Post on 06-Mar-2018
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
PROMOTORA/CHW TRAINING & CERTIFICATION PROGRAM
https://www.dshs.state.tx.us/mch/chw.shtm chw@dshs.state.tx.us
After this presentation, Community Health Workers (CHWs) will: o recognize CHWs working under other job titles and descriptions
o understand the Texas CHW Training and Certification Program as a part of the global CHW workforce
o identify the various models of CHW programs around the world
o understand requirements for initial certification and renewal through the Texas CHW/Promotora program
• Liaisons/trusted members of community
• Have a close understanding of the ethnicity, language, socio-economic status, and life experiences of the community served
• CHWs assist people to gain access to needed medical and social services
Photo: USAID
They participate in:
o Outreach
o Patient navigation and follow-up
o Community health education and information
o Informal counseling, social support, advocacy
o Clinical research Photo: USAID
o Enrollment specialist
o Health advocate
o Family advocate
o Family Support Worker
o Promotor(a) de Salud
o Outreach educator
o Outreach worker
o Patient navigator
o Community health educator
o Peer advocate or peer leader
Photo: UN Population Fund
Barefoot Doctors in Ding Xian, China in the 1920s.
o Illiterate farmers were trained to record births and deaths, vaccinate against smallpox and other diseases, give first aid and health education talks, and help communities keep their wells clean
o By 1972, there were an estimated one million Barefoot Doctors serving a rural population of 800 million people in the People’s Republic of China (or roughly one per 800 people)
Perry, H. (2014). A Brief History of CHW Programs. In Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policy Makers. MCHIP.
Photo: Google Image
1960s-1980s
o Two agendas: o Service-oriented extension of preventive and curative services within existing health
system
o Transformative, concerted with engagement of communities in the process of taking responsibility for their health
Perry, H. (2014). A Brief History of CHW Programs. In Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policy Makers. MCHIP.
o Growth of programs in post-colonial countries and Latin America
o India, Nepal, Indonesia, Zimbabwe, Tanzania, Malawi, Mozambique, Nicaragua, and Honduras
Photo: Clinton Foundation
o Effective in rural and developing countries with a lack of traditional medical professionals
o Some international organizations using CHWs: o Partners in Health
o World Health Organization
o UNICEF
o One Million Community Health Workers Campaign
o USAID
oUSAID - Nepal’s Navel Glazers https://vimeo.com/124186626
oTexas Gulf Coast CHW/Promotores Association – I am a Promotora/ Yo Soy Promotora https://vimeo.com/61074950
Optional Videos: oUNICEF - Bridging the Community and the Health System
https://www.youtube.com/watch?v=QQ-rdPeItmo
oUNICEF in Mali- Community Health Workers leading with ICCM https://www.youtube.com/watch?v=XYOWq9OIZC0
o Promotora de Salud/Lay Health Worker Model o CHWs are members of the target population
o Patient advocate, educator, mentor, outreach worker and translator
o Member of Care Delivery Team Model o CHW provides direct health services along with medical professional
o Often used in a holistic approach to a mobile clinic setting
o Care Coordinator/Manager Model o CHWs help patient with complex conditions navigate the medical system
o Coordinate transportation, appointments and care management plans
“Community Health Workers Evidence-Based Models Toolbox,” HRSA Office of Rural Health Policy, August 2011
o National Promotora Steering Committee
o Eleven CHW networks and associations
o List posted to http://www.dshs.state.tx.us/mch/chw.shtm
Photo: Partners in Health
Claudia Bustos CHW Member
Community Health Center of Lubbock
Gary Glenn Eagleton CHW Member
Jean Youngstrom Diebolt, MSN
Public Member
Richard Rosing Higher Education Member
Houston Community College System
Oscar J. Muñoz (Assistant Presiding Officer)
Professional Working with CHWs Texas A&M University
Venus Ginés, M.A. Public Member
Día de la Mujer Latina™ Inc.
Julie St. John, MA, MPH, DrPh Professional Working with CHWs
Texas Tech University Health Sciences Center
Bobby D. Hansford CHW Member
Harris Health System
Mérida Escobar (Presiding Officer)
CHW Member South Texas Promotora Association
• Certification program implemented in 2001
• Requires certification for promotores or CHWs being compensated for services provided
• The CHW Training and Certification Program: • Located within the Department of State Health Services Office of Title V
and Family Health
• Provides certification for: • Promotores/CHWs • Instructors of CHWs • Training Programs
• Completion of an approved 160-hour competency-based training program certified by DSHS
OR
• Experience – At least 1000 cumulative hours of community health work services within the most recent six years
• Qualification is based on eight core competencies: communication, interpersonal, capacity building, service coordination, advocacy, teaching, organization, knowledge base of specific health issues
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500
1000
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2000
2500
3000
3500
2007 2008 2009 2010 2011 2012 2013 2014
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12 13
16
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2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
• Continuing education is a requirement for most professional licenses or certifications in the U.S. • Doctors, Lawyers, Nurses, Accountants,
Engineers, Architects
• Equips us with the most up-to-date and effective information and skills/training
• Mechanism for organizations to share information on health topics and best practices for caring for the community
• Doubles as a networking opportunity for CHWs and Instructors
Photo: Partners in Health
• Fill out application Every TWO years
• TWENTY hours of continuing education related to the core competencies • At least ten (10) certified hours of continuing education must come from participation in
a DSHS approved training program.
OR • You may combine five (5) DSHS certified hours of CEUs AND up to five (5) hours of CEUs
you completed to renew a Texas license or certification in another health profession.
• The remaining ten (10) hours may come from NON CERTIFIED HOURS that relate to one or more of the core competencies.
• You may also do verifiable self study, such as reading materials, audio materials, audiovisual materials or a combination
DSHS CERTIFIE
D CEUS - 10
SELF-STUDY -
5
NON-CERTIFIE
D HOURS - 5
DSHS CERTIFIED CEUS - 5
SOCIAL WORK CES
- 5
NON-CERTIFIED HOURS -
10
DSHS CERTIFIED CEUS - 8
INSTRUCTI
ON EXPERIEN
CE - 5
NON-CERTIFIED HOURS - 7
• Keep your email address current!
• Join your local CHW Association/Network
• Get on the email/distribution list of local training centers
• Check out the variety of online trainings available on-demand: https://www.dshs.state.tx.us/chw/Distance-Learning-CE.aspx
Paige Menking Community Health Worker Program Coordinator Department of State Health Services Office of Title V and Family Health 512-776-3860 paige.menking@dshs.state.tx.us CHW Program Mailbox: chw@dshs.state.tx.us