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Related Experiment Videos

Three evaluation methods of a community health advocate program

M Rodney1, C Clasen, G Goldman

  • 1Division of Community Health Advocacy, Center for Healthy Communities, Dayton, OH 45402, USA.

Journal of Community Health
|October 30, 1998
PubMed
Summary

Community Health Advocates (CHAs) are indigenous outreach workers who bridge communities and health professionals. Evaluations show CHAs are well-prepared by training and positively impact client health outcomes and resource coordination.

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Area of Science:

  • Community Health
  • Public Health
  • Health Disparities

Background:

  • Community Health Advocates (CHAs) are indigenous outreach workers serving as liaisons between communities and healthcare professionals.
  • The Center for Healthy Communities developed a CHA training program in 1992, with the first CHAs beginning work in 1993.

Purpose of the Study:

  • To evaluate the effectiveness of the Community Health Advocate training program.
  • To assess the impact of CHAs from the perspectives of the advocates, site managers, and clients.

Main Methods:

  • Multi-perspective evaluation including surveys and feedback from CHAs, site managers/directors, and clients.
  • Analysis of advocate preparedness, job-related challenges, and client-reported outcomes.

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Main Results:

  • Advocates reported adequate training but identified systematic barriers to their work.
  • Site directors and leaders viewed CHAs as effective in meeting client needs, promoting independence, and coordinating resources.
  • Client surveys indicated overwhelmingly positive responses to CHA services, confirming their value in healthcare.

Conclusions:

  • The CHA program effectively prepares indigenous workers to serve their communities.
  • CHAs are a valuable asset in healthcare, filling a crucial niche and improving client outcomes.
  • The evaluation methodology can serve as a model for similar community health outreach programs.