. Simultaneously, heightened demands on CBOs, along with reduced funding and resources, threatened their ability to meet community needs. Findings indicate the importance of coalition-building for structural transformation and governmental and nongovernmental support of promotores/as models and CBOs to promote health equity. (Am J Public Health. 2025;115(11):1824-1835. https://doi.org/10.2105/AJPH.2025.308154).
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